Medically reviewed by Jill Johnson, DNP, APRN, FNP-BC
Written by Our Editorial Team
Last updated 10/4/2021
If you’ve found your way to this article, it’s likely because you or your sexual partner are worried about premature ejaculation (PE).
We know: “Dysfunction” can make it sound harsh, but know that PE affects up to 30% of the male population.
Here’s the good news: Because PE affects so many, plenty of treatment options have been developed to help curb the ejaculatory reflex and slow time to ejaculation.
In simpler terms, so many men suffer from premature ejaculation that there’s been a demand for different techniques, treatments, products and medications that all give you more control over your ejaculation.
But before we get into your best treatment options, read on to see whether or not PE can be cured permanently.
In this paper, premature ejaculation is described as recurring ejaculation that occurs with minimal stimulation either before, during or after penetration during sexual intercourse, leaving the person afflicted with little to no control over their ejaculation.
PE can happen more often than not, leaving the individual and their partner feeling frustrated, upset, and sometimes even avoiding sex altoghter.
If that’s you or your partner, keep reading because we’ll be detailing helpful options to treat your PE.
But first, to help you decide which treatments or methods might work best for you, here’s a breakdown of some underlying PE causes:
This scientific review characterizes lifelong PE as penetrative ejaculation that usually happens one minute or less during intercourse.
Other afflictions like early erections and rapid ejaculation during other sexual encounters are not uncommon.
Lifelong PE has also been linked to familial occurrence and different genetic variations, suggesting that a person can be born with a predisposition to this medical condition.
Acquired PE is linked to a number of psychological factors like anxiety over sexual performance, emotional issues, relationship problems and other types of erectile dysfunction.
People who suffer from acquired PE experience normal ejaculations in their lifetime but develop the loss of control over ejaculation over time.
Since rapid ejaculation can be caused by any number of factors — or combination of factors — it can be tricky to nail down a one-size-fits-all PE cure.
However, research suggests that people with lifelong or acquired PE who combine selective serotonin reuptake inhibitor dapoxetine with psychosexual behavioral therapy and psychological therapy are likely to benefit.
Translation: Therapy combined with dapoxetine can help treat your PE.
So, while none of these options can be considered a guaranteed permanent cure, they have been shown to help.
There are a few different surgeries available to treat premature ejaculation, however the International Society for Sexual Medicine (ISSM) doesn’t recommend these as options because, in their estimation, the risk for permanent damage and loss of sexual function could be too great.
We’re not saying you should completely rule out surgery. What you do with your most prized organ is between you and your healthcare provider.
But there are several non-surgical treatments to choose from, if you’d rather not go under the knife.
Selective serotonin reuptake inhibitors (SSRIs) like sertraline for PE and paroxetine have become a popular option for PE treatment. These medications work by inhibiting serotonin, which can cause a delay in ejaculation.
Sildenafil, the active ingredient in Viagra, is FDA approved to treat erectile dysfunction and can also be used to treat premature ejaculation.
Sex therapy or working with a psychosexual therapist could also be a great way to deal with the underlying psychological causes of premature ejaculation.
The pause-squeeze technique: This method involves having sex until just before orgasm, at which point you stop and place pressure on the head of your penis to decrease arrousal. Repeat this a few times until YOU are ready to climax.
Stop-start technique: In this method, you stop having sex when you feel the urge to orgasm and wait until the urge passes completely. Then start again and repeat.
There are a number of topical anesthetics on the market like this Hims Climax Delay Spray that help you go for longer and enjoy yourself with confidence.
Condoms may not be your first choice — or even your 15th — but you can’t argue with the results. Using condoms to decrease sensitivity during sex can be an effective way to last longer.
Lidocaine products have also become a popular option for delayed ejaculation. Most products contain a 5% lidocaine solution and can be applied 20 minutes before you plan to get down and dirty. The lidocaine decreases sensitivity so that you can relax knowing you won’t ejaculate too early.
If you take anything away from the above information, know that if you’re experiencing PE, you’re not alone.
And while there’s no guaranteed, permanent or FDA-approved cure for PE, there are numerous options you can choose from to help you treat it.
If you’re ready to start exploring medication or other options, consulting with a healthcare professional is a great place to start.
In the meantime, keep your head up — pun intended — and know that a healthy sex life and enjoyable sexual activity can still be yours.