Usually, premature ejaculation (PE) is treated with medication. But a man with PE can also benefit from sex therapy. A qualified sex therapist will conduct an extensive psychosocial evaluation to find out why a man is experiencing sexual dysfunction. This assessment will also explore changes in situations that previously triggered ejaculation. These changes may include stress, anxiety, depression, and body image issues.
A combination of both medical and psychological help may be the most effective way to treat PE. These types of approaches can help men gain confidence and achieve a satisfying sexual experience.
SSRIs (selective serotonin reuptake inhibitors) are often prescribed for PE. They are commonly used as first-line pharmacotherapy for numerous psychiatric disorders. They are also known for their safety and are effective in delaying ejaculation.
SSRIs have been associated with risks, including epilepsy, drowsiness, and decreased libido. They are also not recommended for those with alcohol abuse problems. They may also be unsafe for patients with bleeding disorders. It is important to talk with your physician before starting SSRIs. They may also not be suitable for people with type 1 or type 2 diabetes.
Several studies have found that applying anesthetic sprays or creams to the penis before sex can help delay ejaculation. Other numbing agents include topical analgesics. These medications should be applied to the penis at least 20 minutes before sex. Then, the patient can remove the cream or spray about five to 10 minutes before intercourse.
Another treatment for premature ejaculation is to strengthen the nerve connections between the urethra and the penis. Pelvic floor exercises should be performed at least three times a day. The exercises should be performed without tensing the pelvic floor muscles. They should also be done breathing freely. The exercises should be done in sets of ten.
Numbing wipes contain benzocaine, which can help reduce feelings of sensitivity. These products can be purchased over the counter and are applied to the penis before sex. Benzocaine blocks the sodium channels in the penis, reducing distress during intercourse.
During the evaluation, the doctor will also ask about the patient’s sexual history. The doctor will also ask about any physical symptoms that are similar to the symptoms of PE. If there is any medical condition present, the doctor will also take a blood test. Typical medications for PE include oral analgesics, SSRIs, and PDE5 inhibitors. The dosage of these medications is usually adjusted as the patient progresses.
Other treatments for premature ejaculation include numbing creams and topical analgesics. These can be used in conjunction with SSRIs, antidepressants, or PDE5 inhibitors. These medications can be applied before sex or after sex. The SSRIs and antidepressants may cause side effects, including drowsiness, nausea, and decreased libido. The SSRIs can also be harmful to people with bipolar disorder or type 1 or type 2 diabetes.
Many men with PE also have emotional or psychological issues that need to be addressed. They may have a low body image or have experienced sexual repression in the past. These issues may be exacerbated by stress, anxiety, or depression. The therapist can help to find out the cause of these issues and recommend ways to alleviate them.