As mentioned before because of premature ejaculation, both the partners may end up experiencing highly unsatisfactory sex. In fact, it can increase anxiety, which may deteriorate the problem.

So, before seeking any medical treatment for Premature Ejaculation (PE), it is appropriate to consider the varied options available for solving this issue. These include counselling with a sexual therapist, non- medical treatments like various exercises / techniques and medical treatments including both modern and alternative medicine.

Just remember there is not a single magical drug or medicine in the chemist shop which can solve your problem overnight especially if you have chronic PE.

Counselling from an expert - Sexual therapist or sexual medicine practitioner:

It is well understood that sex is in the mind. But repeated Premature Ejaculation (PE) failures can lead to lot of stress and disappointments. Anxiety due to PE itself is a big issue and can lead to re occurrence of PE. So the stress  / anxiety linked to your problem needs foremost attention.

Many a times, if your family physician is not able to help you overcome the stress you are facing with your problem of PE then you must seek advice from an expert.

Reassurance from sexual therapist / counsellor that PE is not a disease and can be easily treatable is very soothing and relaxing for the men who are facing this problem. So please share your detailed history and sexual habits with the expert.  This may help the expert to guide you well.

Behavioural Changes:

Some basic things may also help you to deal with the problem.  

  • Some men attempt to treat themselves for premature ejaculation by distracting themselves by thinking nonsexual thoughts (such as naming cricket players and records) to avoid getting excited too fast when approaching their partners. This helps them to  focus their attention away from the sexual stimulation.
  • It is also suggested to men that they should relieve themselves of the sexual tension by ejaculating with self masturbation 1-2 hours before attempting sexual intercourse with their partner.
  • Using condoms is known to help in premature ejaculation in some men by decreasing sensation.
  • Women on Top position also helps to delay orgasm in men.

Exercises & Techniques:

There are several Exercise and techniques you can try sitting in your home.

The "Stop and Start" method:

This technique involves sexually stimulating the man himself until he feels like he is about to reach orgasm. Then he needs to stop the stimulation for about 20-30 seconds and then start it again. Repeat this pattern until the man wants to ejaculate. This can be continued for 10-15 minutes. At the end of say 10th or 15th minute, continue stimulation until the man reaches orgasm and ejaculates.

The "Squeeze" method:

 This technique involves sexually stimulating the man himself or by his partner until he recognises that he is about to ejaculate. At that point, the man or his partner gently squeezes the end of the penis (where the glans penis meets the shaft) for at least 15 seconds. Stop sexual stimulation for about 60 seconds, and then start it again. The person or couple may repeat this pattern for at least 10-15 minutes.  At the end of say 10th or 15th minute, continue stimulation until the man reaches orgasm and ejaculates.

Practice breathing exercises:

Deep breathing can greatly help in controlling the arousal and tension that cause early ejaculation. Men must avoid taking shallow breaths as it can trigger premature ejaculation. Instead, what you should do is spend 5 seconds taking in a long deep breath; then hold it for three seconds and then exhale for the next 5 seconds. If you can do this for 5 minutes in the bedroom without pause then you can control premature ejaculation.

Hope all above may be useful to you help you get relief from PE and feel free to consult a specialist.