How to deal with premature ejaculation?

12 Jul 2021

Anxiety, infrequent sexual activity, hypersensitive glans—whatever the cause of premature ejaculation, it can seriously unsettle one’s sex life and have a heavy psychological impact. And yet only one sufferer in three shows any willingness to own the problem, even though many solutions exist!


Some solutions to premature ejaculation

There are a few simple methods for controlling and delaying ejaculation. The main thing is to learn how to manage your excitement and recognize the sensations that prefigure ejaculation:

Slow down or vary your rhythm

Rhythm is a very important factor in managing sexual arousal. Rapid thrusting can trigger rapid ejaculation, especially in easily excitable men. Slowing down your strokes or varying your rhythm is one way of controlling arousal and delaying ejaculation.

Controlled breathing

Respiration also plays an important part. Rapid panting can open the premature ejaculation floodgates. By contrast, deliberate breathing helps you relax the muscles and control your arousal, letting you go longer without ejaculating.

Strengthen your pelvic floor

During sex, muscles play a fundamental role, especially the pelvic floor muscles. These muscles surround the genitalia and come into play when fighting the urge to urinate or resisting orgasm. Their daily conditioning can therefore enable better control of ejaculation.

Owning premature ejaculation

Premature ejaculation issues can be tackled using psychological or pharmacological methods.

Pharmacological actions

Many products and medications exist for delaying ejaculation. They can be used before or during the intercourse, some at given instants, some all the way through:

Condoms and penis rings

There are two types of delay condom that offer solutions to premature ejaculation:

  • Anatomic condoms, which are contoured to form a restriction under the coronal ridge
  • Condoms impregnated with anaesthetic

Alternatively, a penis ring can be worn at the base of the shaft, where it squeezes the blood flow causing a natural anaesthetic effect. Although some might find this solution interesting , there is not yet any documented evidence of its effectiveness. .

Local anaesthetic

Prilocaine and Lidocaine are local anaesthetics that subdue sensitivity in the glans. They take effect quickly and can last varying amounts of time. They are used alone or in conjunction with other methods for delaying ejaculation without diminishing the sensations.

These local anaesthetics are marketed as delay creams, gels, or sprays. Delay creams or gels often require that the hands be washed after application. Delay sprays, on the other hand, do not need to be applied by hand as they are sprayed onto the glans. They therefore provide a quick, discreet solution to combat premature ejaculation..

Selective serotonin reuptake inhibitors (SSRI)

Dapoxetine increases the brain’s serotonin level, which intervenes in the ejaculation mechanism. This drug is authorized in most European countries including Switzerland and France. It comes in the form of pills that are taken 1 to 3 hours before the planned intercourse. There are however contraindications and possible side effects. Dapoxetine is a prescription-only drug.

Psycho-sexological approach

Psycho-sexological therapy sets out to teach certain physical behaviour as well as ejaculatory control techniques. It also helps reduce anxiety and improve self-confidence and esteem. Two different approaches are involved:

Physical behaviour methods

These methods deliver techniques for recognizing and controlling the sensations building up to orgasm. Most of them involve re-education exercises that can be carried out alone or with the sex partner. They focus mainly on practising breathing control and body movements. Their goal is to reduce muscular tension during coitus and to teach awareness of the reactions leading from sexual arousal.


Professionally-led psychotherapy attended by a man or a couple helps people assert themselves, regain self-confidence, and communicate better with their partner. It can also get to the bottom of any psychological problems that might be exacerbating premature ejaculation.

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