Przedwczesne wytryski
Charakterystyka, pielęgnacja i opieka

Przedwczesny wytrysk (PE) to powszechne zaburzenie seksualne dotykające 20-30% mężczyzn w wieku 18-59 lat, definiowane jako ejakulacja występująca w ciągu około 1-2 minut od penetracji, z trudnością w kontroli i znaczącym dyskomfortem. PE dzieli się na pierwotny (od początku aktywności seksualnej) i nabyty (po okresie prawidłowej funkcji). Diagnostyka opiera się na szczegółowym wywiadzie, badaniu fizykalnym i ocenie psychoseksualnej, z wykorzystaniem narzędzi takich jak kwestionariusz PEDT. W przypadku PE nabytego wskazane są badania laboratoryjne w celu wykluczenia przyczyn somatycznych. Zaburzenie to wpływa negatywnie na jakość życia pacjenta i partnera, prowadząc do stresu, lęku, depresji i problemów w relacjach, co podkreśla konieczność otwartej komunikacji i profesjonalnej pomocy.

  1. Wprowadzenie do przedwczesnych wytrysków
  2. Diagnostyka przedwczesnych wytrysków
  3. Wpływ przedwczesnych wytrysków na jakość życia
    1. Opieka pielęgniarska w przedwczesnych wytryskach
    2. Edukacja pacjenta
    3. Wsparcie psychologiczne
    4. Koordynacja opieki interdyscyplinarnej
  4. Metody leczenia przedwczesnych wytrysków
    1. Techniki behawioralne
    2. Terapia psychologiczna
    3. Farmakoterapia
    4. Inne metody leczenia
  5. Aspekty pielęgniarskie w opiece nad pacjentem z przedwczesnymi wytryskami
    1. Ocena stanu pacjenta
    2. Planowanie opieki pielęgniarskiej
    3. Interwencje pielęgniarskie
    4. Ewaluacja efektów opieki
  6. Podsumowanie roli pielęgniarskiej w opiece nad pacjentem z przedwczesnymi wytryskami
    1. Kolejne rozdziały

Wprowadzenie do przedwczesnych wytrysków

Przedwczesne wytryski (ang. Premature ejaculation, PE) to jedna z najczęstszych form zaburzeń seksualnych u mężczyzn, dotykająca około 20-30% populacji męskiej w wieku 18-59 lat.12 Charakteryzuje się ona jako uporczywy lub nawracający wzorzec wytrysku nasienia, który występuje podczas aktywności seksualnej z partnerem w czasie krótszym niż pożądany, często w ciągu około jednej minuty od penetracji i przed momentem, w którym mężczyzna by tego chciał.34 Stan ten może powodować znaczący dyskomfort psychiczny, prowadzić do frustracji oraz mieć negatywny wpływ na relacje partnerskie.5

Przedwczesny wytrysk można podzielić na dwie główne kategorie: pierwotny (występujący od początku aktywności seksualnej) oraz nabyty (pojawiający się po okresie prawidłowej funkcji seksualnej).67 Zgodnie z definicją Amerykańskiego Towarzystwa Urologicznego (AUA), przedwczesny wytrysk pierwotny występuje, gdy mężczyzna ejakuluje w ciągu pierwszych dwóch minut penetracji, ma trudności z kontrolowaniem wytrysku i odczuwa z tego powodu dyskomfort. Ten stan towarzyszy mu od pierwszych doświadczeń seksualnych.8

Diagnostyka przedwczesnych wytrysków

Diagnoza przedwczesnych wytrysków opiera się przede wszystkim na dokładnym wywiadzie z pacjentem, badaniu fizykalnym oraz ocenie funkcjonowania psychoseksualnego.910 W przypadku PE pierwotnego zazwyczaj nie ma potrzeby przeprowadzania dodatkowych badań diagnostycznych, natomiast w przypadku PE nabytego mogą być wskazane badania laboratoryjne w celu wykluczenia chorób podstawowych, takich jak zaburzenia hormonalne.1112

Lekarz podczas konsultacji powinien przeprowadzić szczegółowy wywiad medyczny, relacyjny i seksualny oraz wykonać ukierunkowane badanie fizykalne.13 Pomocne mogą być również wystandaryzowane kwestionariusze, takie jak narzędzie diagnostyczne przedwczesnego wytrysku (PEDT) opracowane przez Symondsa i współpracowników.14 W niektórych przypadkach może być konieczne skierowanie pacjenta do urologa lub specjalisty w zakresie zdrowia psychicznego specjalizującego się w problemach seksualnych.15

Wpływ przedwczesnych wytrysków na jakość życia

Przedwczesne wytryski mogą mieć znaczący wpływ na jakość życia zarówno pacjenta, jak i jego partnera/partnerki.16 Problemy te często prowadzą do stresu, niepokoju, obniżonej samooceny i zakłopotania, co w konsekwencji może skutkować unikaniem bliskości seksualnej i pogorszeniem relacji partnerskich.17

U mężczyzn doświadczających przewlekłych przedwczesnych wytrysków przez okres roku lub dłużej, stan ten może prowadzić do klinicznej depresji i poważnych problemów w związku.18 Wstyd i zakłopotanie często powstrzymują wielu mężczyzn przed omówieniem tego problemu z lekarzem, co opóźnia diagnozę i leczenie.19

Przedwczesny wytrysk może wpływać również na jakość życia seksualnego partnera, powodując frustrację i niezadowolenie.20 W związku z tym ważne jest, aby rozmawiać o tym problemie otwarcie z partnerem i w razie potrzeby szukać profesjonalnej pomocy.21

Opieka pielęgniarska w przedwczesnych wytryskach

Opieka pielęgniarska w przypadku pacjentów z przedwczesnymi wytryskami skupia się przede wszystkim na edukacji, wsparciu psychologicznym oraz koordynacji interdyscyplinarnej opieki zdrowotnej.22 Personel pielęgniarski odgrywa kluczową rolę w zapewnieniu kompleksowej opieki pacjentom doświadczającym tego zaburzenia.

Edukacja pacjenta

Edukacja pacjenta jest fundamentalnym elementem opieki pielęgniarskiej w przypadku przedwczesnych wytrysków. Personel pielęgniarski powinien dostarczać pacjentom rzetelnych informacji na temat natury tego zaburzenia, podkreślając, że jest to częsty problem dotykający wielu mężczyzn.23 Ważne jest, aby pacjenci zrozumieli, że przedwczesny wytrysk jest stanem, który można skutecznie leczyć, a okazjonalne jego występowanie jest zjawiskiem normalnym.24

Pielęgniarki powinny edukować pacjentów na temat czynników mogących przyczyniać się do przedwczesnych wytrysków, w tym czynników psychologicznych (lęk, stres, depresja) oraz potencjalnych przyczyn fizjologicznych.25 Ważnym aspektem edukacji jest również informowanie o dostępnych metodach leczenia oraz o tym, jak ważna jest otwarta komunikacja z partnerem/partnerką.26

Wsparcie psychologiczne

Opieka pielęgniarska w przedwczesnych wytryskach obejmuje również udzielanie wsparcia psychologicznego pacjentom i ich partnerom.27 Pielęgniarki powinny stworzyć bezpieczną i pozbawioną osądu przestrzeń, w której pacjenci mogą swobodnie wyrażać swoje obawy i frustracje związane z tym zaburzeniem.28

Ważne jest, aby personel pielęgniarski potrafił rozpoznać oznaki dystresu psychicznego, takie jak depresja czy lęk, które często towarzyszą przedwczesnym wytrysków, i w razie potrzeby skierować pacjenta do odpowiedniego specjalisty zdrowia psychicznego.2930 Pielęgniarki mogą również zachęcać pacjentów do udziału w terapii par lub terapii seksualnej, które mogą być pomocne w rozwiązywaniu problemów związanych z intymnością.31

Koordynacja opieki interdyscyplinarnej

Leczenie przedwczesnych wytrysków często wymaga podejścia multimodalnego, obejmującego współpracę różnych specjalistów, takich jak urolodzy, seksuolodzy, psycholodzy i terapeuci.32 Personel pielęgniarski pełni ważną rolę w koordynacji tej interdyscyplinarnej opieki, zapewniając ciągłość leczenia i ułatwiając komunikację między różnymi członkami zespołu terapeutycznego.33

Pielęgniarki mogą pomóc w ustalaniu terminów wizyt, monitorowaniu postępów leczenia oraz ułatwianiu dostępu do zasobów i usług wsparcia.34 Mogą również pełnić rolę łącznika między pacjentem a lekarzem, pomagając w wyjaśnianiu zaleceń medycznych i odpowiadając na pytania pacjenta.35

Metody leczenia przedwczesnych wytrysków

Leczenie przedwczesnych wytrysków wymaga najczęściej podejścia multimodalnego, łączącego terapię behawioralną, psychologiczną i farmakologiczną.3637 Wybór odpowiedniej metody terapeutycznej zależy od indywidualnych potrzeb pacjenta, przyczyny zaburzenia oraz preferencji jego i partnera/partnerki.38

Techniki behawioralne

Terapia behawioralna stanowi istotny element leczenia przedwczesnych wytrysków. Do najczęściej stosowanych technik należą:

  • Technika „start-stop” – polega na rozpoczęciu stymulacji seksualnej i przerwaniu jej tuż przed momentem, w którym mężczyzna czuje, że zbliża się do wytrysku. Po ustąpieniu uczucia stymulacja jest wznawiana. Powtarzanie tej techniki pomaga w kontrolowaniu momentu wytrysku.39
  • Technika „ściśnij-przytrzymaj” (squeeze) – gdy mężczyzna zbliża się do punktu wytrysku, on lub jego partner/ka ściska główkę penisa na około 10-20 sekund, co powoduje zmniejszenie erekcji i opóźnia wytrysk.4041
  • Ćwiczenia mięśni dna miednicy (ćwiczenia Kegla) – wzmacniają mięśnie zaangażowane w kontrolę wytrysku i mogą pomóc w opóźnieniu ejakulacji.4243
  • Masturbacja przed stosunkiem – może pomóc w opóźnieniu wytrysku podczas późniejszego stosunku seksualnego.44

Techniki behawioralne wymagają cierpliwości i systematycznego ćwiczenia, ale mogą być skuteczne w poprawie kontroli nad wytryskiem.45 Najlepsze efekty uzyskuje się, gdy są one stosowane pod nadzorem terapeuty seksualnego.46

Terapia psychologiczna

Terapia psychologiczna odgrywa ważną rolę w leczeniu przedwczesnych wytrysków, szczególnie gdy problem ma podłoże psychogenne.47 Do głównych form terapii psychologicznej stosowanych w leczeniu PE należą:

  • Terapia poznawczo-behawioralna (CBT) – pomaga w identyfikacji i zmianie negatywnych wzorców myślowych związanych z aktywnością seksualną oraz w redukcji lęku przed współżyciem.48
  • Terapia par – koncentruje się na poprawie komunikacji między partnerami i rozwiązywaniu problemów w relacji, które mogą przyczyniać się do przedwczesnych wytrysków.49
  • Terapia seksualna – prowadzona przez specjalistów w dziedzinie zdrowia seksualnego, pomaga parom w zrozumieniu i zarządzaniu problemami seksualnymi.50

Terapia psychologiczna jest szczególnie skuteczna w leczeniu przedwczesnych wytrysków spowodowanych lękiem, stresem, problemami w relacji lub traumatycznymi doświadczeniami seksualnymi.51 Często jest stosowana w połączeniu z farmakoterapią, co daje lepsze rezultaty niż każda z tych metod stosowana osobno.52

Farmakoterapia

Farmakoterapia stanowi istotną część leczenia przedwczesnych wytrysków, szczególnie w przypadkach, gdy techniki behawioralne i terapia psychologiczna nie przynoszą oczekiwanych rezultatów.53 Do głównych grup leków stosowanych w leczeniu PE należą:

  • Selektywne inhibitory wychwytu zwrotnego serotoniny (SSRI) – takie jak paroksetyna, sertralina, fluoksetyna i citalopram, które dzięki efektowi ubocznego opóźnienia orgazmu są skuteczne w leczeniu przedwczesnych wytrysków. Mogą być stosowane codziennie lub doraźnie przed stosunkiem.5455
  • Dapoksetyna (Priligy) – SSRI specjalnie opracowany do leczenia przedwczesnych wytrysków, który może być stosowany doraźnie.5657
  • Klomipramina – trójpierścieniowy lek przeciwdepresyjny, który według niektórych badań może być bardziej skuteczny niż SSRI.58
  • Miejscowe środki znieczulające – takie jak lidokaina, prilokaina lub benzokaina w postaci kremów, żeli lub sprejów, które zmniejszają wrażliwość penisa i opóźniają wytrysk.5960
  • Inhibitory fosfodiesterazy typu 5 (PDE5) – takie jak sildenafil (Viagra), które są głównie stosowane w leczeniu zaburzeń erekcji, ale mogą być pomocne również w przypadku PE, szczególnie gdy występuje ono wraz z zaburzeniami erekcji.61

Tramadol, lek przeciwbólowy o działaniu opioidowym, może być rozważany jako leczenie drugiego rzutu u pacjentów, u których inne metody zawiodły, jednak jego stosowanie wiąże się z ryzykiem uzależnienia.62

Ważne jest, aby farmakoterapia przedwczesnych wytrysków była prowadzona pod nadzorem lekarza, który może dostosować dawkę i monitorować potencjalne działania niepożądane.63

Inne metody leczenia

Oprócz terapii behawioralnej, psychologicznej i farmakologicznej, istnieją również inne metody, które mogą być pomocne w leczeniu przedwczesnych wytrysków:

  • Stosowanie prezerwatyw – może zmniejszyć wrażliwość penisa i opóźnić wytrysk. Specjalnie zaprojektowane prezerwatywy „climax control” zawierające środki znieczulające są dostępne bez recepty.64
  • Terapia PulseWave – znana również jako terapia falą uderzeniową niskiej intensywności (LISWT), jest coraz częściej stosowana w leczeniu przedwczesnych wytrysków, szczególnie gdy towarzyszą im zaburzenia erekcji.6566
  • Stymulacja elektryczna – nowatorskie podejście wykorzystujące stymulację elektryczną mięśni odpowiedzialnych za ejakulację za pomocą plastra In2. Ta metoda może stanowić potencjalną opcję leczenia PE, która jest nieinwazyjna i nie wymaga stosowania leków.67

Warto zauważyć, że skuteczność niektórych z tych metod nie została jeszcze w pełni potwierdzona w badaniach klinicznych i mogą one wymagać dalszych badań.68

Aspekty pielęgniarskie w opiece nad pacjentem z przedwczesnymi wytryskami

Ocena stanu pacjenta

Kompleksowa ocena stanu pacjenta z przedwczesnymi wytryskami jest kluczowym elementem opieki pielęgniarskiej.69 Pielęgniarka powinna zebrać szczegółowy wywiad, obejmujący:

  • Historię medyczną – w tym choroby przewlekłe, przebyte operacje, przyjmowane leki oraz stosowanie substancji psychoaktywnych.70
  • Historię seksualną – w tym początek wystąpienia problemu, jego nasilenie, częstotliwość, sytuacje, w których występuje, oraz wcześniejsze metody radzenia sobie z nim.71
  • Ocenę psychologiczną – w tym objawy lęku, depresji, stresu oraz ich potencjalny związek z problemami seksualnymi.72
  • Historię relacji – w tym jakość związku, komunikację z partnerem/partnerką oraz wpływ przedwczesnych wytrysków na relację.73

Pielęgniarka może również zastosować standaryzowane narzędzia oceny, takie jak kwestionariusz PEDT (Premature Ejaculation Diagnostic Tool), aby pomóc w diagnozie przedwczesnych wytrysków.7475

Planowanie opieki pielęgniarskiej

Na podstawie kompleksowej oceny stanu pacjenta, pielęgniarka powinna opracować indywidualny plan opieki, który uwzględnia zarówno fizyczne, jak i psychologiczne aspekty przedwczesnych wytrysków.76 Plan opieki może obejmować:

  • Cele krótko- i długoterminowe – jasno określone, mierzalne cele, które pacjent chce osiągnąć w procesie leczenia.77
  • Interwencje edukacyjne – dostarczanie pacjentowi i jego partnerowi/partnerce rzetelnych informacji na temat przedwczesnych wytrysków i dostępnych metod leczenia.78
  • Interwencje behawioralne – instruktaż dotyczący technik behawioralnych, takich jak technika „start-stop” czy ćwiczenia mięśni dna miednicy.79
  • Wsparcie psychologiczne – pomoc w radzeniu sobie z lękiem, stresem i innymi psychologicznymi aspektami przedwczesnych wytrysków.80
  • Plan farmakoterapii – w przypadku gdy lekarz zalecił leczenie farmakologiczne, pielęgniarka powinna edukować pacjenta na temat prawidłowego stosowania leków, potencjalnych działań niepożądanych oraz interakcji z innymi lekami.81

Plan opieki powinien być regularnie oceniany i modyfikowany w zależności od postępów pacjenta i pojawiających się nowych potrzeb.82

Interwencje pielęgniarskie

Interwencje pielęgniarskie w opiece nad pacjentem z przedwczesnymi wytryskami powinny być dostosowane do indywidualnych potrzeb pacjenta i mogą obejmować:

  • Edukację zdrowotną – przekazywanie informacji na temat anatomii i fizjologii seksualnej, mechanizmów przedwczesnych wytrysków oraz metod ich leczenia.83
  • Naukę technik behawioralnych – instruktaż dotyczący technik opóźniania wytrysku, takich jak technika „start-stop” czy technika „ściśnij-przytrzymaj”.84
  • Wsparcie w stosowaniu farmakoterapii – edukacja na temat prawidłowego stosowania leków, monitorowanie ich skuteczności oraz potencjalnych działań niepożądanych.85
  • Wsparcie psychologiczne – pomaganie pacjentowi w radzeniu sobie z lękiem, stresem i innymi psychologicznymi aspektami przedwczesnych wytrysków.86
  • Poradnictwo w zakresie relacji – pomoc w komunikacji z partnerem/partnerką oraz w rozwiązywaniu problemów w relacji związanych z przedwczesnymi wytryskami.87
  • Koordynacja opieki – ułatwianie dostępu do innych specjalistów, takich jak urolodzy, seksuolodzy czy psycholodzy, oraz koordynacja interdyscyplinarnej opieki.88

Ważne jest, aby interwencje pielęgniarskie były realizowane w sposób holistyczny, uwzględniający zarówno fizyczne, jak i psychospołeczne aspekty przedwczesnych wytrysków.89

Ewaluacja efektów opieki

Regularna ocena efektów opieki jest istotnym elementem procesu pielęgnowania pacjenta z przedwczesnymi wytryskami.90 Ewaluacja powinna obejmować:

  • Ocenę poprawy kontroli nad wytryskiem – w tym zmian w czasie od penetracji do wytrysku.91
  • Ocenę satysfakcji seksualnej – zarówno pacjenta, jak i jego partnera/partnerki.92
  • Ocenę skuteczności zastosowanych metod leczenia – behawioralnych, psychologicznych i farmakologicznych.93
  • Ocenę wpływu leczenia na jakość życia i relacje interpersonalne.94
  • Monitorowanie potencjalnych działań niepożądanych farmakoterapii.95

Na podstawie wyników ewaluacji, plan opieki może być modyfikowany w celu osiągnięcia optymalnych efektów leczenia.96 Regularne wizyty kontrolne są istotną częścią leczenia przedwczesnych wytrysków, umożliwiają one dostosowanie strategii terapeutycznych do zmieniających się potrzeb pacjenta.97

Podsumowanie roli pielęgniarskiej w opiece nad pacjentem z przedwczesnymi wytryskami

Rola pielęgniarska w opiece nad pacjentem z przedwczesnymi wytryskami jest wielowymiarowa i obejmuje szereg zadań, które przyczyniają się do poprawy jakości życia pacjenta i skuteczności leczenia.98 Pielęgniarki, dzięki swojej wiedzy klinicznej i umiejętnościom komunikacyjnym, mogą:

  • Zapewnić kompleksową ocenę stanu pacjenta, uwzględniającą zarówno aspekty fizyczne, jak i psychospołeczne przedwczesnych wytrysków.99
  • Opracować indywidualny plan opieki, dostosowany do specyficznych potrzeb pacjenta.100
  • Realizować interwencje edukacyjne, behawioralne i psychologiczne, które wspierają proces leczenia.101102
  • Koordynować interdyscyplinarną opiekę, ułatwiając komunikację między różnymi specjalistami zaangażowanymi w leczenie.103
  • Regularnie oceniać efekty leczenia i modyfikować plan opieki w zależności od postępów i potrzeb pacjenta.104
  • Zapewnić wsparcie emocjonalne pacjentom i ich partnerom, pomagając im radzić sobie z psychologicznymi aspektami przedwczesnych wytrysków.105

Holistyczne podejście do opieki nad pacjentem z przedwczesnymi wytryskami, uwzględniające zarówno fizyczne, jak i psychospołeczne aspekty tego zaburzenia, jest kluczowe dla osiągnięcia optymalnych efektów leczenia.106 Pielęgniarki, jako istotni członkowie zespołu terapeutycznego, odgrywają ważną rolę w zapewnieniu pacjentom kompleksowej i zindywidualizowanej opieki.107

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  1. 09.04.2026
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Materiały źródłowe

  • #1 Premature Ejaculation – Conditions
    https://pazonamd.com/conditions/premature-ejaculation/
    Premature ejaculation (PE) is a common sexual health issue affecting men globally. It occurs when a man ejaculates sooner during sexual intercourse than he or his partner would like. This can lead to stress, relationship issues, and decreased self-confidence. […] According to the American Urological Association, about 20-30% of men in the U.S. aged 18 to 59 years old have problems with premature ejaculation. […] However, you don’t have to suffer with premature ejaculation. Our expert team at Pazona MD Urology Nashville is here to be a resource for you. Allow us to guide you through all things premature ejaculation, so you can get the care you deserve. […] At Pazona MD Urology, we feel a urologist is the best healthcare professional to evaluate, diagnose and treat premature ejaculation. We are the „penis” experts. That being said, many options exist for treating premature ejaculation and you should seek medical attention from someone you trust.
  • #2 Premature Ejaculation: Treatments and Causes
    https://www.medicalnewstoday.com/articles/how-to-treat-premature-ejaculation
    Premature ejaculation (PE) is a form of sexual dysfunction that can adversely affect the quality of a persons sex life. It is when an orgasm or climax occurs sooner than desired. […] PE is a common condition that may affect approximately 2030% of men. It causes individuals to ejaculate sooner than they would like. […] This article considers how individuals may be able to treat PE. We examine prescription medication, topical drug treatments, home remedies, and exercise. […] In many cases, there is a psychological cause for PE. […] There are no approved medications in the United States to treat PE. However, some antidepressants may help people delay ejaculation. […] Doctors may also recommend counseling from a therapist specializing in sexual relationships, or couples therapy. […] Topical drugs are a first-line treatment for PE.
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  • #4 Premature Ejaculation Guidelines: Guidelines for Management of Premature Ejaculation
    https://emedicine.medscape.com/article/435884-guidelines
    American Urological Association and Sexual Medicine Society of North America […] The AUA/SMSNA published joint guidelines on disorders of ejaculation in 2020. Guideline statements regarding the definition of PE were as follows: […] Lifelong PE is defined as poor ejaculatory control, associated bother, and ejaculation within about 2 minutes of initiation of penetrative sex that has been present since sexual debut. […] Acquired PE is defined as consistently poor ejaculatory control, associated bother, and ejaculation latency that is markedly reduced from prior sexual experience during penetrative sex. […] Other guideline statements on the diagnosis of PE included the following: […] The diagnosis of PE is based on medical, relationship, and sexual history and a focused physical examination.
  • #5 Premature Ejaculation | Treatment & Management | Point of Care
    https://www.statpearls.com/point-of-care/27656
    Premature ejaculation describes the phenomenon which occurs when ejaculation happens persistently sooner than a man or his partner would like during sexual activity. About 30% of men are affected but possibly up to 75% in some reviews. It is considered to be the most common male sexual disorder. […] Occasional premature ejaculation is not a cause for concern; however, for those individuals who chronically meet the diagnostic criteria, the condition can cause significant anxiety, distress, depression, psychological pain, and marital discord as sexual activity becomes much less enjoyable and relationships suffer significant negative consequences. […] Premature ejaculation that has been present for one year or more has a significant effect on the couple and tends to lead to clinical depression, relationship issues, and other problems.
  • #6 Premature Ejaculation | Center for Urologic Care of Berks County
    https://www.centerforurologiccare.com/patient-education/premature-ejaculation/
    Lots of men are concerned about how long it takes for them to ejaculate. Premature ejaculation (PE) is one of the most commonly reported sexual issues for men. The good news is that PE is treatable. Many men with PE have success with sex therapy, medications, or a combination of these two strategies. […] PE is categorized by how long it’s been a problem. The American Urological Association (AUA) explains it in this way: Lifelong PE occurs when a man ejaculates within the first two minutes of penetrative sex, has trouble controlling ejaculation, and feels distress. This has been the situation since his first experience with sexual intercourse. Acquired PE happens after a man has had some sexual experience. In the past, ejaculatory time frames haven’t been a problem. But now, he ejaculates before he wishes to, has trouble controlling ejaculation, and feels distress.
  • #7 Premature Ejaculation Guidelines: Guidelines for Management of Premature Ejaculation
    https://emedicine.medscape.com/article/435884-guidelines
    American Urological Association and Sexual Medicine Society of North America […] The AUA/SMSNA published joint guidelines on disorders of ejaculation in 2020. Guideline statements regarding the definition of PE were as follows: […] Lifelong PE is defined as poor ejaculatory control, associated bother, and ejaculation within about 2 minutes of initiation of penetrative sex that has been present since sexual debut. […] Acquired PE is defined as consistently poor ejaculatory control, associated bother, and ejaculation latency that is markedly reduced from prior sexual experience during penetrative sex. […] Other guideline statements on the diagnosis of PE included the following: […] The diagnosis of PE is based on medical, relationship, and sexual history and a focused physical examination.
  • #8 Disorders of Ejaculation: An AUA/SMSNA Guideline (2020) – American Urological Association
    https://www.auanet.org/guidelines-and-quality/guidelines/disorders-of-ejaculation
    Lifelong premature ejaculation is defined as poor ejaculatory control, associated bother, and ejaculation within about 2 minutes of initiation of penetrative sex that has been present since sexual debut. (Expert Opinion) […] Acquired premature ejaculation is defined as consistently poor ejaculatory control, associated bother, and ejaculation latency that is markedly reduced from prior sexual experience during penetrative sex. (Expert Opinion) […] Clinicians should assess medical, relationship, and sexual history and perform a focused physical exam to evaluate a patient with premature ejaculation. (Clinical Principle) […] Clinicians may use validated instruments to assist in the diagnosis of premature ejaculation. (Conditional Recommendation; Evidence Level: Grade C) […] Clinicians should not use additional testing for the evaluation of a patient with lifelong premature ejaculation. (Conditional Recommendation; Evidence Level: Grade C)
  • #9 Disorders of Ejaculation: An AUA/SMSNA Guideline (2020) – American Urological Association
    https://www.auanet.org/guidelines-and-quality/guidelines/disorders-of-ejaculation
    Lifelong premature ejaculation is defined as poor ejaculatory control, associated bother, and ejaculation within about 2 minutes of initiation of penetrative sex that has been present since sexual debut. (Expert Opinion) […] Acquired premature ejaculation is defined as consistently poor ejaculatory control, associated bother, and ejaculation latency that is markedly reduced from prior sexual experience during penetrative sex. (Expert Opinion) […] Clinicians should assess medical, relationship, and sexual history and perform a focused physical exam to evaluate a patient with premature ejaculation. (Clinical Principle) […] Clinicians may use validated instruments to assist in the diagnosis of premature ejaculation. (Conditional Recommendation; Evidence Level: Grade C) […] Clinicians should not use additional testing for the evaluation of a patient with lifelong premature ejaculation. (Conditional Recommendation; Evidence Level: Grade C)
  • #10 Premature Ejaculation Guidelines: Guidelines for Management of Premature Ejaculation
    https://emedicine.medscape.com/article/435884-guidelines
    Validated patient-reported questionnaires may be useful in diagnosis but are not required. […] Laboratory testing should not be routinely used for the diagnosis of lifelong PE. […] Laboratory testing may be useful when clinically indicated for the diagnosis of acquired PE. […] Patients should be advised that circumcision status is unrelated to PE. […] Consider referral to a mental health professional with expertise in sexual health; patients should be advised that combination behavioral and pharmacologic therapy is more effective than either therapy alone. […] In patients with concomitant PE and erectile dysfunction (ED), the ED should be treated according to AUA guidelines on erectile dysfunction. […] First-line pharmacologic treatments include daily selective serotonin reuptake inhibitor (SSRI) use, on-demand clomipramine or dapoxetine (where available), and topical penile anesthetics.
  • #11 Disorders of Ejaculation: An AUA/SMSNA Guideline (2020) – American Urological Association
    https://www.auanet.org/guidelines-and-quality/guidelines/disorders-of-ejaculation
    Clinicians may utilize additional testing, as clinically indicated, for the evaluation of the patient with acquired premature ejaculation. (Conditional Recommendation; Evidence Level: Grade C) […] Clinicians should advise patients that ejaculatory latency is not affected by circumcision status. (Conditional Recommendation; Evidence Level: Grade C) […] Clinicians should consider referring men with premature ejaculation to a mental health professional with expertise in sexual health. (Moderate Recommendation, Evidence Level: Grade C) […] Clinicians should recommend daily SSRIs; on demand clomipramine or dapoxetine (where available); and topical penile anaesthetics as first-line pharmacotherapies in the treatment of premature ejaculation. (Strong Recommendation; Evidence Level: Grade B)
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  • #13 Disorders of Ejaculation: An AUA/SMSNA Guideline (2020) – American Urological Association
    https://www.auanet.org/guidelines-and-quality/guidelines/disorders-of-ejaculation
    Lifelong premature ejaculation is defined as poor ejaculatory control, associated bother, and ejaculation within about 2 minutes of initiation of penetrative sex that has been present since sexual debut. (Expert Opinion) […] Acquired premature ejaculation is defined as consistently poor ejaculatory control, associated bother, and ejaculation latency that is markedly reduced from prior sexual experience during penetrative sex. (Expert Opinion) […] Clinicians should assess medical, relationship, and sexual history and perform a focused physical exam to evaluate a patient with premature ejaculation. (Clinical Principle) […] Clinicians may use validated instruments to assist in the diagnosis of premature ejaculation. (Conditional Recommendation; Evidence Level: Grade C) […] Clinicians should not use additional testing for the evaluation of a patient with lifelong premature ejaculation. (Conditional Recommendation; Evidence Level: Grade C)
  • #14 Premature Ejaculation: Aetiology and Treatment Strategies
    https://www.mdpi.com/2076-3271/7/11/102
    Premature ejaculation (PE) is a highly prevalent male sexual dysfunction that is often neglected, presenting a currently unmet therapeutic need. […] Patient assessment and management options differ depending on the classification of PE and it is the role of the clinician to appropriately classify patients and be aware of the correct management strategies. […] Patients with lifelong and acquired PE are most likely to benefit from combination therapy of pharmacological treatment in the form of selective serotonin re-uptake inhibitor dapoxetine, psychosexual behavioural therapy and psychological therapy. […] It is therefore important that clinicians establish sexual health as a routine topic during consultations. […] A common diagnostic tool used in the assessment of premature ejaculation is the premature ejaculation diagnostic tool (PEDT) developed by Symonds et al.
  • #15 Premature ejaculation – Diagnosis and treatment – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/premature-ejaculation/diagnosis-treatment/drc-20354905
    Your health care provider asks about your sex life and your health history. Your provider might also do a physical exam. If you have both early ejaculation and trouble getting or keeping an erection, your provider might order blood tests. The tests may check your hormone levels. […] In some cases, your care provider might suggest that you go to a urologist or a mental health provider who specializes in sexual problems. […] 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. […] In some cases, therapy for premature ejaculation involves simple steps. They may include masturbating an hour or two before intercourse. This may allow you to delay ejaculation when you have sex with your partner.
  • #16 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. Patients should be monitored closely to ensure treatment and sexual satisfaction.
  • #17 Premature Ejaculation: Causes, Diagnosis & Treatment
    https://my.clevelandclinic.org/health/diseases/15627-premature-ejaculation
    Premature ejaculation can have a significant effect on your relationship with your partner, making the complications psychological rather than physically harmful. You may feel embarrassed or that you can’t satisfy your partner. This can lead to issues with intimacy and impact your relationship as a whole. […] It’s common for people with PE to experience depression and frustration. […] For this reason, it’s important to seek help for PE. It’s a common condition that frustrates many people. Your healthcare provider can help determine the best treatment for you depending on the cause of your premature ejaculation. […] There are many different treatment options for premature ejaculation depending on the cause. These include behavioral therapy, counseling and medications. Most causes of premature ejaculation are usually treated first with behavioral therapy and/or counseling to help with emotional concerns, performance anxiety or stressors that may be contributing.
  • #18 Premature Ejaculation | Treatment & Management | Point of Care
    https://www.statpearls.com/point-of-care/27656
    Premature ejaculation describes the phenomenon which occurs when ejaculation happens persistently sooner than a man or his partner would like during sexual activity. About 30% of men are affected but possibly up to 75% in some reviews. It is considered to be the most common male sexual disorder. […] Occasional premature ejaculation is not a cause for concern; however, for those individuals who chronically meet the diagnostic criteria, the condition can cause significant anxiety, distress, depression, psychological pain, and marital discord as sexual activity becomes much less enjoyable and relationships suffer significant negative consequences. […] Premature ejaculation that has been present for one year or more has a significant effect on the couple and tends to lead to clinical depression, relationship issues, and other problems.
  • #19 Premature Ejaculation | Treatment & Management | Point of Care
    https://www.statpearls.com/point-of-care/27656
    Approximately 30% of men ages 18 to 59 years old have problems with premature ejaculation; however, shame and embarrassment prevent many from discussing this sensitive topic with their physicians. […] It is crucial to obtain a complete medical history of the patient. To properly diagnose premature ejaculation, the history should focus on any medical complaints or issues and his detailed sexual history. […] No specific laboratory or radiographic tests are necessary to evaluate for premature ejaculation. […] As premature ejaculation is primarily a psychological disorder, it is important to include a psychological/psychosexual assessment as part of the overall evaluation. […] Treating premature ejaculation often requires a multimodal approach incorporating behavioral, psychological, and pharmacological therapies.
  • #20 Premature ejaculation – Diagnosis and treatment – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/premature-ejaculation/diagnosis-treatment/drc-20354905
    Your partner also might be upset with the change in sexual intimacy. Premature ejaculation can cause partners to feel less connected or hurt. Talking about the problem is an important step. Relationship counseling or sex therapy also might be helpful. […] 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.
  • #21 Premature Ejaculation: Causes, Diagnosis & Treatment
    https://my.clevelandclinic.org/health/diseases/15627-premature-ejaculation
    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. […] Premature ejaculation is often easily treated with a few simple steps, so it’s important to see your provider if you’re experiencing premature ejaculation. Although it may be uncomfortable to talk about sexual problems, know that your providers want you and your partner to have a satisfying sex life. Your healthcare providers can come up with a plan to treat your premature ejaculation. Remember, this is a common problem and you’re not alone.
  • #22 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. Patients should be monitored closely to ensure treatment and sexual satisfaction.
  • #23 Premature ejaculation – Symptoms and causes – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/premature-ejaculation/symptoms-causes/syc-20354900
    Premature ejaculation is a treatable condition. Medications, counseling and techniques that delay ejaculation can help improve sex for you and your partner. […] Talk with your health care provider if you ejaculate sooner than you wish during most sexual encounters. It’s common to feel embarrassed about discussing sexual health concerns. But don’t let that keep you from talking to your provider. Premature ejaculation is common and treatable. […] A conversation with a care provider might help lessen concerns. For example, it might be reassuring to hear that it’s typical to experience premature ejaculation from time to time. It may also help to know that the average time from the beginning of intercourse to ejaculation is about five minutes.
  • #24 Premature ejaculation – Symptoms and causes – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/premature-ejaculation/symptoms-causes/syc-20354900
    Premature ejaculation is a treatable condition. Medications, counseling and techniques that delay ejaculation can help improve sex for you and your partner. […] Talk with your health care provider if you ejaculate sooner than you wish during most sexual encounters. It’s common to feel embarrassed about discussing sexual health concerns. But don’t let that keep you from talking to your provider. Premature ejaculation is common and treatable. […] A conversation with a care provider might help lessen concerns. For example, it might be reassuring to hear that it’s typical to experience premature ejaculation from time to time. It may also help to know that the average time from the beginning of intercourse to ejaculation is about five minutes.
  • #25 Premature Ejaculation: Causes, Symptoms, and Treatment Options
    https://www.everydayhealth.com/sexual-health/premature-ejaculation.aspx
    Premature ejaculation can cause partners to feel less connected or hurt. Talking about the issue openly can help you and your partner explore the problem together and find a solution. […] Your healthcare provider can help you understand if a mental health professional can help address psychological, emotional, or relationship problems that may be related to your PE. […] Psychological causes of premature ejaculation can include early sexual experiences, sexual abuse, poor body image, depression, worrying about PE, and guilty feelings that cause you to rush through sex. […] General anxiety and relationship problems can also cause PE. Mental health treatment may be an option. […] A therapist can work with you to identify problems in your sex life or personal relationship that may be influencing ejaculation, such as performance anxiety, depression, and stress.
  • #26 Premature Ejaculation: Causes, Symptoms, and Treatment Options
    https://www.everydayhealth.com/sexual-health/premature-ejaculation.aspx
    Premature ejaculation can cause partners to feel less connected or hurt. Talking about the issue openly can help you and your partner explore the problem together and find a solution. […] Your healthcare provider can help you understand if a mental health professional can help address psychological, emotional, or relationship problems that may be related to your PE. […] Psychological causes of premature ejaculation can include early sexual experiences, sexual abuse, poor body image, depression, worrying about PE, and guilty feelings that cause you to rush through sex. […] General anxiety and relationship problems can also cause PE. Mental health treatment may be an option. […] A therapist can work with you to identify problems in your sex life or personal relationship that may be influencing ejaculation, such as performance anxiety, depression, and stress.
  • #27 Premature ejaculation – Diagnosis and treatment – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/premature-ejaculation/diagnosis-treatment/drc-20354905
    Your partner also might be upset with the change in sexual intimacy. Premature ejaculation can cause partners to feel less connected or hurt. Talking about the problem is an important step. Relationship counseling or sex therapy also might be helpful. […] 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.
  • #28 Premature Ejaculation: Causes, Diagnosis & Treatment
    https://my.clevelandclinic.org/health/diseases/15627-premature-ejaculation
    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. […] Premature ejaculation is often easily treated with a few simple steps, so it’s important to see your provider if you’re experiencing premature ejaculation. Although it may be uncomfortable to talk about sexual problems, know that your providers want you and your partner to have a satisfying sex life. Your healthcare providers can come up with a plan to treat your premature ejaculation. Remember, this is a common problem and you’re not alone.
  • #29 Premature Ejaculation: Causes, Diagnosis & Treatment
    https://my.clevelandclinic.org/health/diseases/15627-premature-ejaculation
    Premature ejaculation can have a significant effect on your relationship with your partner, making the complications psychological rather than physically harmful. You may feel embarrassed or that you can’t satisfy your partner. This can lead to issues with intimacy and impact your relationship as a whole. […] It’s common for people with PE to experience depression and frustration. […] For this reason, it’s important to seek help for PE. It’s a common condition that frustrates many people. Your healthcare provider can help determine the best treatment for you depending on the cause of your premature ejaculation. […] There are many different treatment options for premature ejaculation depending on the cause. These include behavioral therapy, counseling and medications. Most causes of premature ejaculation are usually treated first with behavioral therapy and/or counseling to help with emotional concerns, performance anxiety or stressors that may be contributing.
  • #30 Premature Ejaculation: Causes, Symptoms, and Treatment Options
    https://www.everydayhealth.com/sexual-health/premature-ejaculation.aspx
    Premature ejaculation can cause partners to feel less connected or hurt. Talking about the issue openly can help you and your partner explore the problem together and find a solution. […] Your healthcare provider can help you understand if a mental health professional can help address psychological, emotional, or relationship problems that may be related to your PE. […] Psychological causes of premature ejaculation can include early sexual experiences, sexual abuse, poor body image, depression, worrying about PE, and guilty feelings that cause you to rush through sex. […] General anxiety and relationship problems can also cause PE. Mental health treatment may be an option. […] A therapist can work with you to identify problems in your sex life or personal relationship that may be influencing ejaculation, such as performance anxiety, depression, and stress.
  • #31 Premature ejaculation – Diagnosis and treatment – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/premature-ejaculation/diagnosis-treatment/drc-20354905
    Your partner also might be upset with the change in sexual intimacy. Premature ejaculation can cause partners to feel less connected or hurt. Talking about the problem is an important step. Relationship counseling or sex therapy also might be helpful. […] 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.
  • #32 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. Patients should be monitored closely to ensure treatment and sexual satisfaction.
  • #33 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. Any serious primary medical condition (eg, angina) should be treated; for the purposes of the following discussion, the patient is assumed to be healthy, and premature ejaculation is assumed to be his only problem. In addition, any accompanying erection problem (eg, erectile dysfunction [ED]) should be treated; various methods are available, and excellent success can be expected. Accordingly, treatment of concomitant ED is mentioned only in passing. […] 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. […] Outpatient care can be scheduled as appropriate for the clinical circumstances.
  • #34 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. Patients should be monitored closely to ensure treatment and sexual satisfaction.
  • #35 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. […] Most males with premature ejaculation can be helped this can help with intimate relationships. […] 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 can also help to talk to your partner and include your partner when you talk to a health professional. Most people with premature ejaculation can be helped, which can help with developing and maintaining intimate relationships. […] Speak to your doctor if you are worried about premature ejaculation. […] You can also call the healthdirect helpline on 1800 022 222 (known as NURSE-ON-CALL in Victoria). A registered nurse is available to speak with 24 hours a day, 7 days a week.
  • #36 Premature ejaculation – Diagnosis and treatment – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/premature-ejaculation/diagnosis-treatment/drc-20354905
    Your health care provider asks about your sex life and your health history. Your provider might also do a physical exam. If you have both early ejaculation and trouble getting or keeping an erection, your provider might order blood tests. The tests may check your hormone levels. […] In some cases, your care provider might suggest that you go to a urologist or a mental health provider who specializes in sexual problems. […] 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. […] In some cases, therapy for premature ejaculation involves simple steps. They may include masturbating an hour or two before intercourse. This may allow you to delay ejaculation when you have sex with your partner.
  • #37 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. Patients should be monitored closely to ensure treatment and sexual satisfaction.
  • #38 Premature Ejaculation: Aetiology and Treatment Strategies
    https://www.mdpi.com/2076-3271/7/11/102
    It is also crucial to manage patient expectations when assessing patients with PE. […] By gaining an understanding of patient expectations concerning therapeutic outcomes, initiating suitable treatment, or modifying current treatment, can be appropriately managed. […] 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. […] PE is a highly prevalent male sexual disorder that is largely an unmet therapeutic need. Patients with PE are characterised as having low IELT, lacking control over ejaculation and suffer from negative personal consequences as a result of the condition. […] 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.
  • #39 Premature ejaculation – Diagnosis and treatment – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/premature-ejaculation/diagnosis-treatment/drc-20354905
    Your care provider might recommend avoiding intercourse for a period of time. Focusing on other types of sexual play may remove the pressure you might feel during sexual intercourse. […] 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: Begin sexual activity, including stimulating the penis, until you feel almost ready to ejaculate. […] By repeating as many times as needed, you can reach the point of entering your partner without ejaculating. After some practice, delaying ejaculation might become a habit that no longer requires the pause-squeeze technique. […] Condoms might make the penis less sensitive, which can help delay ejaculation. Specially designed „climax control” condoms are available without a prescription.
  • #40 Premature ejaculation – Diagnosis and treatment – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/premature-ejaculation/diagnosis-treatment/drc-20354905
    Your care provider might recommend avoiding intercourse for a period of time. Focusing on other types of sexual play may remove the pressure you might feel during sexual intercourse. […] 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: Begin sexual activity, including stimulating the penis, until you feel almost ready to ejaculate. […] By repeating as many times as needed, you can reach the point of entering your partner without ejaculating. After some practice, delaying ejaculation might become a habit that no longer requires the pause-squeeze technique. […] Condoms might make the penis less sensitive, which can help delay ejaculation. Specially designed „climax control” condoms are available without a prescription.
  • #41 Premature Ejaculation – Men’s Health Issues – Merck Manual Consumer Version
    https://www.merckmanuals.com/home/men-s-health-issues/sexual-function-and-dysfunction-in-men/premature-ejaculation
    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. […] Sometimes a combination of medication and behavior modification therapy may be needed. […] When premature ejaculation is caused by more serious psychological problems, psychotherapy may help. […] Two techniques are commonly used to treat premature ejaculation. […] Each technique trains the man to experience high levels of excitement without ejaculating. […] 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.
  • #42 Premature ejaculation – Diagnosis and treatment – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/premature-ejaculation/diagnosis-treatment/drc-20354905
    Your care provider might recommend avoiding intercourse for a period of time. Focusing on other types of sexual play may remove the pressure you might feel during sexual intercourse. […] 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: Begin sexual activity, including stimulating the penis, until you feel almost ready to ejaculate. […] By repeating as many times as needed, you can reach the point of entering your partner without ejaculating. After some practice, delaying ejaculation might become a habit that no longer requires the pause-squeeze technique. […] Condoms might make the penis less sensitive, which can help delay ejaculation. Specially designed „climax control” condoms are available without a prescription.
  • #43 Premature ejaculation
    https://johnsonmemorial.org/jmh-health/disease-conditions/con-20212524
    Premature ejaculation is a treatable condition. Medications, counseling and techniques that delay ejaculation can help improve sex for you and your partner. […] 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. […] 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. Counseling is most likely to help when it’s used in combination with drug therapy. […] Premature ejaculation can cause partners to feel less connected or hurt. Talking about the problem is an important step. Relationship counseling or sex therapy also might be helpful.
  • #44 Premature ejaculation – Diagnosis and treatment – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/premature-ejaculation/diagnosis-treatment/drc-20354905
    Your health care provider asks about your sex life and your health history. Your provider might also do a physical exam. If you have both early ejaculation and trouble getting or keeping an erection, your provider might order blood tests. The tests may check your hormone levels. […] In some cases, your care provider might suggest that you go to a urologist or a mental health provider who specializes in sexual problems. […] 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. […] In some cases, therapy for premature ejaculation involves simple steps. They may include masturbating an hour or two before intercourse. This may allow you to delay ejaculation when you have sex with your partner.
  • #45 Premature Ejaculation – Men’s Health Issues – Merck Manual Consumer Version
    https://www.merckmanuals.com/home/men-s-health-issues/sexual-function-and-dysfunction-in-men/premature-ejaculation
    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. […] Sometimes a combination of medication and behavior modification therapy may be needed. […] When premature ejaculation is caused by more serious psychological problems, psychotherapy may help. […] Two techniques are commonly used to treat premature ejaculation. […] Each technique trains the man to experience high levels of excitement without ejaculating. […] 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.
  • #46
    https://www.baus.org.uk/patients/conditions/8/premature_ejaculation/
    Behavioural strategies, listed below, are all effective: […] Local anaesthetic creams or sprays (lidocaine/prilocaine), applied 20 – 60 minutes before intercourse, work to numb the area to which they are applied, with the aim of delaying ejaculation. […] Other techniques that may benefit younger patients include masturbation before anticipated intercourse. This may result in desensitising the penis and a longer delay to ejaculation. […] All of these techniques are best learned under the supervision of a psychosexual counsellor. They tend to be used on their own in acquired premature ejaculation or when symptoms are mild. When symptoms are severe or lifelong, they are best used in conjunction with medication.
  • #47 Premature Ejaculation: Causes, Diagnosis & Treatment
    https://my.clevelandclinic.org/health/diseases/15627-premature-ejaculation
    If the cause of your premature ejaculation is psychological, emotional or due to relationship issues like performance anxiety, depression, stress, guilt or a troubled relationship seek the help of a psychologist, psychiatrist or sex therapist. Your urologist can help direct you to these health professionals. […] Most people find relief using one or more of the treatments above. Behavioral therapy and using different methods to delay ejaculation tend to be the most helpful. […] 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.
  • #48 Premature Ejaculation Treatment | Overcome PE & Improve Intimacy | Murray Hill Urology
    https://murrayhillurology.com/services/premature-ejaculation/
    Premature ejaculation (PE) is a common condition where a man ejaculates sooner than he or his partner would like during sexual activity. It can affect men of all ages and can have a significant impact on sexual satisfaction and relationships. […] Diagnosing PE typically involves: Medical history and sexual history: Discussing your symptoms and sexual experiences. Physical exam: To rule out any underlying physical conditions. […] Treatment for PE aims to improve control over ejaculation and enhance sexual satisfaction. Options include: Psychological therapy: Counseling can address anxiety, stress, or relationship issues contributing to PE. Cognitive Behavioral Therapy (CBT) can be particularly helpful. Medications: Certain medications, such as SSRIs (selective serotonin reuptake inhibitors) or topical anesthetics, can help delay ejaculation. Behavioral techniques: Such as the „start-stop” technique or the „squeeze” technique, can help improve control over ejaculation. Topical numbing creams or sprays: Applied to the penis before intercourse to reduce sensitivity. […] If you are experiencing PE, it’s important to see a urologist or other qualified healthcare professional to discuss your concerns and explore treatment options. Addressing PE can significantly improve your sexual health and overall well-being.
  • #49 Premature ejaculation – Diagnosis and treatment – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/premature-ejaculation/diagnosis-treatment/drc-20354905
    Your partner also might be upset with the change in sexual intimacy. Premature ejaculation can cause partners to feel less connected or hurt. Talking about the problem is an important step. Relationship counseling or sex therapy also might be helpful. […] 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.
  • #50 Premature Ejaculation Treatment – Comprehensive Urologic Care
    https://compurocare.com/premature-ejaculation/
    Premature ejaculation may be treated with exercise, medication, or counseling. […] Treatment for premature ejaculation varies depending on the cause, but may include exercise, medication, and counseling, or a combination of the three. […] In cases where a patient’s sexual history or mental health may be a factor, counseling may help. Counseling may ease anxiety or stress associated with premature ejaculation, or may help a patient deal with past sexual experiences or performance anxiety that may be contributing to the problem. Relationship counseling may also help the couple resolve problems or discuss the issue.
  • #51 Premature Ejaculation: Causes, Symptoms, and Treatment Options
    https://www.everydayhealth.com/sexual-health/premature-ejaculation.aspx
    Premature ejaculation can cause partners to feel less connected or hurt. Talking about the issue openly can help you and your partner explore the problem together and find a solution. […] Your healthcare provider can help you understand if a mental health professional can help address psychological, emotional, or relationship problems that may be related to your PE. […] Psychological causes of premature ejaculation can include early sexual experiences, sexual abuse, poor body image, depression, worrying about PE, and guilty feelings that cause you to rush through sex. […] General anxiety and relationship problems can also cause PE. Mental health treatment may be an option. […] A therapist can work with you to identify problems in your sex life or personal relationship that may be influencing ejaculation, such as performance anxiety, depression, and stress.
  • #52 Premature ejaculation
    https://johnsonmemorial.org/jmh-health/disease-conditions/con-20212524
    Premature ejaculation is a treatable condition. Medications, counseling and techniques that delay ejaculation can help improve sex for you and your partner. […] 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. […] 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. Counseling is most likely to help when it’s used in combination with drug therapy. […] Premature ejaculation can cause partners to feel less connected or hurt. Talking about the problem is an important step. Relationship counseling or sex therapy also might be helpful.
  • #53 Disorders of Ejaculation: An AUA/SMSNA Guideline (2020) – American Urological Association
    https://www.auanet.org/guidelines-and-quality/guidelines/disorders-of-ejaculation
    Clinicians may utilize additional testing, as clinically indicated, for the evaluation of the patient with acquired premature ejaculation. (Conditional Recommendation; Evidence Level: Grade C) […] Clinicians should advise patients that ejaculatory latency is not affected by circumcision status. (Conditional Recommendation; Evidence Level: Grade C) […] Clinicians should consider referring men with premature ejaculation to a mental health professional with expertise in sexual health. (Moderate Recommendation, Evidence Level: Grade C) […] Clinicians should recommend daily SSRIs; on demand clomipramine or dapoxetine (where available); and topical penile anaesthetics as first-line pharmacotherapies in the treatment of premature ejaculation. (Strong Recommendation; Evidence Level: Grade B)
  • #54 Disorders of Ejaculation: An AUA/SMSNA Guideline (2020) – American Urological Association
    https://www.auanet.org/guidelines-and-quality/guidelines/disorders-of-ejaculation
    Clinicians may utilize additional testing, as clinically indicated, for the evaluation of the patient with acquired premature ejaculation. (Conditional Recommendation; Evidence Level: Grade C) […] Clinicians should advise patients that ejaculatory latency is not affected by circumcision status. (Conditional Recommendation; Evidence Level: Grade C) […] Clinicians should consider referring men with premature ejaculation to a mental health professional with expertise in sexual health. (Moderate Recommendation, Evidence Level: Grade C) […] Clinicians should recommend daily SSRIs; on demand clomipramine or dapoxetine (where available); and topical penile anaesthetics as first-line pharmacotherapies in the treatment of premature ejaculation. (Strong Recommendation; Evidence Level: Grade B)
  • #55 SSRIs and SNRIs for Premature Ejaculation in Adult Men | AAFP
    https://www.aafp.org/pubs/afp/issues/2022/0600/p591.html
    SSRIs and SNRIs increase the ejaculatory latency time (mean difference [MD] = 3.09 minutes; 95% CI, 1.94 to 4.25 minutes) and improve the satisfaction of the experience (relative risk [RR] = 1.63; 95% CI, 1.42 to 1.87) compared with placebo. […] According to the International Society for Sexual Medicine, premature ejaculation is a sexual dysfunction characterized by penile ejaculation that always or nearly always occurs before or within one minute of sexual penetration. […] Premature ejaculation can be treated using a multimodal approach, including behavioral therapy, topical agents, and oral medications. […] It is important to identify and address acquired causes of premature ejaculation at presentation. The International Society for Sexual Medicine supports considering off-label daily dosing of SSRIs such as paroxetine, sertraline, citalopram, and fluoxetine, as well as the tricyclic antidepressant clomipramine (Anafranil) or the off-label, on-demand dosing of dapoxetine for the treatment of lifelong and acquired premature ejaculation. […] Physicians should monitor patients closely for adverse effects during treatment.
  • #56 Ejaculation problems
    https://www.nhs.uk/conditions/ejaculation-problems/
    Premature ejaculation is a common ejaculation problem. It’s where the male ejaculates sooner than he or his partner wishes during sexual arousal. […] If you’re finding that it happens more than you’d like, and it’s a problem for you, it might help to get treatment. […] Selective serotonin reuptake inhibitors (SSRIs) are a type of antidepressant, but they also delay ejaculation. […] An SSRI specifically designed to treat premature ejaculation, known as dapoxetine (Priligy), has been licensed in the UK. […] 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. […] In the squeeze technique, you masturbate but stop before the point of ejaculation and squeeze the head of your penis for between 10 to 20 seconds. […] The stop-go technique is similar, but you do not squeeze your penis.
  • #57 Premature Ejaculation: Causes and Treatment
    https://patient.info/mens-health/penis-problems/premature-ejaculation
    Dapoxetine is a new SSRI tablet which has specially been developed for the treatment of premature ejaculation. […] If you don’t want to take tablets, local anaesthetic creams and sprays are available which help to reduce the sensitivity of the penis. […] Surgery has occasionally been helpful in men who have a short frenulum. This is the bridge of skin joining the head of the penis to the shaft. It is not a common treatment for premature ejaculation.
  • #58 Patient education: Sexual problems in males (Beyond the Basics) – UpToDate
    https://www.uptodate.com/contents/sexual-problems-in-males-beyond-the-basics
    Premature ejaculation is defined as ejaculation that occurs too early, before the male is ready. Most males with premature ejaculation ejaculate in less than two minutes. They are bothered by this condition, and they experience a sense of loss of control. This can cause distress in the male and/or his partner. Premature ejaculation causes the penis to become flaccid (limp), making penetration more difficult. […] Treatments — Antidepressant drugs prolong the time between arousal and ejaculation in some males. These are regarded as the most successful treatment for premature ejaculation. Antidepressants include selective serotonin reuptake inhibitors (SSRIs), such as sertraline and paroxetine. The tricyclic antidepressant clomipramine has been reported to be more effective than SSRIs, although it can cause dry mouth. These medications can be taken on a regular (daily) basis; intermittent use (three to four hours before planned sex) works well for some males. […] Other treatment options include topical lidocaine (to decrease sensation) and sex therapy. Alpha blockers such as tamsulosin and pain medications such as tramadol have also been used to treat this condition.
  • #59 Premature ejaculation – Diagnosis and treatment – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/premature-ejaculation/diagnosis-treatment/drc-20354905
    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. […] 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. Counseling is most likely to help when it’s used in combination with drug therapy. […] With premature ejaculation, you might feel that you lose some of the closeness shared with a sexual partner. You might feel angry, ashamed and upset, and turn away from your partner.
  • #60 Disorders of Ejaculation: An AUA/SMSNA Guideline (2020) – American Urological Association
    https://www.auanet.org/guidelines-and-quality/guidelines/disorders-of-ejaculation
    Clinicians may utilize additional testing, as clinically indicated, for the evaluation of the patient with acquired premature ejaculation. (Conditional Recommendation; Evidence Level: Grade C) […] Clinicians should advise patients that ejaculatory latency is not affected by circumcision status. (Conditional Recommendation; Evidence Level: Grade C) […] Clinicians should consider referring men with premature ejaculation to a mental health professional with expertise in sexual health. (Moderate Recommendation, Evidence Level: Grade C) […] Clinicians should recommend daily SSRIs; on demand clomipramine or dapoxetine (where available); and topical penile anaesthetics as first-line pharmacotherapies in the treatment of premature ejaculation. (Strong Recommendation; Evidence Level: Grade B)
  • #61 Premature Ejaculation Guidelines: Guidelines for Management of Premature Ejaculation
    https://emedicine.medscape.com/article/435884-guidelines
    Use a PDE5 inhibitor in patients with ED or subclinical ED and PE (LCEE). […] Consider on-demand use of an SSRI (paroxetine or fluoxetine) for PE refractory to first-line treatments and in the absence of psychiatric contraindications, as confirmed by a psychiatric consultation and psychometry. […] Consider daily use of clomipramine or an SSRI (paroxetine or fluoxetine) for PE refractory to first line-treatments or to on-demand SSRI use, in the absence of psychiatric contraindications, as confirmed by a psychiatric consultation and psychometry. […] SIAMS recommends against the following: […] Prescription of an antidepressant without a careful screening for depression and determination of the endogenous or reactive nature of the depression […] Use of alpha-1 adrenergic receptor blockers as second-line therapy in men with PE/lower urinary tract symptoms (LUTS) […] Use of tramadol for PE
  • #62 Disorders of Ejaculation: An AUA/SMSNA Guideline (2020) – American Urological Association
    https://www.auanet.org/guidelines-and-quality/guidelines/disorders-of-ejaculation
    Clinicians may consider on-demand dosing of tramadol for the treatment premature ejaculation in men who have failed first-line pharmacotherapy. (Conditional Recommendation; Evidence Level: Grade C) […] Clinicians should treat comorbid erectile dysfunction in patients with premature ejaculation according to the AUA Guidelines on Erectile Dysfunction. (Expert Opinion) […] Clinicians should advise men with premature ejaculation that combining behavioral and pharmacological approaches may be more effective than either modality alone. (Moderate Recommendation; Evidence Level: Grade B) […] Clinicians should inform patients that surgical management (including injection of bulking agents) for premature ejaculation should be considered experimental and only be used in the context of an ethical board-approved clinical trial. (Expert Opinion)
  • #63 SSRIs and SNRIs for Premature Ejaculation in Adult Men | AAFP
    https://www.aafp.org/pubs/afp/issues/2022/0600/p591.html
    SSRIs and SNRIs increase the ejaculatory latency time (mean difference [MD] = 3.09 minutes; 95% CI, 1.94 to 4.25 minutes) and improve the satisfaction of the experience (relative risk [RR] = 1.63; 95% CI, 1.42 to 1.87) compared with placebo. […] According to the International Society for Sexual Medicine, premature ejaculation is a sexual dysfunction characterized by penile ejaculation that always or nearly always occurs before or within one minute of sexual penetration. […] Premature ejaculation can be treated using a multimodal approach, including behavioral therapy, topical agents, and oral medications. […] It is important to identify and address acquired causes of premature ejaculation at presentation. The International Society for Sexual Medicine supports considering off-label daily dosing of SSRIs such as paroxetine, sertraline, citalopram, and fluoxetine, as well as the tricyclic antidepressant clomipramine (Anafranil) or the off-label, on-demand dosing of dapoxetine for the treatment of lifelong and acquired premature ejaculation. […] Physicians should monitor patients closely for adverse effects during treatment.
  • #64 Premature ejaculation – Diagnosis and treatment – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/premature-ejaculation/diagnosis-treatment/drc-20354905
    Your care provider might recommend avoiding intercourse for a period of time. Focusing on other types of sexual play may remove the pressure you might feel during sexual intercourse. […] 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: Begin sexual activity, including stimulating the penis, until you feel almost ready to ejaculate. […] By repeating as many times as needed, you can reach the point of entering your partner without ejaculating. After some practice, delaying ejaculation might become a habit that no longer requires the pause-squeeze technique. […] Condoms might make the penis less sensitive, which can help delay ejaculation. Specially designed „climax control” condoms are available without a prescription.
  • #65 Premature Ejaculation – Southwest Urology
    https://southwesturology.com/premature-ejaculation/
    Premature ejaculation is a sexual disorder that causes you to ejaculate sooner than you’d like during sexual intercourse. […] Common treatments that we recommend and provide include: […] Medications Taking certain medications can help eliminate premature ejaculation. […] Hormone treatments If you have unbalanced hormones, you can experience a range of situations. Premature ejaculation is just one common result of hormone imbalance. […] Anesthetic creams/sprays Anesthetic creams and sprays, or numbing agents, can reduce sexual sensation to delay ejaculation. […] Premature Ejaculation exercises Our experts at SouthWest Urology will show you which premature ejaculation exercises can increase stamina in the bedroom. […] Effective exercises for improved sexual function include: […] Condoms Wearing certain types of condoms can help as well. […] PulseWave Therapy PulseWave therapy is an increasingly popular treatment. […] It can enhance erections and works well for patients who have erectile dysfunction. However, it also provides benefits for patients dealing with premature ejaculation.
  • #66 Premature Ejaculation – Urology of North Florida
    https://urologyofnorthflorida.com/premature-ejaculation/
    PulseWave Therapy PulseWave therapy is an increasingly popular treatment. Also known as GAINSWave therapy or low-intensity shockwave therapy (LISWT). It can enhance erections and works well for patients who have erectile dysfunction. However, it also provides benefits for patients dealing with premature ejaculation.
  • #67 New technologies developed for treatment of premature ejaculation | International Journal of Impotence Research
    https://www.nature.com/articles/s41443-024-00875-w
    This study introduces an innovative approach to addressing lifelong PE by extending on-demand coital duration through electric stimulation of the ejaculation muscles using the In2 patch. This method shows promise as a potential on-demand, non-invasive, and drug-free treatment for PE. […] Currently, the standards of care in PE treatment are mainly SSRIs and topical anesthetics. However, the available drug treatments for PE come with limited effectiveness, a range of adverse effects, and a high rate of discontinuation. A definitive cure for PE, or at least therapies allowing for spontaneity during intercourse, remain elusive. Encouragingly, data from studies utilizing newly developed technological techniques and medical devices in PE treatment show promise. Solutions that are drug-free, entail minimal adverse effects, and permit spontaneity during intercourse are on the horizon. However, additional clinical studies would be beneficial in confirming the effectiveness of these therapies, potentially establishing them as possible alternatives to pharmacological PE treatments.
  • #68 New technologies developed for treatment of premature ejaculation | International Journal of Impotence Research
    https://www.nature.com/articles/s41443-024-00875-w
    This study introduces an innovative approach to addressing lifelong PE by extending on-demand coital duration through electric stimulation of the ejaculation muscles using the In2 patch. This method shows promise as a potential on-demand, non-invasive, and drug-free treatment for PE. […] Currently, the standards of care in PE treatment are mainly SSRIs and topical anesthetics. However, the available drug treatments for PE come with limited effectiveness, a range of adverse effects, and a high rate of discontinuation. A definitive cure for PE, or at least therapies allowing for spontaneity during intercourse, remain elusive. Encouragingly, data from studies utilizing newly developed technological techniques and medical devices in PE treatment show promise. Solutions that are drug-free, entail minimal adverse effects, and permit spontaneity during intercourse are on the horizon. However, additional clinical studies would be beneficial in confirming the effectiveness of these therapies, potentially establishing them as possible alternatives to pharmacological PE treatments.
  • #69 Premature Ejaculation | Treatment & Management | Point of Care
    https://www.statpearls.com/point-of-care/27656
    Approximately 30% of men ages 18 to 59 years old have problems with premature ejaculation; however, shame and embarrassment prevent many from discussing this sensitive topic with their physicians. […] It is crucial to obtain a complete medical history of the patient. To properly diagnose premature ejaculation, the history should focus on any medical complaints or issues and his detailed sexual history. […] No specific laboratory or radiographic tests are necessary to evaluate for premature ejaculation. […] As premature ejaculation is primarily a psychological disorder, it is important to include a psychological/psychosexual assessment as part of the overall evaluation. […] Treating premature ejaculation often requires a multimodal approach incorporating behavioral, psychological, and pharmacological therapies.
  • #70 Disorders of Ejaculation: An AUA/SMSNA Guideline (2020) – American Urological Association
    https://www.auanet.org/guidelines-and-quality/guidelines/disorders-of-ejaculation
    Lifelong premature ejaculation is defined as poor ejaculatory control, associated bother, and ejaculation within about 2 minutes of initiation of penetrative sex that has been present since sexual debut. (Expert Opinion) […] Acquired premature ejaculation is defined as consistently poor ejaculatory control, associated bother, and ejaculation latency that is markedly reduced from prior sexual experience during penetrative sex. (Expert Opinion) […] Clinicians should assess medical, relationship, and sexual history and perform a focused physical exam to evaluate a patient with premature ejaculation. (Clinical Principle) […] Clinicians may use validated instruments to assist in the diagnosis of premature ejaculation. (Conditional Recommendation; Evidence Level: Grade C) […] Clinicians should not use additional testing for the evaluation of a patient with lifelong premature ejaculation. (Conditional Recommendation; Evidence Level: Grade C)
  • #71 Premature Ejaculation Treatment | Overcome PE & Improve Intimacy | Murray Hill Urology
    https://murrayhillurology.com/services/premature-ejaculation/
    Premature ejaculation (PE) is a common condition where a man ejaculates sooner than he or his partner would like during sexual activity. It can affect men of all ages and can have a significant impact on sexual satisfaction and relationships. […] Diagnosing PE typically involves: Medical history and sexual history: Discussing your symptoms and sexual experiences. Physical exam: To rule out any underlying physical conditions. […] Treatment for PE aims to improve control over ejaculation and enhance sexual satisfaction. Options include: Psychological therapy: Counseling can address anxiety, stress, or relationship issues contributing to PE. Cognitive Behavioral Therapy (CBT) can be particularly helpful. Medications: Certain medications, such as SSRIs (selective serotonin reuptake inhibitors) or topical anesthetics, can help delay ejaculation. Behavioral techniques: Such as the „start-stop” technique or the „squeeze” technique, can help improve control over ejaculation. Topical numbing creams or sprays: Applied to the penis before intercourse to reduce sensitivity. […] If you are experiencing PE, it’s important to see a urologist or other qualified healthcare professional to discuss your concerns and explore treatment options. Addressing PE can significantly improve your sexual health and overall well-being.
  • #72 Premature Ejaculation: Causes, Symptoms, and Treatment Options
    https://www.everydayhealth.com/sexual-health/premature-ejaculation.aspx
    Premature ejaculation can cause partners to feel less connected or hurt. Talking about the issue openly can help you and your partner explore the problem together and find a solution. […] Your healthcare provider can help you understand if a mental health professional can help address psychological, emotional, or relationship problems that may be related to your PE. […] Psychological causes of premature ejaculation can include early sexual experiences, sexual abuse, poor body image, depression, worrying about PE, and guilty feelings that cause you to rush through sex. […] General anxiety and relationship problems can also cause PE. Mental health treatment may be an option. […] A therapist can work with you to identify problems in your sex life or personal relationship that may be influencing ejaculation, such as performance anxiety, depression, and stress.
  • #73 Disorders of Ejaculation: An AUA/SMSNA Guideline (2020) – American Urological Association
    https://www.auanet.org/guidelines-and-quality/guidelines/disorders-of-ejaculation
    Lifelong premature ejaculation is defined as poor ejaculatory control, associated bother, and ejaculation within about 2 minutes of initiation of penetrative sex that has been present since sexual debut. (Expert Opinion) […] Acquired premature ejaculation is defined as consistently poor ejaculatory control, associated bother, and ejaculation latency that is markedly reduced from prior sexual experience during penetrative sex. (Expert Opinion) […] Clinicians should assess medical, relationship, and sexual history and perform a focused physical exam to evaluate a patient with premature ejaculation. (Clinical Principle) […] Clinicians may use validated instruments to assist in the diagnosis of premature ejaculation. (Conditional Recommendation; Evidence Level: Grade C) […] Clinicians should not use additional testing for the evaluation of a patient with lifelong premature ejaculation. (Conditional Recommendation; Evidence Level: Grade C)
  • #74 Disorders of Ejaculation: An AUA/SMSNA Guideline (2020) – American Urological Association
    https://www.auanet.org/guidelines-and-quality/guidelines/disorders-of-ejaculation
    Lifelong premature ejaculation is defined as poor ejaculatory control, associated bother, and ejaculation within about 2 minutes of initiation of penetrative sex that has been present since sexual debut. (Expert Opinion) […] Acquired premature ejaculation is defined as consistently poor ejaculatory control, associated bother, and ejaculation latency that is markedly reduced from prior sexual experience during penetrative sex. (Expert Opinion) […] Clinicians should assess medical, relationship, and sexual history and perform a focused physical exam to evaluate a patient with premature ejaculation. (Clinical Principle) […] Clinicians may use validated instruments to assist in the diagnosis of premature ejaculation. (Conditional Recommendation; Evidence Level: Grade C) […] Clinicians should not use additional testing for the evaluation of a patient with lifelong premature ejaculation. (Conditional Recommendation; Evidence Level: Grade C)
  • #75 Premature Ejaculation: Aetiology and Treatment Strategies
    https://www.mdpi.com/2076-3271/7/11/102
    Premature ejaculation (PE) is a highly prevalent male sexual dysfunction that is often neglected, presenting a currently unmet therapeutic need. […] Patient assessment and management options differ depending on the classification of PE and it is the role of the clinician to appropriately classify patients and be aware of the correct management strategies. […] Patients with lifelong and acquired PE are most likely to benefit from combination therapy of pharmacological treatment in the form of selective serotonin re-uptake inhibitor dapoxetine, psychosexual behavioural therapy and psychological therapy. […] It is therefore important that clinicians establish sexual health as a routine topic during consultations. […] A common diagnostic tool used in the assessment of premature ejaculation is the premature ejaculation diagnostic tool (PEDT) developed by Symonds et al.
  • #76 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. Patients should be monitored closely to ensure treatment and sexual satisfaction.
  • #77 Premature Ejaculation: Aetiology and Treatment Strategies
    https://www.mdpi.com/2076-3271/7/11/102
    It is also crucial to manage patient expectations when assessing patients with PE. […] By gaining an understanding of patient expectations concerning therapeutic outcomes, initiating suitable treatment, or modifying current treatment, can be appropriately managed. […] 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. […] PE is a highly prevalent male sexual disorder that is largely an unmet therapeutic need. Patients with PE are characterised as having low IELT, lacking control over ejaculation and suffer from negative personal consequences as a result of the condition. […] 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: Causes, Diagnosis & Treatment
    https://my.clevelandclinic.org/health/diseases/15627-premature-ejaculation
    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. […] Premature ejaculation is often easily treated with a few simple steps, so it’s important to see your provider if you’re experiencing premature ejaculation. Although it may be uncomfortable to talk about sexual problems, know that your providers want you and your partner to have a satisfying sex life. Your healthcare providers can come up with a plan to treat your premature ejaculation. Remember, this is a common problem and you’re not alone.
  • #79 Premature ejaculation – Diagnosis and treatment – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/premature-ejaculation/diagnosis-treatment/drc-20354905
    Your care provider might recommend avoiding intercourse for a period of time. Focusing on other types of sexual play may remove the pressure you might feel during sexual intercourse. […] 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: Begin sexual activity, including stimulating the penis, until you feel almost ready to ejaculate. […] By repeating as many times as needed, you can reach the point of entering your partner without ejaculating. After some practice, delaying ejaculation might become a habit that no longer requires the pause-squeeze technique. […] Condoms might make the penis less sensitive, which can help delay ejaculation. Specially designed „climax control” condoms are available without a prescription.
  • #80 Premature Ejaculation: Causes, Symptoms, and Treatment Options
    https://www.everydayhealth.com/sexual-health/premature-ejaculation.aspx
    Premature ejaculation can cause partners to feel less connected or hurt. Talking about the issue openly can help you and your partner explore the problem together and find a solution. […] Your healthcare provider can help you understand if a mental health professional can help address psychological, emotional, or relationship problems that may be related to your PE. […] Psychological causes of premature ejaculation can include early sexual experiences, sexual abuse, poor body image, depression, worrying about PE, and guilty feelings that cause you to rush through sex. […] General anxiety and relationship problems can also cause PE. Mental health treatment may be an option. […] A therapist can work with you to identify problems in your sex life or personal relationship that may be influencing ejaculation, such as performance anxiety, depression, and stress.
  • #81 SSRIs and SNRIs for Premature Ejaculation in Adult Men | AAFP
    https://www.aafp.org/pubs/afp/issues/2022/0600/p591.html
    SSRIs and SNRIs increase the ejaculatory latency time (mean difference [MD] = 3.09 minutes; 95% CI, 1.94 to 4.25 minutes) and improve the satisfaction of the experience (relative risk [RR] = 1.63; 95% CI, 1.42 to 1.87) compared with placebo. […] According to the International Society for Sexual Medicine, premature ejaculation is a sexual dysfunction characterized by penile ejaculation that always or nearly always occurs before or within one minute of sexual penetration. […] Premature ejaculation can be treated using a multimodal approach, including behavioral therapy, topical agents, and oral medications. […] It is important to identify and address acquired causes of premature ejaculation at presentation. The International Society for Sexual Medicine supports considering off-label daily dosing of SSRIs such as paroxetine, sertraline, citalopram, and fluoxetine, as well as the tricyclic antidepressant clomipramine (Anafranil) or the off-label, on-demand dosing of dapoxetine for the treatment of lifelong and acquired premature ejaculation. […] Physicians should monitor patients closely for adverse effects during treatment.
  • #82 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. Patients should be monitored closely to ensure treatment and sexual satisfaction.
  • #83 Premature ejaculation – Symptoms and causes – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/premature-ejaculation/symptoms-causes/syc-20354900
    Premature ejaculation is a treatable condition. Medications, counseling and techniques that delay ejaculation can help improve sex for you and your partner. […] Talk with your health care provider if you ejaculate sooner than you wish during most sexual encounters. It’s common to feel embarrassed about discussing sexual health concerns. But don’t let that keep you from talking to your provider. Premature ejaculation is common and treatable. […] A conversation with a care provider might help lessen concerns. For example, it might be reassuring to hear that it’s typical to experience premature ejaculation from time to time. It may also help to know that the average time from the beginning of intercourse to ejaculation is about five minutes.
  • #84 Premature ejaculation – Diagnosis and treatment – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/premature-ejaculation/diagnosis-treatment/drc-20354905
    Your care provider might recommend avoiding intercourse for a period of time. Focusing on other types of sexual play may remove the pressure you might feel during sexual intercourse. […] 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: Begin sexual activity, including stimulating the penis, until you feel almost ready to ejaculate. […] By repeating as many times as needed, you can reach the point of entering your partner without ejaculating. After some practice, delaying ejaculation might become a habit that no longer requires the pause-squeeze technique. […] Condoms might make the penis less sensitive, which can help delay ejaculation. Specially designed „climax control” condoms are available without a prescription.
  • #85 SSRIs and SNRIs for Premature Ejaculation in Adult Men | AAFP
    https://www.aafp.org/pubs/afp/issues/2022/0600/p591.html
    SSRIs and SNRIs increase the ejaculatory latency time (mean difference [MD] = 3.09 minutes; 95% CI, 1.94 to 4.25 minutes) and improve the satisfaction of the experience (relative risk [RR] = 1.63; 95% CI, 1.42 to 1.87) compared with placebo. […] According to the International Society for Sexual Medicine, premature ejaculation is a sexual dysfunction characterized by penile ejaculation that always or nearly always occurs before or within one minute of sexual penetration. […] Premature ejaculation can be treated using a multimodal approach, including behavioral therapy, topical agents, and oral medications. […] It is important to identify and address acquired causes of premature ejaculation at presentation. The International Society for Sexual Medicine supports considering off-label daily dosing of SSRIs such as paroxetine, sertraline, citalopram, and fluoxetine, as well as the tricyclic antidepressant clomipramine (Anafranil) or the off-label, on-demand dosing of dapoxetine for the treatment of lifelong and acquired premature ejaculation. […] Physicians should monitor patients closely for adverse effects during treatment.
  • #86 Premature Ejaculation: Causes, Symptoms, and Treatment Options
    https://www.everydayhealth.com/sexual-health/premature-ejaculation.aspx
    Premature ejaculation can cause partners to feel less connected or hurt. Talking about the issue openly can help you and your partner explore the problem together and find a solution. […] Your healthcare provider can help you understand if a mental health professional can help address psychological, emotional, or relationship problems that may be related to your PE. […] Psychological causes of premature ejaculation can include early sexual experiences, sexual abuse, poor body image, depression, worrying about PE, and guilty feelings that cause you to rush through sex. […] General anxiety and relationship problems can also cause PE. Mental health treatment may be an option. […] A therapist can work with you to identify problems in your sex life or personal relationship that may be influencing ejaculation, such as performance anxiety, depression, and stress.
  • #87 Premature ejaculation – Diagnosis and treatment – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/premature-ejaculation/diagnosis-treatment/drc-20354905
    Your partner also might be upset with the change in sexual intimacy. Premature ejaculation can cause partners to feel less connected or hurt. Talking about the problem is an important step. Relationship counseling or sex therapy also might be helpful. […] 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.
  • #88 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. Any serious primary medical condition (eg, angina) should be treated; for the purposes of the following discussion, the patient is assumed to be healthy, and premature ejaculation is assumed to be his only problem. In addition, any accompanying erection problem (eg, erectile dysfunction [ED]) should be treated; various methods are available, and excellent success can be expected. Accordingly, treatment of concomitant ED is mentioned only in passing. […] 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. […] Outpatient care can be scheduled as appropriate for the clinical circumstances.
  • #89 Premature Ejaculation: Aetiology and Treatment Strategies
    https://www.mdpi.com/2076-3271/7/11/102
    It is also crucial to manage patient expectations when assessing patients with PE. […] By gaining an understanding of patient expectations concerning therapeutic outcomes, initiating suitable treatment, or modifying current treatment, can be appropriately managed. […] 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. […] PE is a highly prevalent male sexual disorder that is largely an unmet therapeutic need. Patients with PE are characterised as having low IELT, lacking control over ejaculation and suffer from negative personal consequences as a result of the condition. […] 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.
  • #90 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. Patients should be monitored closely to ensure treatment and sexual satisfaction.
  • #91 SSRIs and SNRIs for Premature Ejaculation in Adult Men | AAFP
    https://www.aafp.org/pubs/afp/issues/2022/0600/p591.html
    SSRIs and SNRIs increase the ejaculatory latency time (mean difference [MD] = 3.09 minutes; 95% CI, 1.94 to 4.25 minutes) and improve the satisfaction of the experience (relative risk [RR] = 1.63; 95% CI, 1.42 to 1.87) compared with placebo. […] According to the International Society for Sexual Medicine, premature ejaculation is a sexual dysfunction characterized by penile ejaculation that always or nearly always occurs before or within one minute of sexual penetration. […] Premature ejaculation can be treated using a multimodal approach, including behavioral therapy, topical agents, and oral medications. […] It is important to identify and address acquired causes of premature ejaculation at presentation. The International Society for Sexual Medicine supports considering off-label daily dosing of SSRIs such as paroxetine, sertraline, citalopram, and fluoxetine, as well as the tricyclic antidepressant clomipramine (Anafranil) or the off-label, on-demand dosing of dapoxetine for the treatment of lifelong and acquired premature ejaculation. […] Physicians should monitor patients closely for adverse effects during treatment.
  • #92 SSRIs and SNRIs for Premature Ejaculation in Adult Men | AAFP
    https://www.aafp.org/pubs/afp/issues/2022/0600/p591.html
    SSRIs and SNRIs increase the ejaculatory latency time (mean difference [MD] = 3.09 minutes; 95% CI, 1.94 to 4.25 minutes) and improve the satisfaction of the experience (relative risk [RR] = 1.63; 95% CI, 1.42 to 1.87) compared with placebo. […] According to the International Society for Sexual Medicine, premature ejaculation is a sexual dysfunction characterized by penile ejaculation that always or nearly always occurs before or within one minute of sexual penetration. […] Premature ejaculation can be treated using a multimodal approach, including behavioral therapy, topical agents, and oral medications. […] It is important to identify and address acquired causes of premature ejaculation at presentation. The International Society for Sexual Medicine supports considering off-label daily dosing of SSRIs such as paroxetine, sertraline, citalopram, and fluoxetine, as well as the tricyclic antidepressant clomipramine (Anafranil) or the off-label, on-demand dosing of dapoxetine for the treatment of lifelong and acquired premature ejaculation. […] Physicians should monitor patients closely for adverse effects during treatment.
  • #93 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. Patients should be monitored closely to ensure treatment and sexual satisfaction.
  • #94 Premature Ejaculation: Causes, Diagnosis & Treatment
    https://my.clevelandclinic.org/health/diseases/15627-premature-ejaculation
    Premature ejaculation can have a significant effect on your relationship with your partner, making the complications psychological rather than physically harmful. You may feel embarrassed or that you can’t satisfy your partner. This can lead to issues with intimacy and impact your relationship as a whole. […] It’s common for people with PE to experience depression and frustration. […] For this reason, it’s important to seek help for PE. It’s a common condition that frustrates many people. Your healthcare provider can help determine the best treatment for you depending on the cause of your premature ejaculation. […] There are many different treatment options for premature ejaculation depending on the cause. These include behavioral therapy, counseling and medications. Most causes of premature ejaculation are usually treated first with behavioral therapy and/or counseling to help with emotional concerns, performance anxiety or stressors that may be contributing.
  • #95 SSRIs and SNRIs for Premature Ejaculation in Adult Men | AAFP
    https://www.aafp.org/pubs/afp/issues/2022/0600/p591.html
    SSRIs and SNRIs increase the ejaculatory latency time (mean difference [MD] = 3.09 minutes; 95% CI, 1.94 to 4.25 minutes) and improve the satisfaction of the experience (relative risk [RR] = 1.63; 95% CI, 1.42 to 1.87) compared with placebo. […] According to the International Society for Sexual Medicine, premature ejaculation is a sexual dysfunction characterized by penile ejaculation that always or nearly always occurs before or within one minute of sexual penetration. […] Premature ejaculation can be treated using a multimodal approach, including behavioral therapy, topical agents, and oral medications. […] It is important to identify and address acquired causes of premature ejaculation at presentation. The International Society for Sexual Medicine supports considering off-label daily dosing of SSRIs such as paroxetine, sertraline, citalopram, and fluoxetine, as well as the tricyclic antidepressant clomipramine (Anafranil) or the off-label, on-demand dosing of dapoxetine for the treatment of lifelong and acquired premature ejaculation. […] Physicians should monitor patients closely for adverse effects during treatment.
  • #96 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. Patients should be monitored closely to ensure treatment and sexual satisfaction.
  • #97 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. Patients should be monitored closely to ensure treatment and sexual satisfaction.
  • #98 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. Patients should be monitored closely to ensure treatment and sexual satisfaction.
  • #99 Premature Ejaculation | Treatment & Management | Point of Care
    https://www.statpearls.com/point-of-care/27656
    Approximately 30% of men ages 18 to 59 years old have problems with premature ejaculation; however, shame and embarrassment prevent many from discussing this sensitive topic with their physicians. […] It is crucial to obtain a complete medical history of the patient. To properly diagnose premature ejaculation, the history should focus on any medical complaints or issues and his detailed sexual history. […] No specific laboratory or radiographic tests are necessary to evaluate for premature ejaculation. […] As premature ejaculation is primarily a psychological disorder, it is important to include a psychological/psychosexual assessment as part of the overall evaluation. […] Treating premature ejaculation often requires a multimodal approach incorporating behavioral, psychological, and pharmacological therapies.
  • #100 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. Patients should be monitored closely to ensure treatment and sexual satisfaction.
  • #101 Premature ejaculation – Symptoms and causes – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/premature-ejaculation/symptoms-causes/syc-20354900
    Premature ejaculation is a treatable condition. Medications, counseling and techniques that delay ejaculation can help improve sex for you and your partner. […] Talk with your health care provider if you ejaculate sooner than you wish during most sexual encounters. It’s common to feel embarrassed about discussing sexual health concerns. But don’t let that keep you from talking to your provider. Premature ejaculation is common and treatable. […] A conversation with a care provider might help lessen concerns. For example, it might be reassuring to hear that it’s typical to experience premature ejaculation from time to time. It may also help to know that the average time from the beginning of intercourse to ejaculation is about five minutes.
  • #102 Premature ejaculation – Diagnosis and treatment – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/premature-ejaculation/diagnosis-treatment/drc-20354905
    Your care provider might recommend avoiding intercourse for a period of time. Focusing on other types of sexual play may remove the pressure you might feel during sexual intercourse. […] 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: Begin sexual activity, including stimulating the penis, until you feel almost ready to ejaculate. […] By repeating as many times as needed, you can reach the point of entering your partner without ejaculating. After some practice, delaying ejaculation might become a habit that no longer requires the pause-squeeze technique. […] Condoms might make the penis less sensitive, which can help delay ejaculation. Specially designed „climax control” condoms are available without a prescription.
  • #103 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. Any serious primary medical condition (eg, angina) should be treated; for the purposes of the following discussion, the patient is assumed to be healthy, and premature ejaculation is assumed to be his only problem. In addition, any accompanying erection problem (eg, erectile dysfunction [ED]) should be treated; various methods are available, and excellent success can be expected. Accordingly, treatment of concomitant ED is mentioned only in passing. […] 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. […] Outpatient care can be scheduled as appropriate for the clinical circumstances.
  • #104 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. Patients should be monitored closely to ensure treatment and sexual satisfaction.
  • #105 Premature Ejaculation: Causes, Symptoms, and Treatment Options
    https://www.everydayhealth.com/sexual-health/premature-ejaculation.aspx
    Premature ejaculation can cause partners to feel less connected or hurt. Talking about the issue openly can help you and your partner explore the problem together and find a solution. […] Your healthcare provider can help you understand if a mental health professional can help address psychological, emotional, or relationship problems that may be related to your PE. […] Psychological causes of premature ejaculation can include early sexual experiences, sexual abuse, poor body image, depression, worrying about PE, and guilty feelings that cause you to rush through sex. […] General anxiety and relationship problems can also cause PE. Mental health treatment may be an option. […] A therapist can work with you to identify problems in your sex life or personal relationship that may be influencing ejaculation, such as performance anxiety, depression, and stress.
  • #106 Premature Ejaculation: Aetiology and Treatment Strategies
    https://www.mdpi.com/2076-3271/7/11/102
    It is also crucial to manage patient expectations when assessing patients with PE. […] By gaining an understanding of patient expectations concerning therapeutic outcomes, initiating suitable treatment, or modifying current treatment, can be appropriately managed. […] 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. […] PE is a highly prevalent male sexual disorder that is largely an unmet therapeutic need. Patients with PE are characterised as having low IELT, lacking control over ejaculation and suffer from negative personal consequences as a result of the condition. […] 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.
  • #107 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. Patients should be monitored closely to ensure treatment and sexual satisfaction.

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