Delaying premature ejaculation: Tips and solutions

Premature ejaculation (PE) is a common sexual dysfunction characterised by the uncontrollable and premature release of semen during sexual activity. It often occurs with minimal stimulation and before the individual wishes, causing distress and dissatisfaction. Symptoms include rapid ejaculation within a minute or less of penetration, difficulty delaying ejaculation and reduced sexual satisfaction.

Diagnosing PE usually involves a thorough medical history and physical examination. Healthcare providers may ask about sexual habits, relationship dynamics and any underlying health conditions that may be contributing to the problem. In some cases, laboratory tests or psychological assessments may be carried out to rule out other possible causes.

Tips for delaying premature ejaculation

Although PE can be challenging, several techniques and strategies can help delay ejaculation and improve sexual satisfaction:

✓ The start-stop method: This technique involves stopping sexual stimulation when you are nearing climax and allowing arousal to subside before resuming activity. Practising this method during solo or partnered activities can help individuals develop greater control over ejaculation.

✓ The squeeze technique: Similar to the start-stop method, the squeeze technique involves applying pressure to the base of the penis to reduce arousal and delay ejaculation. Partners can assist by gently squeezing the penis for several seconds when ejaculation feels imminent.

✓ Pelvic floor exercises: Strengthening the pelvic floor muscles through exercises such as Kegels can improve ejaculatory control. Regular contraction and relaxation of these muscles can improve muscle tone and increase stamina during sexual activity.

✓ Masturbation: Exploring solo sexual experiences can help individuals become more familiar with their arousal patterns and develop techniques for delaying ejaculation. Experimenting with different rhythms and levels of stimulation can also be beneficial.

✓ Mindfulness and relaxation techniques: Practising mindfulness, deep breathing or progressive muscle relaxation can reduce the anxiety and tension associated with PE. Relaxation techniques can promote a more pleasurable and prolonged sexual experience.

Dapoxetine: A pharmacological solution

Dapoxetine is a drug specifically designed to treat PE. As a selective serotonin reuptake inhibitor (SSRI), dapoxetine works by increasing serotonin levels in the brain, which can help delay ejaculation. Unlike other SSRIs used to treat depression, dapoxetine has a rapid onset of action, making it suitable for on-demand use.

Clinical trials have shown that dapoxetine can significantly increase the time to ejaculation and improve overall sexual satisfaction in men with PE. It is usually taken 1–3 hours before expected sexual activity and should not be taken daily. Common side effects include nausea, headache, dizziness and diarrhoea, but these symptoms often subside with continued use.

Conclusion

Premature ejaculation is a common sexual dysfunction characterised by the uncontrollable and premature release of semen during sexual activity. Symptoms include rapid ejaculation, difficulty delaying ejaculation and reduced sexual satisfaction. Diagnosis involves a comprehensive history and physical examination. While various techniques and strategies can help delay ejaculation, pharmacological treatments such as dapoxetine offer an effective solution for individuals seeking additional support. With proper diagnosis and treatment, individuals can overcome PE and improve sexual satisfaction and intimacy.