Comprehensive Urology 

Premature Ejaculation

Premature ejaculation is a sexual disorder that causes a man to ejaculate sooner than expected during sexual intercourse. Comprehensive Urology in Los Angeles offers premature ejaculation exercises, medicine for premature ejaculation, and other treatments, all of which have been shown to deliver safe, effective, and long-lasting results.

Premature Ejaculation Treatments

Medicine and exercises may be used to treat premature ejaculation. At CU, our urologists tailor a premature ejaculation treatment plan to a patient. That way, each premature ejaculation patient receives a custom treatment plan to help him achieve the optimal results.

Medicine for Premature Ejaculation

  • Anesthetic Creams and Sprays: Anesthetic creams and sprays that contain a numbing agent like benzocaine, lidocaine, or prilocaine may be used to treat premature ejaculation. These topical anesthetics can be applied to the penis roughly 10 to 15 minutes prior to sexual intercourse, and they simultaneously reduce sexual sensation and delay ejaculation.
  • Antidepressants: Zoloft, Paxil, and other selective serotonin reuptake inhibitors (SSRIs) have been shown to delay ejaculation. These medications usually start working within about five to 10 days of initial use and deliver full results within two to three weeks.
  • Tramadol: Tramadol is a pain medication that delays ejaculation. It may be prescribed if SSRIs fail to deliver their desired results.
  • Phosphodiesterase-5 Inhibitors: Viagra, Cialis, and other erectile dysfunction medications may be used to treat premature ejaculation. These medications have been shown to help some patients address erectile dysfunction and premature ejaculation at the same time. They also may be used in conjunction with SSRIs.

Premature Ejaculation Exercises

Premature ejaculation exercises may be used as an alternative to medicine or in conjunction with medicine. Common premature ejaculation exercises include:

  • Pelvic Floor Exercises: Strengthen muscles that otherwise hinder a man’s ability to delay ejaculation. Pelvic floor exercises may be performed while sitting, standing, or walking, and they may need to be performed several times a day.
  • Pause-Squeeze Technique: Requires a man and his partner to work together to delay ejaculation. The pause-squeeze technique involves beginning sexual activity and stimulating the man’s penis. Next, the partner should grab the end of the man’s penis and squeeze it for several seconds. This technique then should be repeated as needed.
  • Stop-and-Start Technique: Involves stimulating a man’s penis until he feels ready for orgasm and stopping the arousal until the feeling passes. Next, the penis should be stimulated again, and the process should be completed about three to four times prior to ejaculation.

Causes of Premature Ejaculation

Common causes of premature ejaculation include:

  • Psychological: Men who are dealing with depression, poor body image, or other psychological problems may be more susceptible than others to premature ejaculation.
  • Erectile Dysfunction: Men who feel anxious about getting or maintaining an erection may rush to orgasm, resulting in a pattern of premature ejaculation.
  • Relationship Issues: Interpersonal issues between a man and his partner may lead to premature ejaculation and other types of sexual dysfunction.
  • Biological: Abnormal hormone levels, prostate inflammation, and other biological issues may result in premature ejaculation.
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