Premature ejaculation, or colloquially known as “the sparrow can’t drink water in time” or “a shipwreck at the harbor,” is a common problem found in men of all ages. Because it indicates sexual performance, many men feel worried and hesitate to consult a doctor.
This condition
is more commonly found in those with little sexual experience than those with more experience. In a relationship, there may be both adjustments and problems that need constant correction.
Most sexual problems that commonly occur in men include premature ejaculation or abnormal early ejaculation. Besides causing distress between the individual and their partner, it may also indicate physical conditions or various health problems, which can lead to other negative consequences later on.
The best treatment for premature ejaculation (PE) varies depending on individual factors such as underlying causes, severity of symptoms, and personal preferences. The following are generally recommended treatments for premature ejaculation.
Medication Treatment
Regarding treatment and solving premature ejaculation problems with medication, it is suitable for those with severe symptoms who may experience premature ejaculation regularly or constantly. Medication can be used alongside non-medication methods for better results.
Although there is no medication approved in the United States specifically for treating premature ejaculation (PE), several drugs, including creams and sprays, can help delay ejaculation in men with this condition. These are often used “off-label,” meaning for purposes other than those approved for the medication.
Medications Used to Treat Premature Ejaculation
- Dapoxetine: A serotonin neurotransmitter acting medication that helps extend ejaculation time and reduce sensitivity to stimulation, allowing better control over ejaculation.
- Tramadol: A pain reliever similar to morphine (Opioid Analgesic) that, besides reducing pain, has side effects that delay ejaculation. It should be used cautiously due to potential side effects and addiction risks.
- SSRIs (Selective Serotonin Reuptake Inhibitors): This group includes Fluoxetine, Sertraline, and Paroxetine, which are antidepressants with side effects that delay orgasm by increasing serotonin levels in the brain, helping reduce ejaculation sensitivity.
- PDE5 Inhibitors (Phosphodiesterase Type 5 Inhibitors): Drugs like Sildenafil and Tadalafil are commonly used to improve erectile function but can also help treat premature ejaculation when erectile dysfunction is present.
- TCA (Tricyclic Antidepressants) such as Clomipramine: These are often used to treat neuropathic pain and have side effects that help prolong ejaculation time.
- Topical Anesthetic Cream: Creams containing Lidocaine or Prilocaine reduce sensitivity in the genital area. They should be applied about 20-30 minutes before intercourse and washed off before penetration to prevent numbing the partner.
Medication Use and Recommendations
Medications for premature ejaculation can be taken daily or only before sexual activity. Doctors will advise on the timing based on your activities. However, stopping medication may cause premature ejaculation to return, and most patients need to continue medication to control symptoms.
If one medication is ineffective, doctors may recommend trying another or combining it with other therapies to improve treatment effectiveness.
Using topical anesthetic creams or sprays on the genital area can reduce sensitivity but should not be left on during vaginal intercourse as it may numb the partner. The cream should be washed off about 5-10 minutes before intercourse.
Medication treatment should be done under the supervision of a specialist to ensure proper and safe use.
Counseling or Therapy
Counseling or therapy with a sex therapist or qualified psychologist can help address underlying psychological factors causing premature ejaculation, such as performance anxiety, relationship issues, or past trauma.
Relationship Counseling
Premature ejaculation can affect both partners and cause distress in the relationship. Relationship counseling can help improve communication, intimacy, and mutual understanding.
Combined Therapy
In some cases, combining behavioral techniques, medication, and counseling may be the most effective treatment for premature ejaculation. Your healthcare provider can help develop a comprehensive treatment plan tailored to your specific needs and goals.
Consulting with qualified medical providers such as urologists, sexual medicine specialists, or psychiatrists to discuss symptoms and treatment options is important.
A thorough evaluation can help identify the underlying causes of premature ejaculation and determine the most appropriate treatment approach for you. Additionally, open communication with your partner about concerns and sexual preferences is crucial for resolving premature ejaculation issues and enhancing sexual satisfaction.
Summary of Medications Used to Treat Premature Ejaculation
Premature ejaculation is a condition where men ejaculate in less time than the average duration, caused by various internal and external factors including neurotransmitters, hormones, consumption habits, emotions, and stress. This condition can negatively impact relationships for both men and women.
If you notice premature ejaculation symptoms, you may try various initial remedies to help delay ejaculation. However, if symptoms persist after some time, you should seek treatment from a sexual health specialist.
This is to identify other internal causes and use medication to treat premature ejaculation. It should not be left untreated for a long time, for the sake of health and a good relationship with your partner.
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