Premature ejaculation can be treated with a combination of sexual therapy, drugs therapy, and psychotherapy as follows:
A.Sexual therapy:
Sexual therapy is one of the effective ways to treat Premature ejaculation, and it is characterized by the possibility of doing it at home without the need to use drug treatments.Sexual therapy helps eliminate Premature ejaculation in 60% to 90% of men with Premature ejaculation. Sexual therapy for Premature ejaculation includes:
1- Masturbate and squirt before intercourse:
This is to extend the time until the next flow and directing the sexual energy from intercourse to different sex toys that do not include intercourse may relieve the tension that accompanies the intercourse process itself.
2- Pressure technology:
Immediately after feeling the erection approaching, light pressure with the fingers of the hand on the penis when feeling orgasm and ejaculation for 20 seconds like holding urine when it comes out, and repeating the process when feeling close to orgasm, which improves ejaculation control and prevents the recurrence of Premature ejaculation in men.
3- Use a condom:
Use a thick condom to reduce sensation and reduce ejaculation.
4- Thinking change:
Thinking of something other than intercourse during intercourse.
5- Kegel exercises:
Strengthen your pelvic floor muscles by doing pelvic floor exercises or Kegel exercises.
B. Drug therapy:
Medications that help treatment of Premature ejaculation include many antidepressant drugs, anesthetic creams, tramadol, and PDEI-5 (sildenafil).
1- Antidepressants drugs:
Delayed ejaculation is a common side effect of antidepressant (selective serotonin reuptake inhibitors) drugs, so using a different antidepressant may improve treatment for Premature ejaculation.
Fluoxetine, sertraline, and paroxetine are used to treat severe Premature ejaculation, but it is not recommended to use them periodically without consulting a doctor. Its side effects may include drowsiness, loss of sexual desire, and nausea.
Dapoxetine, a fast-acting antidepressant, is prescribed to treat Premature ejaculation after consulting a doctor, and its side effects include nausea, headache, dizziness, and diarrhea.
2- Anesthetic cream or spray:
Anesthetic cream or spray, such as lignocaine, is used 30 minutes before sexual intercourse and can help delay Premature ejaculation.
The side effects of ointments are reduced sexual pleasure and sometimes local sensitivity so the cream or spray must be washed off the genitals before starting intercourse so that the partner does not lose sensation or cause loss of erection and numbness of the penis.
3- Tramadol:
Tramadol may help delay ejaculation, but this medicine is not recommended for Premature ejaculation because it poses an addiction risk. but it is not recommended to use them periodically without consulting a doctor.4- PDEI-5 (viagra-cialis-levitra):
PDEI-5 (Phosphodiesterase-5 enzyme inhibitors) may help treat severe Premature ejaculation. These medications include sildenafil, vardenafil, and tadalafil.
These medications can be used alone or in combination with selective serotonin reuptake inhibitors. but it is not recommended to use them periodically without consulting a doctor.
C. Psychotherapy:
This treatment may relieve performance anxiety and relieve stress which contributes a lot to Premature ejaculation, as treating the problem generally requires a great deal of openness and willingness from both spouses.
