Timing can be everything in the bedroom. If you’re climaxing sooner than you and your partner would like, sex may not be satisfying for either of you.
It’s a problem called premature ejaculation (PE). It can be frustrating and even embarrassing. It can hurt your relationship too.
You don’t have to live with it. There are things you can do to last longer in bed.
It’s not known. But your brain chemistry could be at least partly to blame. Men who have low levels of the chemical serotonin in their brains tend to take a shorter time to ejaculate.
Emotional factors can play a role:
Ninety-five percent of men are helped by behavioral techniques that help control ejaculation.
Stop and start: You or your partner stimulate your penis until you feel like you’re going to have an orgasm. Stop the arousal for about 30 seconds or until the feeling passes. Start the stimulation again and repeat three or four more times before you ejaculate.
The Squeeze: It works the same way as the start and stops method. But, when you feel like you’re reaching orgasm, you or your partner squeezes the head of your penis until you lose the erection. Repeat this a few times before ejaculating.
Some men find that if they think of something else during sex they can last longer.
There aren’t any medications specifically approved to treat it. But sometimes, doctors find that medications used to treat other things can help. This is called off-label use.
These include:
Antidepressants: A side effect of some selective serotonin reuptake inhibitors (SSRIs) is delayed orgasm. But these medications also have side effects that include nausea and drowsiness. They also can throw a wet blanket on your desire to have sex. So, you may be trading one problem for another. You and your doctor will decide what’s right for you.
Tramadol: This is a pain reliever that can delay ejaculation. It may be prescribed if antidepressants don’t help. This medicine is addictive, so it may not be an option for you.
Anesthetic creams or sprays: You put these on the head of your penis to make it less sensitive. Leave it on for about 30 minutes. It must be washed off before sex so you don’t lose your erection or cause loss of sensation for your partner.
Strengthen your muscles: Weak pelvic floor muscles sometimes contribute to PE. Kegel exercises may help strengthen them. Find the right muscles to tighten by stopping your urine in midstream. Hold them tight for 3 seconds and then release them for 3 seconds. Do this 10 times, at least 3 times a day.