The most common sexual dysfunction in men worldwide is premature ejaculation (PE). And if in young men who are just starting their sexual life, this is a fairly common phenomenon that disappears over time, then for an adult man, premature ejaculation can become a serious life problem.

Of course, it is better to go to the doctor with any intimate troubles in order to at least understand what is their cause. But the causes and treatment of PE are still understudied topics, so any additional remedy is good. MedAboutMe found out if a man could try to help himself, so to speak, at home.

The concept of premature ejaculation

The concept of premature ejaculation

Experts from the Second International Society for Sexual Medicine Ad Hoc Committee define premature ejaculation as a condition that meets the following criteria:

  • Ejaculation almost always or always occurs within the first minute of vaginal penetration. If such a situation is observed from the moment of the first sexual contact in life, then they speak of congenital premature ejaculation. If the cause was a traumatic experience, then we are talking about acquired premature ejaculation.
  • A man is not able to delay the onset of ejaculation when penetrating the vagina, no matter how hard he tries.
  • As a result of sexual intercourse, a man suffers from anxiety, anxiety, disappointment, and often begins to avoid intimacy.

There is an opinion that women whose sexual partners suffer from premature ejaculation are also deeply worried about this. However, research conducted in 2014 by scientists from the University of Zurich showed that what saddens them is not that everything ended too quickly, but that men with PE are too focused on the very fact of ejaculation, forgetting about the woman herself. Being consumed by their problem, they ignore her needs and do not even try to satisfy her desires.

Scientists remind that for the fairer sex, sexual intercourse consists not only of the fact of penetration into the vagina, but also in kissing, caressing, love games and other methods of sexual stimulation — and all these actions are as important for a woman as the act itself. Moreover, it is known that most women rarely reach orgasm, and it is for this category that sexual intercourse itself is not the main process in intimate communication.

Every third or fifth man admits that he has experienced premature ejaculation in his life. However, according to scientists, only 2-5% of the stronger sex always ejaculates within a minute or less from the moment the penis is inserted into the vagina. That is, in a significant number of cases, the problem of premature ejaculation can be dealt with. And, as practice shows, sometimes even on their own.

Control of minerals in the diet

If earlier with the duration of sexual intercourse everything was at least not bad, then it is worth considering what a man may lack in this life. For example, some minerals:

It has been proven that in men diagnosed with infertility, the concentration of zinc in the seminal fluid is reduced. And zinc preparations increase the level of testosterone in the blood. At a minimum, it improves libido in general and helps to cope with sexual dysfunction, which also includes premature ejaculation.

Magnesium deficiency leads to disruption of the muscles, including those involved in the process of orgasm. As a result, premature ejaculation develops.

Other minerals that have been linked to erectile dysfunction and premature ejaculation include calcium, manganese, copper, and selenium.

A common treatment for premature ejaculation is taking antidepressants. However, this technique costs money, can lead to a decrease in libido and even the complete disappearance of orgasm. In addition, some antidepressants cause nausea.

Creams and sprays with anesthetics

Creams and sprays with anesthetics

To reduce the sensitivity of the glans penis and thereby delay the moment of ejaculation, you can use creams or sprays containing lidocaine and other anesthetics. Experts recommend applying such a cream to the head of the penis half an hour before sexual intercourse, and wash it off 5 minutes before the start of an intimate relationship.

True, the very feeling of penis numbness causes unpleasant emotions in men, so this is a kind of negative side effect.

A similar effect — reducing the sensitivity of the glans penis — is achieved with the help of condoms. Moreover, you can use models made of thicker, denser silicone or with an anesthetic on the inner surface of the product — to achieve a more complex effect.

Pelvic floor training

If you approach the matter of increasing the duration of sexual intercourse thoroughly, then you should start training the muscles that are involved in ejaculation. By managing them, you can significantly improve orgasm control.

In 2014, Italian scientists from the Sapienza University of Rome showed that even 12 weeks of pelvic floor muscle training can increase the duration of sexual intercourse several times over. Most of the 40 men (82%) who took part in the experiment were able to bring the ejaculation delay time from the moment the penis was inserted into the vagina from less than 1 minute at the initial stage to 124-152 seconds (2-2.5 minutes) at the end of the project .

The same muscles are subject to training, with the help of which a man can stop urination by force of will. Therefore, they should be exercised in the process of visiting the toilet, delaying the flow of urine arbitrarily for 5 seconds.

orgasm control training

Finally, there are methods that you can practice with your partner during intercourse.

  • Penis Compression Technique

During intercourse, the penis should be stimulated until ejaculation is close. Before the onset of a critical moment, the organ must be tightly compressed, waiting until the erection subsides completely. This exercise allows you to learn to determine the moment of approaching orgasm, quickly recognize this sensation and relieve tension. Regular training should sooner or later increase the duration of sexual out.

  • Start-stop technique

This technique is similar to the previously described one. At the moment preceding the climax, you should completely stop the stimulation and wait for the complete disappearance of excitation. Then stimulate the organ again — and again stop in time and let the excitement subside. Repeat this three times and allow yourself to discharge for the fourth time. The method is also designed to help learn to control the process of ejaculation.


  • The main principle of solving the problem of premature ejaculation is “do no harm”. This means that no drugs should be selected independently, without consulting a urologist or andrologist.
  • What definitely can’t hurt is pelvic floor muscle training and ejaculation control techniques. These methods do not work immediately, but several months of hard work are worth solving problems in such an important area of ​​human life as sexual relations.
  • Finally, nutrition control will help to avoid mineral deficiency, especially since the lack of such important elements as magnesium, zinc, calcium, etc. is harmful to the body as a whole.

Take the test

Do you have prostatitis?

The American Urological Association has developed the International Prostatitis Symptom Test, IPSS for short. His questions will help you determine if you have an enlarged prostate, and can also be a good preparation for a visit to the doctor.

Pelvic floor muscle rehabilitation for patients with lifelong premature ejaculation: a novel therapeutic approach. / Pastore AL, Palleschi G, Fuschi A, et al. // Ther Adv Urol 2014 6(3)

An Update of the International Society of Sexual Medicine’s Guidelines for the Diagnosis and Treatment of Premature Ejaculation (PE) / Stanley E. Althof, Chris G. McMahon, Marcel D. Waldinger, et al. // The Journal of Sexual Medicine 2014 Volume 11, Issue 6

Female partner’s perception of premature ejaculation and its impact on relationship breakups, relationship quality, and sexual satisfaction. / Andrea Burri, François Giuliano, Chris McMahon, and Hartmut Porst. // The Journal of Sexual Medicine. 2014 Volume 11, Issue 9