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Avoid relying on alcohol to delay ejaculation—it often worsens sexual performance. Exercise regularly, maintain a healthy weight, and get adequate sleep. If you watch pornography frequently, reducing it may improve sexual control in some men. Thank you

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Consult a Sexologist or Urologist for Evaluation: Schedule a clinical consultation to determine whether your symptoms represent primary lifelong PE or secondary acquired PE, allowing for a personalized treatment strategy. Practice First-Line Behavioral Techniques: The "Stop-Start" Method: During stimulation or intercourse, pause completely as you approach your ejaculatory threshold (70-80% arousal), allow your sensation to cool down for 20–30 seconds, and then resume. The "Squeeze" Technique: Firmly compress the tip of the glans (where the head meets the shaft) for a few seconds right before climax to suppress the ejaculatory reflex. Pelvic Floor (Kegel) Exercises: Strengthening the pubococcygeus (PC) muscle helps you consciously suppress involuntary pelvic contractions prior to climax. Discuss Evidence-Based Pharmacotherapy: If behavioral adjustments alone are insufficient, a doctor can safely evaluate you for prescription medical options: On-Demand Short-Acting SSRIs: Medications such as Dapoxetine (taken 1 to 3 hours prior to planned intercourse) specifically delay ejaculation by increasing synaptic serotonin levels. Topical Anesthetic Agents: Application of mild local desensitizing sprays or creams (e.g., Lidocaine/Prilocaine) applied 10–15 minutes before sex (and washed off before entry) to temporarily reduce glans hypersensitivity.

Avoid self-medicating with unregulated herbal "stamina pills" or taking daily antidepressants without a doctor's prescription. Unprescribed medications can lead to unwanted side effects like lethargy, gastrointestinal upset, or hormonal imbalances. Use Thick or Climax-Control Condoms: Using condoms designed with a slightly thicker barrier or containing mild internal desensitizing gel can easily reduce friction sensitivity and extend control naturally. Address Performance Anxiety: Worrying about "how long you will last" releases adrenaline, which actually speeds up the ejaculatory reflex. Focusing on unhurried foreplay and mutual relaxation helps quiet the sympathetic nervous system and naturally delays climax.

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