Materiały źródłowe

• #1 Sexual Problems in Men: Causes, Disorders, Symptoms, Treatment

  https://www.medicinenet.com/sexual_sex_problems_in_men/article.htm

  Lifestyle changes can be useful to help treat or improve sexual dysfunction, but more importantly, they can have an impact before the development of the disease itself. You can prevent the incidence of sexual troubles by the following: Having a healthy lifestyle, Exercising regularly, Eating well, Limiting alcohol consumption, Quitting smoking (if you are a smoker).

• #2 Ejaculation Problems: Retrograde Ejaculation, Inhibited Ejaculation Symptoms and Home Treatment

  https://www.webmd.com/sexual-conditions/mens-sexual-problems

  While sexual problems cannot be prevented, dealing with the underlying causes of the dysfunction can help you better understand and cope with the problem when it occurs. […] There are some things you can do to help maintain good sexual function: Follow your doctor’s treatment plan for any health conditions. […] Increase communication with your partner.

• #3 Premature Ejaculation: Causes, Symptoms, and Treatment Options

  https://www.everydayhealth.com/sexual-health/premature-ejaculation.aspx

  If you or your partner are experiencing premature ejaculation, there are several medications and lifestyle changes that can help. […] Over-the-counter and prescription medications are available for premature ejaculation. Always discuss any treatment with a doctor before starting it. […] Men with PE issues may improve their condition by changing their exercise habits and diet and by exploring techniques that can directly address the problem. […] Research consistently shows that men who work out regularly are less likely to experience premature ejaculation compared with those who are sedentary. […] Research suggests that exercises to strengthen pelvic floor muscles, or Kegel exercises, may extend time until ejaculation. […] Practicing relaxation techniques such as deep breathing, mindfulness, or yoga can also help to manage anxiety and to exert more control over ejaculation.

• #4 Premature Ejaculation Treatment & Management: Approach Considerations, Pharmacologic Therapy, Counseling and Sex Therapy

  https://emedicine.medscape.com/article/435884-treatment

  A systematic review and meta-analysis found that tramadol may be effective in treatment of premature ejaculation, especially when other therapies have failed. […] Kilinc et al reported that moderate physical activity longer than 30 min at least 5 times a week leads to ejaculation delay in patients with premature ejaculation. […] Pastore et al reported long-term benefit from pelvic muscle floor rehabilitation (PFM) in patients with lifelong premature ejaculation. […] Surgical procedures that reduce penile sensation have been proposed as treatments for premature ejaculation. […] Consultation with a sex therapist, psychologist, or psychiatrist may prove helpful if the primary care physician or urologist cannot provide successful treatment or does not have the time to explore psychological issues and implement behavioral techniques.

• #5 Premature Ejaculation Treatment & Management: Approach Considerations, Pharmacologic Therapy, Counseling and Sex Therapy

  https://emedicine.medscape.com/article/435884-treatment

  A systematic review and meta-analysis found that tramadol may be effective in treatment of premature ejaculation, especially when other therapies have failed. […] Kilinc et al reported that moderate physical activity longer than 30 min at least 5 times a week leads to ejaculation delay in patients with premature ejaculation. […] Pastore et al reported long-term benefit from pelvic muscle floor rehabilitation (PFM) in patients with lifelong premature ejaculation. […] Surgical procedures that reduce penile sensation have been proposed as treatments for premature ejaculation. […] Consultation with a sex therapist, psychologist, or psychiatrist may prove helpful if the primary care physician or urologist cannot provide successful treatment or does not have the time to explore psychological issues and implement behavioral techniques.

• #6 Delayed Ejaculation: Causes, Diagnosis & Treatment

  https://my.clevelandclinic.org/health/diseases/22125-delayed-ejaculation

  Can delayed ejaculation be prevented? […] It depends. Some causes you cant prevent, such as nerve damage or aging. But drinking alcohol in moderation can help reduce your chances of having delayed ejaculation. […] Its also important to have an open, honest relationship with your partner. Improving your communication may help prevent delayed ejaculation from developing or getting worse.

• #7 Sexual Problems in Men: Causes, Disorders, Symptoms, Treatment

  https://www.medicinenet.com/sexual_sex_problems_in_men/article.htm

  Lifestyle changes can be useful to help treat or improve sexual dysfunction, but more importantly, they can have an impact before the development of the disease itself. You can prevent the incidence of sexual troubles by the following: Having a healthy lifestyle, Exercising regularly, Eating well, Limiting alcohol consumption, Quitting smoking (if you are a smoker).

• #8 Ejaculation Problems: Retrograde Ejaculation, Inhibited Ejaculation Symptoms and Home Treatment

  https://www.webmd.com/sexual-conditions/mens-sexual-problems

  While sexual problems cannot be prevented, dealing with the underlying causes of the dysfunction can help you better understand and cope with the problem when it occurs. […] There are some things you can do to help maintain good sexual function: Follow your doctor’s treatment plan for any health conditions. […] Increase communication with your partner.

• #9 Premature Ejaculation: Symptoms, Causes & Treatment | hims

  https://www.forhims.co.uk/blog/lexapro-for-premature-ejaculation

  Although there’s limited research on the most effective ways to prevent premature ejaculation, living a physically and mentally healthy lifestyle can help improve your sexual performance and reduce your risk of developing many common sexual issues. […] Exercise regularly. Research shows that men who exercise regularly are less likely to experience premature ejaculation than those with a sedentary lifestyle. While there’s no need to train like an Olympian, maintaining a regular workout routine can improve your physical health and sexual performance. […] Focus on your mental health. Like other sexual issues, premature ejaculation often occurs at the same time as mental health issues like depression or certain anxiety disorders. If you’re concerned about premature ejaculation, focus on improving and maintaining your mental health.

• #10 Premature ejaculation – Diagnosis and treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/premature-ejaculation/diagnosis-treatment/drc-20354905

  Common treatment options for premature ejaculation include behavioral techniques, medications and counseling. It might take time to find the treatment or combination of treatments that work for you. Behavioral treatment plus drug therapy might be the most effective. […] Weak pelvic floor muscles might make it harder to delay ejaculation. Pelvic floor exercises (Kegel exercises) can help strengthen these muscles. […] Your health care provider might instruct you and your partner to use the pause-squeeze technique. This method works as follows: […] Condoms might make the penis less sensitive, which can help delay ejaculation. Specially designed „climax control” condoms are available without a prescription. […] Creams, gels and sprays that contain a numbing agent such as benzocaine, lidocaine or prilocaine are sometimes used to treat premature ejaculation. They’re applied to the penis 10 to 15 minutes before sex to reduce sensation and help delay ejaculation.

• #11 Premature ejaculation – treatment, causes and diagnosis | healthdirect

  https://www.healthdirect.gov.au/premature-ejaculation

  Premature ejaculation is the most common sexual problem to affect males. […] It’s important to speak to your doctor about premature ejaculation because it can lead to relationship issues. […] You should talk to your doctor if you are experiencing premature ejaculation. They can help work out the cause and offer you treatment options. […] It’s important to remember that ejaculation problems are common and nothing to be embarrassed about. […] Exercise has been reported to help prevent premature ejaculation. Kegel exercises are exercises to strengthen your pelvic floor muscles. These can also help to improve your control over ejaculation.

• #12 Premature Ejaculation (PE): Causes, Symptoms, Prevention and Treatment

  https://www.metropolisindia.com/blog/preventive-healthcare/understanding-premature-ejaculation-causes-treatment-prevention

  How to prevent early ejaculation can be a very daunting question in your mind. But the good news is premature ejaculation can be delayed. Here are some tips for you: […] Incorporate pelvic floor exercises in your daily routine to strengthen your pelvic muscles and have better control of ejaculation. Identify the muscle you would use to stop urinating midstream, then squeeze and release. Begin with a few seconds, increasing gradually. Aim for 10 contractions. […] Maintain a stress-free lifestyle to prevent early ejaculation. […] If external help is required, reach out to a psychological counsellor and a urologist; together, they can help rectify your issues.

• #13 Premature Ejaculation Treatment & Management: Approach Considerations, Pharmacologic Therapy, Counseling and Sex Therapy

  https://emedicine.medscape.com/article/435884-treatment

  A systematic review and meta-analysis found that tramadol may be effective in treatment of premature ejaculation, especially when other therapies have failed. […] Kilinc et al reported that moderate physical activity longer than 30 min at least 5 times a week leads to ejaculation delay in patients with premature ejaculation. […] Pastore et al reported long-term benefit from pelvic muscle floor rehabilitation (PFM) in patients with lifelong premature ejaculation. […] Surgical procedures that reduce penile sensation have been proposed as treatments for premature ejaculation. […] Consultation with a sex therapist, psychologist, or psychiatrist may prove helpful if the primary care physician or urologist cannot provide successful treatment or does not have the time to explore psychological issues and implement behavioral techniques.

• #14 Premature Ejaculation – Men’s Health Issues – MSD Manual Consumer Version

  https://www.msdmanuals.com/home/men-s-health-issues/sexual-function-and-dysfunction-in-men/premature-ejaculation

  Behavior modification therapy, including strategies to delay ejaculation, helps most men. […] Behavior modification therapy can help most men overcome premature ejaculation. A therapist provides reassurance, explains why premature ejaculation occurs, and teaches the man strategies for delaying ejaculation. […] Other methods that can help a man delay ejaculation include medications (with a selective serotonin reuptake inhibitor such as fluoxetine, paroxetine, or sertraline or with a tricyclic antidepressant such as clomipramine). Local treatments, which tend to decrease sensation, such as application of an anesthetic (lidocaine cream) to the penis and use of condoms, may help men delay ejaculation. […] Two techniques are commonly used to treat premature ejaculation. They also help reduce the anxiety that often aggravates the problem. Each technique trains the man to experience high levels of excitement without ejaculating.

• #15 Ejaculatory Disorder Treatments | University of Utah Health

  https://healthcare.utah.edu/fertility/conditions/ejaculatory-disorders/treatment

  Our urologists have the expertise to diagnose and treat the root cause of your ejaculation disorder. Anything from psychological barriers to nerve damage may lead to ejaculation issues. We offer treatments for a range of causes, including the following: […] Several psychological, behavioral, and physical therapies can treat premature ejaculation. We recommend a few treatments: […] This treatment helps you learn to identify or regain control over your point of climax. […] This is a variation of the Masters and Johnson method. You or your partner squeezes the tip or base of your penis just before orgasm. […] Over-the-counter gels, creams, and sprays may help decrease sensation so you can last longer. […] Some medications can delay or slow down orgasms: […] You might research other ways to treat premature ejaculation that dont work. Be careful with your research and consult your urologist before self-treating.

• #16 Premature Ejaculation: Symptoms, Causes, Treatment

  https://www.healthline.com/health/mens-health/premature-ejaculation

  Premature ejaculation can be caused by certain physical conditions and psychological or emotional factors. Practicing pelvic floor exercises or making changes to your sexual routine may help. […] You may start with a primary care physician or seek out a urologist. A urologist is a doctor who specializes in the health of the urinary system and male sexual function. […] In some cases, you may be able to treat PE with some changes to your sexual routine. […] You may also try temporarily avoiding intercourse altogether and engaging in other sexual activity and play with your partner. That may help relieve the pressure of performing during intercourse. […] Two strategies you and your partner can employ are the start-and-stop method and the squeeze method. […] Certain muscle exercises may also help. In particular, you may benefit from male pelvic floor exercises.

• #17 Ejaculatory Disorder Treatments | University of Utah Health

  https://healthcare.utah.edu/fertility/conditions/ejaculatory-disorders/treatment

  Our urologists have the expertise to diagnose and treat the root cause of your ejaculation disorder. Anything from psychological barriers to nerve damage may lead to ejaculation issues. We offer treatments for a range of causes, including the following: […] Several psychological, behavioral, and physical therapies can treat premature ejaculation. We recommend a few treatments: […] This treatment helps you learn to identify or regain control over your point of climax. […] This is a variation of the Masters and Johnson method. You or your partner squeezes the tip or base of your penis just before orgasm. […] Over-the-counter gels, creams, and sprays may help decrease sensation so you can last longer. […] Some medications can delay or slow down orgasms: […] You might research other ways to treat premature ejaculation that dont work. Be careful with your research and consult your urologist before self-treating.

• #18 Premature Ejaculation – Men’s Health Issues – MSD Manual Consumer Version

  https://www.msdmanuals.com/home/men-s-health-issues/sexual-function-and-dysfunction-in-men/premature-ejaculation

  In the stop-and-start technique, stimulation is stopped. With the squeeze technique, the man or his partner squeezes for 10 to 20 seconds the part of the penis where the head (glans) meets the shaft, preventing ejaculation and decreasing the strength of the erection. In both techniques, stimulation can resume after about 30 seconds. With practice, more than 95% of men learn to delay ejaculation for 5 to 10 minutes or even longer.

• #19 Premature Ejaculation – Men’s Health Issues – MSD Manual Consumer Version

  https://www.msdmanuals.com/home/men-s-health-issues/sexual-function-and-dysfunction-in-men/premature-ejaculation

  In the stop-and-start technique, stimulation is stopped. With the squeeze technique, the man or his partner squeezes for 10 to 20 seconds the part of the penis where the head (glans) meets the shaft, preventing ejaculation and decreasing the strength of the erection. In both techniques, stimulation can resume after about 30 seconds. With practice, more than 95% of men learn to delay ejaculation for 5 to 10 minutes or even longer.

• #20 9 home remedies for premature ejaculation

  https://www.medicalnewstoday.com/articles/327388

  Premature ejaculation occurs when someone has an orgasm very quickly or orgasms without control. Although there is no permanent cure, supplements, over-the-counter products, and various sexual techniques may help. […] Some home remedies and exercises may help delay ejaculation or help someone become more aware of their sensations and how to control them. […] Some medical treatments may help with premature ejaculation, but there is no permanent cure. However, people may learn to control their ejaculation and find more sexual satisfaction using various remedies, including supplements, topical solutions, and exercise. […] Certain minerals may help with premature ejaculation. These include: […] Magnesium is another important mineral for healthy sperm production and reproductive health.

• #21 9 home remedies for premature ejaculation

  https://www.medicalnewstoday.com/articles/327388

  A 2019 review notes that low magnesium levels contribute to premature ejaculation, as they may increase certain muscle contractions common in orgasms. […] Topical products can include anything that a person uses on the penis to help reduce stimulation and prolong orgasm. […] For a temporary approach, many people successfully use topical creams and sprays that contain anesthetics such as lidocaine. These help numb the penis. […] Wearing a condom during sex may work in a similar way to topical creams by temporarily dulling the sensation in the penis. […] Various pelvic floor exercises may help train the muscles involved in ejaculation. By becoming aware of and strengthening these muscles, it may be possible to increase orgasm control. […] A person can do this at least 4 to 5 times a day.

• #22 Home Remedies to Treat Premature Ejaculation – Sexologists in Chennai treating Men’s Infertility (Premature Ejaculation, Erection Problems etc) since 28 years

  https://www.metromaleclinic.com/home-remedies-to-treat-premature-ejaculation/

  Premature Ejaculation is quick and uncontrolled ejaculation in less than a minute after intercourse. […] Eating more nuts, fruits, spinach, trying stop and start techniques, squeeze techniques along with numbing sprays and climax delaying condoms can improve the ejaculation time. […] If none of them work, please see a good sexologist near you so that you don’t get stressed out, lose confidence and dent your relationship with your partner. […] You have a plenty of articles to know about Premature Ejaculation on our website, when you find some free time, you may go through the same. […] Consuming Zinc (through natural foods or supplements) helps in improving sexual dysfunction and also testosterone levels in the blood. This may also help in treating premature ejaculation problem. […] Get enough magnesium through your diet and your premature ejaculation problem should subside.

• #23 Delayed ejaculation: MedlinePlus Medical EncyclopediaLock

  https://medlineplus.gov/ency/article/001954.htm

  Delayed ejaculation is a medical condition in which a male cannot ejaculate easily or at all. […] Delayed ejaculation can have psychological or physical causes. […] Having a healthy attitude about your sexuality and genitals helps prevent delayed ejaculation. Realize that you cannot force yourself to have a sexual response, just as you cannot force yourself to go to sleep or to perspire. […] To reduce the pressure, focus on the pleasure of the moment. Do not worry about whether or when you will ejaculate. Your partner can help by creating a relaxed atmosphere, and by not pressuring you about whether or not you have ejaculated. Openly discuss any fears or anxieties, such as fear of pregnancy or disease, with your partner.

• #24 Delayed ejaculation – UF Health

  https://ufhealth.org/conditions-and-treatments/delayed-ejaculation

  Having a healthy attitude about your sexuality and genitals helps prevent delayed ejaculation. […] Realize that you cannot force yourself to have a sexual response, just as you cannot force yourself to go to sleep or to perspire. The harder you try to have a certain sexual response, the harder it becomes to respond. […] To reduce the pressure, focus on the pleasure of the moment. Do not worry about whether or when you will ejaculate. Your partner should create a relaxed atmosphere, and should not pressure you about whether or not you have ejaculated. Openly discuss any fears or anxieties, such as fear of pregnancy or disease, with your partner.

• #25 Delayed ejaculation: MedlinePlus Medical EncyclopediaLock

  https://medlineplus.gov/ency/article/001954.htm

  Delayed ejaculation is a medical condition in which a male cannot ejaculate easily or at all. […] Delayed ejaculation can have psychological or physical causes. […] Having a healthy attitude about your sexuality and genitals helps prevent delayed ejaculation. Realize that you cannot force yourself to have a sexual response, just as you cannot force yourself to go to sleep or to perspire. […] To reduce the pressure, focus on the pleasure of the moment. Do not worry about whether or when you will ejaculate. Your partner can help by creating a relaxed atmosphere, and by not pressuring you about whether or not you have ejaculated. Openly discuss any fears or anxieties, such as fear of pregnancy or disease, with your partner.

• #26 Delayed ejaculation – UF Health

  https://ufhealth.org/conditions-and-treatments/delayed-ejaculation

  Having a healthy attitude about your sexuality and genitals helps prevent delayed ejaculation. […] Realize that you cannot force yourself to have a sexual response, just as you cannot force yourself to go to sleep or to perspire. The harder you try to have a certain sexual response, the harder it becomes to respond. […] To reduce the pressure, focus on the pleasure of the moment. Do not worry about whether or when you will ejaculate. Your partner should create a relaxed atmosphere, and should not pressure you about whether or not you have ejaculated. Openly discuss any fears or anxieties, such as fear of pregnancy or disease, with your partner.

• #27 Delayed Ejaculation: Causes, Diagnosis & Treatment

  https://my.clevelandclinic.org/health/diseases/22125-delayed-ejaculation

  Can delayed ejaculation be prevented? […] It depends. Some causes you cant prevent, such as nerve damage or aging. But drinking alcohol in moderation can help reduce your chances of having delayed ejaculation. […] Its also important to have an open, honest relationship with your partner. Improving your communication may help prevent delayed ejaculation from developing or getting worse.

• #28 Premature Ejaculation – Harvard Health

  https://www.health.harvard.edu/mens-health/premature-ejaculation-a-to-z

  There is no known way to prevent premature ejaculation. However, you should consider the following advice: […] Maintain a healthy attitude toward sex. If you experience feelings of anxiety, guilt or frustration about your sex life, consider seeking psychotherapy or sexual therapy. […] Keep in mind that anyone can experience sexual problems. If you experience premature ejaculation, try not to blame yourself or feel inadequate. Try speaking openly with your partner to avoid miscommunication.

• #29 Premature ejaculation – treatment, causes and diagnosis | healthdirect

  https://www.healthdirect.gov.au/premature-ejaculation

  Premature ejaculation is the most common sexual problem to affect males. […] It’s important to speak to your doctor about premature ejaculation because it can lead to relationship issues. […] You should talk to your doctor if you are experiencing premature ejaculation. They can help work out the cause and offer you treatment options. […] It’s important to remember that ejaculation problems are common and nothing to be embarrassed about. […] Exercise has been reported to help prevent premature ejaculation. Kegel exercises are exercises to strengthen your pelvic floor muscles. These can also help to improve your control over ejaculation.

• #30 Premature Ejaculation: Symptoms, Causes, Treatment, & Prevention

  https://www.webmd.com/sex/what-is-premature-ejaculation

  Premature ejaculation (PE) can happen from time to time. If it occurs regularly for you or your partner, there are ways to get help. […] If you ejaculate within 1-3 minutes of penetration on a regular basis, or are unable to delay ejaculation during sexual situations such as masturbation, you may want to talk to your doctor about treatment options. […] Treating the erectile dysfunction may make the premature ejaculation go away. There are many medication options, so discuss any concerns with your doctor. […] Treatment could start with you seeking counseling. A psychologist or psychiatrist can help you work through problems such as depression, anxiety, or stress that may be contributing to your PE. Other ways to treat PE include: […] Your doctor may also talk with you about medication. While there aren’t any drugs specifically approved to treat PE, medicines used to treat other things may help in some cases.

• #31 How to Prevent Premature Ejaculation: 15 Methods

  https://www.verywellhealth.com/premature-ejaculation-2328534

  There are several simple techniques that can help prevent premature ejaculation (PE), including Kegel exercises, masturbation before sex, and the stop-start method. […] If these self-help efforts don’t help, certain oral medications and desensitizing creams can help prevent early climax. Counseling and sex therapy may also help. […] Some of the more useful techniques include: […] Masturbation before sex: Masturbating and ejaculating an hour or two before sex can help you delay ejaculation with a partner. This is best suited for younger men whose refractory period (the time between orgasm and the ability to have sex again) is shorter. […] Kegel exercises: This is a daily practice used to strengthen muscles involved with ejaculation. By strengthening the perineal muscles between your anus and penis, you may gain better control over orgasms and be able to bear down to delay early climax.

• #32 How to Prevent Premature Ejaculation: 15 Methods

  https://www.verywellhealth.com/premature-ejaculation-2328534

  There are several simple techniques that can help prevent premature ejaculation (PE), including Kegel exercises, masturbation before sex, and the stop-start method. […] If these self-help efforts don’t help, certain oral medications and desensitizing creams can help prevent early climax. Counseling and sex therapy may also help. […] Some of the more useful techniques include: […] Masturbation before sex: Masturbating and ejaculating an hour or two before sex can help you delay ejaculation with a partner. This is best suited for younger men whose refractory period (the time between orgasm and the ability to have sex again) is shorter. […] Kegel exercises: This is a daily practice used to strengthen muscles involved with ejaculation. By strengthening the perineal muscles between your anus and penis, you may gain better control over orgasms and be able to bear down to delay early climax.

• #33 Premature Ejaculation: Symptoms, Causes & Treatment | hims

  https://www.forhims.co.uk/blog/lexapro-for-premature-ejaculation

  If you’re affected by premature ejaculation or if you simply think you reach orgasm too early, you can also try the following techniques to enhance your sexual experiences. […] Masturbate before sex. Many men find that they’re more able to delay ejaculation on “round two.” If you’re prone to PE, try masturbating a few hours before sex — just make sure to keep your refractory period (the time after orgasm during which it is difficult or impossible to orgasm again) in mind. […] Use premature ejaculation condoms. Some condoms contain a topical anesthetic to reduce sensitivity, which may allow you to last longer during sex. You can find these in most convenience stores and supermarkets. […] Talk to your partner. When premature ejaculation is caused by a psychological issue or a problem in your sexual relationship, talking openly and honestly with your partner may help you overcome it together. Deciding to focus on foreplay, for example, is one way you can extend your intimate time together and have other types of sexual stimulation.

• #34 Premature Ejaculation: Symptoms, Causes, Treatment

  https://www.healthline.com/health/mens-health/premature-ejaculation

  Premature ejaculation can be caused by certain physical conditions and psychological or emotional factors. Practicing pelvic floor exercises or making changes to your sexual routine may help. […] You may start with a primary care physician or seek out a urologist. A urologist is a doctor who specializes in the health of the urinary system and male sexual function. […] In some cases, you may be able to treat PE with some changes to your sexual routine. […] You may also try temporarily avoiding intercourse altogether and engaging in other sexual activity and play with your partner. That may help relieve the pressure of performing during intercourse. […] Two strategies you and your partner can employ are the start-and-stop method and the squeeze method. […] Certain muscle exercises may also help. In particular, you may benefit from male pelvic floor exercises.

• #35 Premature ejaculation – Diagnosis and treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/premature-ejaculation/diagnosis-treatment/drc-20354905

  Common treatment options for premature ejaculation include behavioral techniques, medications and counseling. It might take time to find the treatment or combination of treatments that work for you. Behavioral treatment plus drug therapy might be the most effective. […] Weak pelvic floor muscles might make it harder to delay ejaculation. Pelvic floor exercises (Kegel exercises) can help strengthen these muscles. […] Your health care provider might instruct you and your partner to use the pause-squeeze technique. This method works as follows: […] Condoms might make the penis less sensitive, which can help delay ejaculation. Specially designed „climax control” condoms are available without a prescription. […] Creams, gels and sprays that contain a numbing agent such as benzocaine, lidocaine or prilocaine are sometimes used to treat premature ejaculation. They’re applied to the penis 10 to 15 minutes before sex to reduce sensation and help delay ejaculation.

• #36 Premature Ejaculation – Causes and Treatment | familydoctor.org

  https://familydoctor.org/condition/premature-ejaculation/

  Can premature ejaculation be prevented or avoided? This condition can be prevented or avoided, depending on what is causing it. Most of the time, using the behavioral methods listed below will work to prevent it. […] Behavioral methods are helpful for more than 50% of people who ejaculate prematurely. […] In addition to using a behavioral method, you may want to try thought distractions. […] Anxiety, depression, and other emotional issues can lead to premature ejaculation. For these issues, seeking the help of a psychologist, psychiatrist, or sex therapist may be helpful. […] Several medical treatments may help people who have this condition. […] Anesthetic creams can also be used to prevent premature ejaculation. […] For some people, simply wearing a condom can help delay ejaculation because it may make the penis slightly less sensitive. […] There are many techniques you can use that may help prevent it.

• #37 Home Remedies to Treat Premature Ejaculation – Sexologists in Chennai treating Men’s Infertility (Premature Ejaculation, Erection Problems etc) since 28 years

  https://www.metromaleclinic.com/home-remedies-to-treat-premature-ejaculation/

  Lidocaine based sprays or creams can be applied to the head of the penis 30 minutes before the act and then you need to wash it off 5 minutes before the act. This will numb the nerves on the head of the penis that conduct the ‘excitement’ to the brain resulting in delayed ejaculation. […] Some companies make thick condoms so that your penis don’t get excited quickly with the sensation. Some make the condoms with climax delaying chemicals. Using either of these condoms can help you feel less excited and delay ejaculation. […] This is another simple technique. When you are in the act and getting excited, you need to stop and pull your penis out. You or your partner can squeeze the shaft of the penis until you lose the excitement feeling. […] If you know that you have premature ejaculation, you need to try any of the home remedies first and then see a good sexologist to treat your problem. Failing or hesitating to see a sex specialist to treat premature ejaculation problem can first dent or even ruin your confidence in bed.

• #38 Premature Ejaculation (PE): Causes, Symptoms, Prevention and Treatment

  https://www.metropolisindia.com/blog/preventive-healthcare/understanding-premature-ejaculation-causes-treatment-prevention

  How to prevent early ejaculation can be a very daunting question in your mind. But the good news is premature ejaculation can be delayed. Here are some tips for you: […] Incorporate pelvic floor exercises in your daily routine to strengthen your pelvic muscles and have better control of ejaculation. Identify the muscle you would use to stop urinating midstream, then squeeze and release. Begin with a few seconds, increasing gradually. Aim for 10 contractions. […] Maintain a stress-free lifestyle to prevent early ejaculation. […] If external help is required, reach out to a psychological counsellor and a urologist; together, they can help rectify your issues.

• #39 Premature Ejaculation: Causes, Symptoms, and Treatment Options

  https://www.everydayhealth.com/sexual-health/premature-ejaculation.aspx

  If you or your partner are experiencing premature ejaculation, there are several medications and lifestyle changes that can help. […] Over-the-counter and prescription medications are available for premature ejaculation. Always discuss any treatment with a doctor before starting it. […] Men with PE issues may improve their condition by changing their exercise habits and diet and by exploring techniques that can directly address the problem. […] Research consistently shows that men who work out regularly are less likely to experience premature ejaculation compared with those who are sedentary. […] Research suggests that exercises to strengthen pelvic floor muscles, or Kegel exercises, may extend time until ejaculation. […] Practicing relaxation techniques such as deep breathing, mindfulness, or yoga can also help to manage anxiety and to exert more control over ejaculation.

• #40 Premature Ejaculation | ARK Mental Health Wellness

  https://www.arkmentalhealthwellness.com/premature-ejaculation.php

  Premature ejaculation is a common sexual issue among men, taking place when a man reaches orgasm too quickly. […] It is very important to seek medical attention if the problem is occurring frequently enough to interfere with your sexual pleasure. […] There are a number of methods that can potentially help men experiencing premature ejaculation. […] Any conscious effort made to lessen anxiety levels can produce the more relaxed state necessary to avoid premature ejaculation. […] By practicing measured sexual stimulation, a man may be able to overcome his premature ejaculation issues. […] Certain selective serotonin reuptake inhibitors (SSRIs) have the effect of postponing ejaculation. […] Some patients respond well to a decrease in the level of sensation felt in the penis, which can lower their level of stimulation and allow a longer period of time before they reach orgasm. […] If there is no underlying condition responsible for the premature ejaculation and the problem does not resolve with any of these treatment methods, psychological counseling may be recommended.

• #41 Premature Ejaculation: Causes, Symptoms, and Treatment Options

  https://www.everydayhealth.com/sexual-health/premature-ejaculation.aspx

  If you or your partner are experiencing premature ejaculation, there are several medications and lifestyle changes that can help. […] Over-the-counter and prescription medications are available for premature ejaculation. Always discuss any treatment with a doctor before starting it. […] Men with PE issues may improve their condition by changing their exercise habits and diet and by exploring techniques that can directly address the problem. […] Research consistently shows that men who work out regularly are less likely to experience premature ejaculation compared with those who are sedentary. […] Research suggests that exercises to strengthen pelvic floor muscles, or Kegel exercises, may extend time until ejaculation. […] Practicing relaxation techniques such as deep breathing, mindfulness, or yoga can also help to manage anxiety and to exert more control over ejaculation.

• #42 Premature Ejaculation (PE): Causes, Symptoms, Prevention and Treatment

  https://www.metropolisindia.com/blog/preventive-healthcare/understanding-premature-ejaculation-causes-treatment-prevention

  How to prevent early ejaculation can be a very daunting question in your mind. But the good news is premature ejaculation can be delayed. Here are some tips for you: […] Incorporate pelvic floor exercises in your daily routine to strengthen your pelvic muscles and have better control of ejaculation. Identify the muscle you would use to stop urinating midstream, then squeeze and release. Begin with a few seconds, increasing gradually. Aim for 10 contractions. […] Maintain a stress-free lifestyle to prevent early ejaculation. […] If external help is required, reach out to a psychological counsellor and a urologist; together, they can help rectify your issues.

• #43 Premature ejaculation | Better Health Channel

  https://www.betterhealth.vic.gov.au/health/healthyliving/premature-ejaculation

  Treatments for premature ejaculation vary depending on the cause and whether it is lifelong or acquired. […] Treatments include: […] If premature ejaculation is related to erectile dysfunction, treating the erection problem might solve the ejaculation problem. […] You might want to involve your sexual partner in discussions about how to manage premature ejaculation because the issue may affect their sexual satisfaction, and there may be things they can do to help.

• #44 Premature Ejaculation: Symptoms, Causes, Treatment

  https://www.healthline.com/health/mens-health/premature-ejaculation

  Decreasing the sensitivity of your penis during intercourse may also help. […] If ED is a contributing factor, talk with your doctor about ED medications, such as tadalafil (Cialis) and sildenafil (Viagra). […] If you experience PE, its important to talk about it with your partner, rather than ignore it or deny that it exists. […] You may be able to overcome PE after trying a combination of therapy, home strategies, or medication.

• #45 Premature Ejaculation Treatment & Management: Approach Considerations, Pharmacologic Therapy, Counseling and Sex Therapy

  https://emedicine.medscape.com/article/435884-treatment

  Medical treatment for premature (early) ejaculation includes several options. […] To achieve the best outcome, the female partner should be included as fully as possible in the treatment and counseling sessions. Pharmacologic therapy may include selective serotonin reuptake inhibitors (SSRIs) or topical desensitizing agents. […] However, numerous studies have shown that selective serotonin reuptake inhibitors (SSRIs) and drugs with SSRI-like side effects are safe and effective to treat this condition, and many physicians use these agents for this purpose. Topical desensitizing therapy with local anesthetic agents can also be useful in some men with premature ejaculation. […] The most effective pharmacologic therapy for premature ejaculation is to administer a drug from the SSRI class.

• #46 Premature ejaculation – Diagnosis and treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/premature-ejaculation/diagnosis-treatment/drc-20354905

  Many medications might delay orgasm. These drugs aren’t approved by the Food and Drug Administration to treat premature ejaculation, but some are used for this purpose. […] This approach involves talking with a mental health provider about your relationships and experiences. Sessions can help you reduce performance anxiety and find better ways of coping with stress. […] Deciding to talk with your health care provider is an important step. In the meantime, consider exploring other ways in which you and your partner can connect. Although premature ejaculation can cause strain and anxiety in a relationship, it is a treatable condition.

• #47 Delayed ejaculation: MedlinePlus Medical EncyclopediaLock

  https://medlineplus.gov/ency/article/001954.htm

  Delayed ejaculation is a medical condition in which a male cannot ejaculate easily or at all. […] Delayed ejaculation can have psychological or physical causes. […] Having a healthy attitude about your sexuality and genitals helps prevent delayed ejaculation. Realize that you cannot force yourself to have a sexual response, just as you cannot force yourself to go to sleep or to perspire. […] To reduce the pressure, focus on the pleasure of the moment. Do not worry about whether or when you will ejaculate. Your partner can help by creating a relaxed atmosphere, and by not pressuring you about whether or not you have ejaculated. Openly discuss any fears or anxieties, such as fear of pregnancy or disease, with your partner.

• #48 Delayed ejaculation – treatment, causes and diagnosis | healthdirect

  https://www.healthdirect.gov.au/delayed-ejaculation

  Delayed ejaculation is when you have trouble reaching orgasm and ejaculating. […] Treatment depends on the cause. […] You should talk to your doctor if you have delayed ejaculation and it is bothering you. […] Can delayed ejaculation be prevented? […] Delayed ejaculation can’t be prevented if the cause is physical, such as nerve damage. But you can avoid things that might make delayed ejaculation worse, such as alcohol and recreational drugs.

• #49 Delayed ejaculation – treatment, causes and diagnosis | healthdirect

  https://www.healthdirect.gov.au/delayed-ejaculation

  Delayed ejaculation is when you have trouble reaching orgasm and ejaculating. […] Treatment depends on the cause. […] You should talk to your doctor if you have delayed ejaculation and it is bothering you. […] Can delayed ejaculation be prevented? […] Delayed ejaculation can’t be prevented if the cause is physical, such as nerve damage. But you can avoid things that might make delayed ejaculation worse, such as alcohol and recreational drugs.

• #50 Delayed Ejaculation: Causes, Diagnosis & Treatment

  https://my.clevelandclinic.org/health/diseases/22125-delayed-ejaculation

  Can delayed ejaculation be prevented? […] It depends. Some causes you cant prevent, such as nerve damage or aging. But drinking alcohol in moderation can help reduce your chances of having delayed ejaculation. […] Its also important to have an open, honest relationship with your partner. Improving your communication may help prevent delayed ejaculation from developing or getting worse.

• #51 Delayed ejaculation – treatment, causes and diagnosis | healthdirect

  https://www.healthdirect.gov.au/delayed-ejaculation

  Delayed ejaculation is when you have trouble reaching orgasm and ejaculating. […] Treatment depends on the cause. […] You should talk to your doctor if you have delayed ejaculation and it is bothering you. […] Can delayed ejaculation be prevented? […] Delayed ejaculation can’t be prevented if the cause is physical, such as nerve damage. But you can avoid things that might make delayed ejaculation worse, such as alcohol and recreational drugs.

• #52 Ejaculation Problems: Retrograde Ejaculation, Inhibited Ejaculation Symptoms and Home Treatment

  https://www.webmd.com/sexual-conditions/mens-sexual-problems

  The most common sexual problems in men are ejaculation disorders, erectile dysfunction, and inhibited sexual desire. […] Premature ejaculation, the most common form of sexual dysfunction in men, often is due to nervousness over how well they will perform during sex. […] Retrograde ejaculation is common in males with diabetes who suffer from diabetic neuropathy (nerve damage). […] Certain medications, particularly those used to treat mood disorders, may cause problems with ejaculation. […] Many cases of male sexual dysfunction can be corrected by treating the underlying physical or psychological problems. […] Promescent is a drug used to treat premature ejaculation. The topical spray is applied to the penis and contains lidocaine, reducing sensitivity and allowing for more ejaculation control.

• #53 Delayed Ejaculation – Men’s Clinic – The Men’s Clinic at UCLA | UCLA Health

  https://www.uclahealth.org/medical-services/urology/mens-clinic-ucla/sexual-health/delayed-ejaculation

  The opposite of premature or rapid ejaculation is delayed ejaculation. This can be as, if not more, frustrating than its opposite. Delayed ejaculation is the inability of a man to achieve climax within a reasonable amount of time. […] Treatment for delayed ejaculation depends on its cause. For men with nerve injuries, sometimes they respond to medical vibrators placed at the tip of the penis to retrain the nerves to fire more rapidly. […] For men with hormone imbalances, the doctor needs to run some laboratory tests, specifically testosterone and prolactin levels to see if there’s an imbalance. […] Treatment with either medicine or surgery to reduce prolactin levels will help a man climax easier. […] If a man suffers delayed or loss of ejaculation caused by antidepressants, he may want to discuss alternative treatments with his psychiatrist or prescribing physician. […] Delayed ejaculation is a frustrating clinical condition for the man and his partner. Thankfully, there are treatment options that qualified physicians at UCLA Health-The Mens Clinic can offer.

• #54 Delayed Ejaculation: Causes, Diagnosis & Treatment

  https://my.clevelandclinic.org/health/diseases/22125-delayed-ejaculation

  Can delayed ejaculation be prevented? […] It depends. Some causes you cant prevent, such as nerve damage or aging. But drinking alcohol in moderation can help reduce your chances of having delayed ejaculation. […] Its also important to have an open, honest relationship with your partner. Improving your communication may help prevent delayed ejaculation from developing or getting worse.

• #55 Delayed ejaculation: MedlinePlus Medical EncyclopediaLock

  https://medlineplus.gov/ency/article/001954.htm

  Delayed ejaculation is a medical condition in which a male cannot ejaculate easily or at all. […] Delayed ejaculation can have psychological or physical causes. […] Having a healthy attitude about your sexuality and genitals helps prevent delayed ejaculation. Realize that you cannot force yourself to have a sexual response, just as you cannot force yourself to go to sleep or to perspire. […] To reduce the pressure, focus on the pleasure of the moment. Do not worry about whether or when you will ejaculate. Your partner can help by creating a relaxed atmosphere, and by not pressuring you about whether or not you have ejaculated. Openly discuss any fears or anxieties, such as fear of pregnancy or disease, with your partner.

• #56 Ejaculation Disorders – Types, Causes & Treatment | CCRM Fertility

  https://www.ccrmivf.com/ejaculation-disorders/

  It isnt necessary to treat retrograde ejaculation unless it is causing infertility and the goal is to achieve pregnancy. Retrograde ejaculation occurs in less than 2% of cases of infertility. Discontinuing use of medications that is causing the retrograde ejaculation is one form of treatment. There are also certain medications that can help the bladder neck muscle remain closed during ejaculation. […] For anejaculation caused by stress, the most common treatment is psychological counseling/therapy to address underlying causes. Treatment of anejaculation for infertility includes sperm retrieval and IUI or IVF. For men experiencing anejaculation as a result of spinal cord injury, a therapy known as penile vibratory stimulation can help the man to ejaculate.

• #57

  https://111.wales.nhs.uk/encyclopaedia/e/article/ejaculationproblems/

  Most men do not need treatment for retrograde ejaculation because they are still able to enjoy a healthy sex life and the condition does not have adverse effects on their health. […] If you’re having problems with your sex life and are seeking treatment, it is usually recommended you involve your partner as much as possible.

• #58 Ejaculation Problems: Retrograde Ejaculation, Inhibited Ejaculation Symptoms and Home Treatment

  https://www.webmd.com/sexual-conditions/mens-sexual-problems

  The most common sexual problems in men are ejaculation disorders, erectile dysfunction, and inhibited sexual desire. […] Premature ejaculation, the most common form of sexual dysfunction in men, often is due to nervousness over how well they will perform during sex. […] Retrograde ejaculation is common in males with diabetes who suffer from diabetic neuropathy (nerve damage). […] Certain medications, particularly those used to treat mood disorders, may cause problems with ejaculation. […] Many cases of male sexual dysfunction can be corrected by treating the underlying physical or psychological problems. […] Promescent is a drug used to treat premature ejaculation. The topical spray is applied to the penis and contains lidocaine, reducing sensitivity and allowing for more ejaculation control.

• #59

  https://connect.asrm.org/smru/blogs/robert-coward-md/2019/01/31/treatment-options-for-patients-with-ejaculatory-dy

  Ejaculatory dysfunction is among the most common sexual disorders worldwide and can be one of the most frustrating sexual symptoms a couple can experience. […] Retrograde ejaculation should be ruled out as a first step in the workup of ejaculatory dysfunction, as treatment is often successful without invasive procedures. […] Retrograde ejaculation can occasionally be normalized with correction of the underlying problem such as treatment of diabetes. […] Anejaculation can occur with spinal cord injury, erectile dysfunction, hormone problems, or emotional inability. […] Treatment options to retrieve sperm for men with infertility due to anejaculation or anorgasmia include two different neurostimulatory methods. […] PVS is performed using a commercially available device which can be purchased online without a doctors prescription.

• #60 Ejaculation Disorders – Types, Causes & Treatment | CCRM Fertility

  https://www.ccrmivf.com/ejaculation-disorders/

  It isnt necessary to treat retrograde ejaculation unless it is causing infertility and the goal is to achieve pregnancy. Retrograde ejaculation occurs in less than 2% of cases of infertility. Discontinuing use of medications that is causing the retrograde ejaculation is one form of treatment. There are also certain medications that can help the bladder neck muscle remain closed during ejaculation. […] For anejaculation caused by stress, the most common treatment is psychological counseling/therapy to address underlying causes. Treatment of anejaculation for infertility includes sperm retrieval and IUI or IVF. For men experiencing anejaculation as a result of spinal cord injury, a therapy known as penile vibratory stimulation can help the man to ejaculate.

• #61 The impact and management of sexual dysfunction secondary to pharmacological therapy of benign prostatic hyperplasia – Gandhi – Translational Andrology and Urology

  https://tau.amegroups.org/article/view/14174/html

  If the patient has EjD, he must be advised to transform his BPH/LUTS therapy to an alternative AB or 5ARI. […] The results of the MSF-4 questionnaire also revealed that ejaculation disorders were the most frequently reported side effect of tamsulosin therapy. […] Abnormal ejaculation, including ejaculation failure, ejaculation disorder, and retrograde ejaculation, was reported in approximately 8.4% of men receiving the 0.4 mg dosage of tamsulosin and 18.1% of men receiving the 0.8 mg dose of tamsulosin. […] In a 2015 prospective study involving 156 BPH patients, EjD was found in 64% of patients prescribed tamsulosin, with 15% of patients void of ejaculate. […] The effective mechanism through which the alpha1A selective antagonists cause these symptoms of sexual dysfunction is unknown.

• #62 The impact and management of sexual dysfunction secondary to pharmacological therapy of benign prostatic hyperplasia – Gandhi – Translational Andrology and Urology

  https://tau.amegroups.org/article/view/14174/html

  If the patient has EjD, he must be advised to transform his BPH/LUTS therapy to an alternative AB or 5ARI. […] The results of the MSF-4 questionnaire also revealed that ejaculation disorders were the most frequently reported side effect of tamsulosin therapy. […] Abnormal ejaculation, including ejaculation failure, ejaculation disorder, and retrograde ejaculation, was reported in approximately 8.4% of men receiving the 0.4 mg dosage of tamsulosin and 18.1% of men receiving the 0.8 mg dose of tamsulosin. […] In a 2015 prospective study involving 156 BPH patients, EjD was found in 64% of patients prescribed tamsulosin, with 15% of patients void of ejaculate. […] The effective mechanism through which the alpha1A selective antagonists cause these symptoms of sexual dysfunction is unknown.

• #63 Ejaculation Problems: Too Fast, Too Slow or Not at All? » Sexual Medicine » BUMC

  https://www.bumc.bu.edu/sexualmedicine/informationsessions/ejaculation-problems-too-fast-too-slow-or-not-at-all/

  For men, erectile dysfunction and ejaculatory problems are the most common sexual difficulties. […] In the vast majority of cases, the most effective therapeutic approach for ejaculatory dysfunction is a combination of biologic and psychologic therapy. […] Regardless of the psychological issues, a good medical or urologic work-up is always encouraged before embarking on a behavioral treatment program. […] Problems of delayed ejaculation tend to be somewhat rare and not well understood by psychologists and sex therapists. […] In many cases, the man himself may tend to delay treatment or to minimize the distress of the situation. […] In spite of the lack of information regarding delayed ejaculation, the most successful approach, for sex therapists, is to engage both members of the couple into addressing the problem.

• #64 Premature Ejaculation: Aetiology and Treatment Strategies

  https://pmc.ncbi.nlm.nih.gov/articles/PMC6915345/

  A suggested solution to providing holistic patient care is combination or integrated therapy. […] A combined treatment of pharmacological, and non-pharmacological management may be superior to pharmacological treatment alone in providing patients with holistic and effective care. […] As the effects of PE are multifactorial, a holistic patient management plan composed of pharmacological management, psychological support and psychosexual behavioural therapy is likely to produce the best outcomes for patients.

• #65 Premature Ejaculation: Aetiology and Treatment Strategies

  https://www.mdpi.com/2076-3271/7/11/102

  On this basis, SSRIs have been successfully used for the treatment of premature ejaculation. […] Dapoxetine is the first compound specifically designed for the management and treatment of premature ejaculation. […] Psychological therapy is another treatment option which may benefit a patient with PE. […] Psychosexual behavioural methods have also been used as additional treatment options for PE. […] These treatment strategies can be partially effective in the management of PE. […] A strict division between pharmacological and non-pharmacological treatment for PE may not be the most effective way of treating patients with PE. […] A suggested solution to providing holistic patient care is combination or integrated therapy. […] A combined treatment of pharmacological, and non-pharmacological management may be superior to pharmacological treatment alone in providing patients with holistic and effective care. […] As the effects of PE are multifactorial, a holistic patient management plan composed of pharmacological management, psychological support and psychosexual behavioural therapy is likely to produce the best outcomes for patients.

• #66 Ejaculation Problems: Too Fast, Too Slow or Not at All? » Sexual Medicine » BUMC

  https://www.bumc.bu.edu/sexualmedicine/informationsessions/ejaculation-problems-too-fast-too-slow-or-not-at-all/

  For men, erectile dysfunction and ejaculatory problems are the most common sexual difficulties. […] In the vast majority of cases, the most effective therapeutic approach for ejaculatory dysfunction is a combination of biologic and psychologic therapy. […] Regardless of the psychological issues, a good medical or urologic work-up is always encouraged before embarking on a behavioral treatment program. […] Problems of delayed ejaculation tend to be somewhat rare and not well understood by psychologists and sex therapists. […] In many cases, the man himself may tend to delay treatment or to minimize the distress of the situation. […] In spite of the lack of information regarding delayed ejaculation, the most successful approach, for sex therapists, is to engage both members of the couple into addressing the problem.

• #67 Premature ejaculation: A clinical review for the general physician

  https://www.racgp.org.au/afp/2015/october/premature-ejaculation-a-clinical-review-for-the-ge

  Premature ejaculation can have a significant adverse effect on the quality of life for the patient and his sexual partners. […] Effective, evidence-based treatment options are available and physicians should feel confident when exploring ways to improve the quality of life for men with sexual dysfunction. […] The aim of this article is to provide general practitioners (GPs) with an overview to assess and manage patients with premature ejaculation and other associated sexual dysfunction. […] Management of premature ejaculation should involve the patient and his partner, and is likely to require a multi-modal approach with pharmacological, behavioural and psychological therapies. […] Follow-up is an essential part of premature ejaculation management. It facilitates treatment optimisation, emphasis on key features of premature ejaculation and enables additional information gathering. […] Most patients who experience premature ejaculation are likely to require multi-modal management strategies involving pharmacological, behavioural and psychological components.

• #68 Premature Ejaculation: Aetiology and Treatment Strategies

  https://pmc.ncbi.nlm.nih.gov/articles/PMC6915345/

  A suggested solution to providing holistic patient care is combination or integrated therapy. […] A combined treatment of pharmacological, and non-pharmacological management may be superior to pharmacological treatment alone in providing patients with holistic and effective care. […] As the effects of PE are multifactorial, a holistic patient management plan composed of pharmacological management, psychological support and psychosexual behavioural therapy is likely to produce the best outcomes for patients.

• #69 Ejaculation Problems: Too Fast, Too Slow or Not at All? » Sexual Medicine » BUMC

  https://www.bumc.bu.edu/sexualmedicine/informationsessions/ejaculation-problems-too-fast-too-slow-or-not-at-all/

  For men, erectile dysfunction and ejaculatory problems are the most common sexual difficulties. […] In the vast majority of cases, the most effective therapeutic approach for ejaculatory dysfunction is a combination of biologic and psychologic therapy. […] Regardless of the psychological issues, a good medical or urologic work-up is always encouraged before embarking on a behavioral treatment program. […] Problems of delayed ejaculation tend to be somewhat rare and not well understood by psychologists and sex therapists. […] In many cases, the man himself may tend to delay treatment or to minimize the distress of the situation. […] In spite of the lack of information regarding delayed ejaculation, the most successful approach, for sex therapists, is to engage both members of the couple into addressing the problem.

• #70 Premature Ejaculation: Symptoms, Causes, Treatment

  https://www.healthline.com/health/mens-health/premature-ejaculation

  Premature ejaculation can be caused by certain physical conditions and psychological or emotional factors. Practicing pelvic floor exercises or making changes to your sexual routine may help. […] You may start with a primary care physician or seek out a urologist. A urologist is a doctor who specializes in the health of the urinary system and male sexual function. […] In some cases, you may be able to treat PE with some changes to your sexual routine. […] You may also try temporarily avoiding intercourse altogether and engaging in other sexual activity and play with your partner. That may help relieve the pressure of performing during intercourse. […] Two strategies you and your partner can employ are the start-and-stop method and the squeeze method. […] Certain muscle exercises may also help. In particular, you may benefit from male pelvic floor exercises.

• #71

  https://111.wales.nhs.uk/encyclopaedia/e/article/ejaculationproblems/

  Phosphodiesterase-5 inhibitors, such as sildenafil (sold as Viagra), are a class of medicine used to treat erectile dysfunction. […] The use of topical anaesthetics such as lidocaine or prilocaine can help but may be transferred and absorbed to the vagina, causing decreased sensation. […] You may benefit from having psychosexual counselling, where a therapist can help you, and a partner if you have one, with sex related problems. […] Delayed ejaculation can be caused by psychological and physical factors. […] Sex therapy is a form of counselling that uses a combination of psychotherapy and structured changes in your sex life. […] There are a number of medicines that can be used if it’s thought SSRIs are responsible for causing delayed ejaculation. […] Retrograde ejaculation happens when semen travels backwards into the bladder instead of through the urethra.

• #72 Premature Ejaculation: Symptoms, Causes, Treatment, & Prevention

  https://www.webmd.com/sex/what-is-premature-ejaculation

  Premature ejaculation (PE) can happen from time to time. If it occurs regularly for you or your partner, there are ways to get help. […] If you ejaculate within 1-3 minutes of penetration on a regular basis, or are unable to delay ejaculation during sexual situations such as masturbation, you may want to talk to your doctor about treatment options. […] Treating the erectile dysfunction may make the premature ejaculation go away. There are many medication options, so discuss any concerns with your doctor. […] Treatment could start with you seeking counseling. A psychologist or psychiatrist can help you work through problems such as depression, anxiety, or stress that may be contributing to your PE. Other ways to treat PE include: […] Your doctor may also talk with you about medication. While there aren’t any drugs specifically approved to treat PE, medicines used to treat other things may help in some cases.

• #73 Sex and erection problems after treatment for prostate cancer | Cancer Research UK

  https://www.cancerresearchuk.org/about-cancer/prostate-cancer/practical-emotional-support/sex-relationships/difficulty-getting-erection

  Rehabilitation should start before or soon after your prostate cancer treatment. […] Making changes to how you live your life can help you feel better and improve your sex life. Being active and having a healthy weight can improve your interest in sex and help you get an erection. […] Some studies have shown that pelvic floor exercises can also help erection problems. […] The drugs used to treat erection problems include tadalafil (Cialis), sildenafil citrate (Viagra), vardenafil (Levitra), and avanafil (Spedra). […] These belong to a group of drugs called phosphodiesterase type 5 (PDE 5) inhibitors. They work by increasing blood flow to the penis. […] Vacuum pumps can work well with practice, but they don’t suit everyone. […] Your doctor might suggest you use the vacuum pump in combination with PDE 5 drugs.

• #74 Sex and erection problems after treatment for prostate cancer | Cancer Research UK

  https://www.cancerresearchuk.org/about-cancer/prostate-cancer/practical-emotional-support/sex-relationships/difficulty-getting-erection

  Rehabilitation should start before or soon after your prostate cancer treatment. […] Making changes to how you live your life can help you feel better and improve your sex life. Being active and having a healthy weight can improve your interest in sex and help you get an erection. […] Some studies have shown that pelvic floor exercises can also help erection problems. […] The drugs used to treat erection problems include tadalafil (Cialis), sildenafil citrate (Viagra), vardenafil (Levitra), and avanafil (Spedra). […] These belong to a group of drugs called phosphodiesterase type 5 (PDE 5) inhibitors. They work by increasing blood flow to the penis. […] Vacuum pumps can work well with practice, but they don’t suit everyone. […] Your doctor might suggest you use the vacuum pump in combination with PDE 5 drugs.

• #75 Sex and erection problems after treatment for prostate cancer | Cancer Research UK

  https://www.cancerresearchuk.org/about-cancer/prostate-cancer/practical-emotional-support/sex-relationships/difficulty-getting-erection

  Rehabilitation should start before or soon after your prostate cancer treatment. […] Making changes to how you live your life can help you feel better and improve your sex life. Being active and having a healthy weight can improve your interest in sex and help you get an erection. […] Some studies have shown that pelvic floor exercises can also help erection problems. […] The drugs used to treat erection problems include tadalafil (Cialis), sildenafil citrate (Viagra), vardenafil (Levitra), and avanafil (Spedra). […] These belong to a group of drugs called phosphodiesterase type 5 (PDE 5) inhibitors. They work by increasing blood flow to the penis. […] Vacuum pumps can work well with practice, but they don’t suit everyone. […] Your doctor might suggest you use the vacuum pump in combination with PDE 5 drugs.

• #76 Sex and erection problems after treatment for prostate cancer | Cancer Research UK

  https://www.cancerresearchuk.org/about-cancer/prostate-cancer/practical-emotional-support/sex-relationships/difficulty-getting-erection

  Rehabilitation should start before or soon after your prostate cancer treatment. […] Making changes to how you live your life can help you feel better and improve your sex life. Being active and having a healthy weight can improve your interest in sex and help you get an erection. […] Some studies have shown that pelvic floor exercises can also help erection problems. […] The drugs used to treat erection problems include tadalafil (Cialis), sildenafil citrate (Viagra), vardenafil (Levitra), and avanafil (Spedra). […] These belong to a group of drugs called phosphodiesterase type 5 (PDE 5) inhibitors. They work by increasing blood flow to the penis. […] Vacuum pumps can work well with practice, but they don’t suit everyone. […] Your doctor might suggest you use the vacuum pump in combination with PDE 5 drugs.

• #77 Premature Ejaculation: Aetiology and Treatment Strategies

  https://pmc.ncbi.nlm.nih.gov/articles/PMC6915345/

  A suggested solution to providing holistic patient care is combination or integrated therapy. […] A combined treatment of pharmacological, and non-pharmacological management may be superior to pharmacological treatment alone in providing patients with holistic and effective care. […] As the effects of PE are multifactorial, a holistic patient management plan composed of pharmacological management, psychological support and psychosexual behavioural therapy is likely to produce the best outcomes for patients.

• #78 Premature ejaculation: A clinical review for the general physician

  https://www.racgp.org.au/afp/2015/october/premature-ejaculation-a-clinical-review-for-the-ge

  Premature ejaculation can have a significant adverse effect on the quality of life for the patient and his sexual partners. […] Effective, evidence-based treatment options are available and physicians should feel confident when exploring ways to improve the quality of life for men with sexual dysfunction. […] The aim of this article is to provide general practitioners (GPs) with an overview to assess and manage patients with premature ejaculation and other associated sexual dysfunction. […] Management of premature ejaculation should involve the patient and his partner, and is likely to require a multi-modal approach with pharmacological, behavioural and psychological therapies. […] Follow-up is an essential part of premature ejaculation management. It facilitates treatment optimisation, emphasis on key features of premature ejaculation and enables additional information gathering. […] Most patients who experience premature ejaculation are likely to require multi-modal management strategies involving pharmacological, behavioural and psychological components.

• #79 Premature Ejaculation | ARK Mental Health Wellness

  https://www.arkmentalhealthwellness.com/premature-ejaculation.php

  Premature ejaculation is a common sexual issue among men, taking place when a man reaches orgasm too quickly. […] It is very important to seek medical attention if the problem is occurring frequently enough to interfere with your sexual pleasure. […] There are a number of methods that can potentially help men experiencing premature ejaculation. […] Any conscious effort made to lessen anxiety levels can produce the more relaxed state necessary to avoid premature ejaculation. […] By practicing measured sexual stimulation, a man may be able to overcome his premature ejaculation issues. […] Certain selective serotonin reuptake inhibitors (SSRIs) have the effect of postponing ejaculation. […] Some patients respond well to a decrease in the level of sensation felt in the penis, which can lower their level of stimulation and allow a longer period of time before they reach orgasm. […] If there is no underlying condition responsible for the premature ejaculation and the problem does not resolve with any of these treatment methods, psychological counseling may be recommended.

• #80 Premature Ejaculation – Men’s Clinic – The Men’s Clinic at UCLA | UCLA Health

  https://www.uclahealth.org/medical-services/urology/mens-clinic-ucla/sexual-health/premature-ejaculation

  Treatment for PE and RE centers around behavioral, neurologic and hormonal modifications. […] One of the simplest treatment option is to temporarily desensitize the head of the penis by using a topical anesthetic medications for premature ejaculation. […] Some men respond well to low doses of the antidepressants known as selective serotonin reuptake inhibitors (SSRIs), that block serotonin, one of the hormones important in ejaculation. […] Dont be afraid to seek treatment for premature or rapid ejaculation. It is a very common condition, and one of the most common sexual dysfunctions.

• #81 Premature Ejaculation: Causes, Diagnosis & Treatment

  https://my.clevelandclinic.org/health/diseases/15627-premature-ejaculation

  Yes, you can prevent PE depending on what’s causing it. It’s best to discuss your feelings with your healthcare provider so they can help you determine a cause and recommend the appropriate treatment. There are many treatment methods you can use to avoid PE. […] By involving your partner and seeing the appropriate healthcare professionals, you may be able to control your ejaculations and enjoy your sex life again. […] Premature ejaculation itself isn’t harmful but other health problems may contribute to the development of premature ejaculation. These health problems include: Erectile dysfunction (you can’t maintain a firm erection for intercourse) […] Talk to your healthcare provider if you believe you have premature ejaculation or if ejaculating too soon is affecting your sex life. It’s normal to feel embarrassed about discussing sex with your healthcare provider, but know that PE is a common condition and that your provider isn’t there to judge you.

• #82 Premature ejaculation – treatment, causes and diagnosis | healthdirect

  https://www.healthdirect.gov.au/premature-ejaculation

  Premature ejaculation is the most common sexual problem to affect males. […] It’s important to speak to your doctor about premature ejaculation because it can lead to relationship issues. […] You should talk to your doctor if you are experiencing premature ejaculation. They can help work out the cause and offer you treatment options. […] It’s important to remember that ejaculation problems are common and nothing to be embarrassed about. […] Exercise has been reported to help prevent premature ejaculation. Kegel exercises are exercises to strengthen your pelvic floor muscles. These can also help to improve your control over ejaculation.

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