Sexual Health Men's Health

Premature ejaculation treatment available online today

In order to treat your premature ejaculation, consult with one of our board-certified primary care doctors online today to learn how to help. Get a treatment plan to help with premature ejaculation or refill of a prescription from a board-certified doctor online.*

Manage premature ejaculation symptoms and treatment online Approx. 1 out of 3 men experience premature ejaculation Early diagnosis by board-certified doctors*

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*Prescriptions are provided at the doctor's discretion. Learn more about our controlled substances policy and how to save up to 80% with our prescription discount card. PlushCare doctors cannot treat all cases of premature ejaculation. Our primary care physicians can conduct an initial evaluation of your symptoms but may need to refer you to a specialist or for in-person treatment. If you are experiencing life-threatening symptoms, seek emergency medical attention immediately.

Premature ejaculation causes

Unfortunately, the exact cause of premature ejaculation is not known. However, some possible factors could factor into its appearance. One of the possible causes is a lack of serotonin in the brain. Serotonin is a “feel good” element in your brain. Levels of serotonin rise as you near ejaculation, and lower levels can cause you to ejaculate too soon. Other possible causes include psychological factors or mental health issues.

Some of the most common mental health issues to accompany premature ejaculation include:

Depression
Stress
History of sexual repression
History of sexual dysfunction
Guilt
Unrealistic expectations of sexual performance
Lack of confidence
Problems in your relationship

None of these will definitely cause premature ejaculation, but any one of them can raise your chances of suffering from it.

While many people may consider premature ejaculation to be an age-related issue, it can affect men of all ages. However, changes do occur to sexual performance as men age, which can lead to premature ejaculation in older men.

Premature ejaculation symptoms

The main symptom of premature ejaculation is the inability to delay ejaculation for more than a minute after penetration. However, some men who suffer from premature ejaculation find that they experience it in all sexual experiences. Since there is only one main symptom of premature ejaculation, there are two different classifications of diagnosis:

Lifelong (primary)

Lifelong (primary) premature ejaculation is the classification for those who have experienced premature ejaculation their whole life from their first sexual encounter.

Acquired (secondary)

Acquired (secondary) premature ejaculation is the classification for anyone who develops a problem with premature ejaculation later on in life, after having sexual experiences with no ejaculation problem.

While many men will experience premature ejaculation from time to time, it is often based on specific variables. If you experience premature ejaculation infrequently, you should not be concerned.

How to treat premature ejaculation

There are a few different techniques that you can use to treat premature ejaculation. Depending on each experience, doctors may choose one, some, or all of the treatments in a combination for your treatment plan. Here are some of the most common approaches:

Psychological Therapy: This approach will allow you to work through the emotions you are feeling that may be leading to your issues with premature ejaculation. This process can take time to see results, but its goal is to get to the root cause of your premature ejaculation and let you feel empowered to cure it completely. Psychological therapy is meant for you to grow your confidence surrounding sexual encounters so you can become less nervous about your performance.
Behavioral Therapy: A behavioral therapy approach gives you specific exercises to practice during sexual encounters. These exercises are designed to help train your brain and body to put off ejaculation for longer, helping to relieve you of the symptoms of premature ejaculation. These exercises are a good short-term therapy option, but they will not allow you to get to the root cause of your symptoms.

Premature ejaculation medication

While therapy methods can help you figure out why you are experiencing premature ejaculation during sex, sometimes therapy is not enough. In those cases, you can use certain medications to help relieve the symptoms of premature ejaculation, allowing you to get back to a normal sex life sooner.

SSRIs

SSRIs, also known as selective serotonin reuptake inhibitors, can help with premature ejaculation symptoms. SSRIs work by increasing the amount of serotonin in your brain, which can help your body delay ejaculation since serotonin levels are a possible cause of premature ejaculation.

Zoloft (Sertraline HCl) Prozac (Fluoxetine) Lexapro (Escitalopram) Paxil

How to prevent premature ejaculation

The best way to prevent premature ejaculation is by taking part in behavioral treatments, like speaking to a sex therapist. Teaching your body how to control ejaculation ("orgasm control") can help prevent it from happening in the future.

Kegel exercises for men can strengthen the pelvic floor muscles, which support the bladder and bowel and affect sexual function, these will help delay ejaculation.

Since the exact cause is not fully known, there are not currently other specific ways to prevent premature ejaculation from happening to you.

When to see a doctor for premature ejaculation

If you find that you are suffering from premature ejaculation most of the time, it is time to talk to your doctor. Any time you have a situation like this that is affecting your ability to participate in sexual activities, it can take a toll on your mental health. Talking to a doctor may be intimidating in this situation, but physicians are available to help you discuss treatment options for premature ejaculation.

Related conditions to premature ejaculation

Erectile dysfunction

Premature ejaculation can sometimes be related to erectile dysfunction or high-stress responses. Premature ejaculation can also be connected to issues in your romantic relationships and sometimes even fertility issues, though this is rare.

Premature ejaculation treatment FAQs

Is there a treatment for premature ejaculation?

There are several treatments for premature ejaculation, including therapy, behavioral exercises, and prescription medications. Doctors may choose one or a combination of available treatments.

What is the best treatment for premature ejaculation?

Deciding the best treatment comes down to each person’s unique experiences. What works for one man may not work for another, and that is okay. Your doctor will work with you to determine which treatment regimen is best for your personal situation.

What is the best medication for premature ejaculation?

SSRIs have been proven to help with premature ejaculation in most cases by raising serotonin levels in the brain. If you do not want to take daily medication, you can explore topical options instead.

What is premature ejaculation?

Premature ejaculation is when a man cannot keep himself from achieving orgasm and ejaculating for more than a minute during sexual penetration. It can sometimes be more disruptive if experienced during all sexual experiences.

How can I cure premature ejaculation?

There is not a permanent cure for premature ejaculation as of now. However, through a treatment program, you can help train your mind & body to delay ejaculation and help you have more enjoyable sexual experiences going forward.

Is premature ejaculation serious?

Premature ejaculation itself is not a serious condition. However, it can lead to further issues that are more serious, including relationship issues, mental health issues, and even fertility complications. That’s why it is so important to talk to a doctor about your symptoms and get your symptoms treated.

Step 1

Book a premature ejaculation treatment appointment.

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Step 2

Talk to your medical provider regarding your premature ejaculation symptoms.

Visit with a doctor on your smartphone or computer.

Step 3

Pick up a prescription to treat your premature ejaculation, if provided.

We can send prescriptions to any local pharmacy.

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