Often, premature ejaculation can be successfully treated. A combination of behavioral treatments and medications can improve the condition. However, if the problem persists, a visit to a urologist is recommended. The urologist may be able to prescribe drugs, as well as refer the patient to a mental health professional, such as a therapist or psychiatrist.
The urologist may ask the patient a series of questions to help diagnose the cause of the premature ejaculation. Some of these questions may include questions about the patient’s sexual history, any medications the patient is taking, and the patient’s diet and lifestyle. Other questions might include the use of herbal products, supplements, alcohol, and illegal drugs.
Behavioral treatments for premature ejaculation are effective for 95 percent of men. These treatments include techniques that interrupt intercourse, reduce stimulation to the penis, and cool the nerves. Some of these treatments may be used simultaneously with drug therapies.
Topical anesthetic medications can be used to temporarily desensitize the head of the penis. These medications can be purchased over the counter or with a prescription. They are applied to the head of the penis before intercourse. A cream must be removed before intercourse to avoid losing an erection. They can be absorbed for about 10-30 minutes. The side effects are minimal.
Selective serotonin reuptake inhibitors (SSRIs) can be used to delay the onset of ejaculation. SSRIs include paroxetine (Paxil), citalopram, and sertraline (Zoloft). These drugs work by increasing the level of serotonin in the body. The SSRIs increase the action of serotonin at the post-synaptic cleft, thereby delaying the onset of ejaculation.
Erectile dysfunction (ED) medications are also effective for treating premature ejaculation. They can help restore normal control over ejaculation and help the patient improve his or her quality of life. Some ED medications are approved for treatment of premature ejaculation, including the drug Priligy.
There are also medications that are not approved for the treatment of premature ejaculation, such as dapoxetine (Viagra). These drugs work by inhibiting the action of the serotonin transporter, thereby delaying the onset of the orgasm. The drug must be taken one to three hours before intercourse. This medicine is available in some countries, but not in the United States.
Some individuals experience chronic premature ejaculation, which may be a sign of depression. Depression can affect the body’s ability to perform well during sexual activities, and can make it more difficult to delay ejaculation. Medications can help relieve symptoms of depression and reduce anxiety. Psychiatrists can also provide treatment for depression.
Some sex therapists can help people who suffer from premature ejaculation. These therapists can provide counseling for issues related to the condition, including the effect of stress on ejaculation. A therapist can also help a person overcome feelings of performance anxiety, which can increase the risk of premature ejaculation.
Talking about premature ejaculation with your partner is also important. This can help the two of you to discuss the problem and remove any pressure you may feel to perform well. The two of you can also discuss the options for treatment. In addition, couples therapy can help improve problems related to premature ejaculation.