Treatments for premature ejaculation include sexual therapy, medications, and psychotherapy. Many men find that a combination of these treatments will give the best results. Sexual therapy usually involves simple steps, like choosing to masturbate one to two hours before sex or wearing a condom. It sounds simple, but condoms reduce sexual stimulation, which can prolong the time before ejaculation. Topical anesthetic creams that contain lidocaine or prilocaine can also dull the sensation and prolong sexual enjoyment.
You doctor might suggest an antidepressant, since a common side effect of antidepressant medications is delayed orgasm. Serotonin reuptake inhibitors and tricyclic antidepressants are popular choices. If erectile issues are causing your premature ejaculation, your doctor might prescribe an erectile dysfunction drug.
Cognitive behavioral therapy, or talk therapy, can reduce performance anxiety, help you cope with stress, and allow you to troubleshoot problems. Counseling typically works best when combined with drug therapy.
