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What is the treatment for premature ejaculation? | A Urologist’s Perspective | Men’s Sexual Health

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What is the treatment of PE?
Treatments of Premature Ejaculation (PE) exist in many forms and are suggested by doctors either in a single way approach or through combined applications of two or more techniques.
The options available for Premature Ejaculation (PE) cure include sexual or behavioural techniques, topical anaesthetics, medications through prescribed drugs and psychological counselling.

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Pharmacologic or drug therapy
Topical anaesthetics creams and sprays having numbing agents like benzocaine, lidocaine or prilocaine, are often prescribed for Premature Ejaculation (PE) cure. These are administered on the penis 15 minutes prior to having sex in order to diminish penile sensation, which helps in delaying ejaculation.
Prescribed oral drugs for treating Premature Ejaculation (PE), available both on-demand or daily use, include –
• Selective serotonin reuptake inhibitor (SSRI)s like - sertraline, paroxetine, fluoxetine, citalopram, or dapoxetine
• Phosphodiesterase type 5 (PDE5) inhibitors like- sildenafil, tadalafil, or possibly vardenafil
• Other agents like - pindolol or tramadol
Behavioural techniques to cure PE
Sexual or behavioural techniques are a very common remedy and involve some very simple measures like that of masturbating an hour or 45 minutes prior to any sexual encounter with a partner which apparently helps in delaying ejaculation during intercourse.
Doctors often recommend a break from sexual activities and suggest engagement in different sorts of playful sexual acts which remove performance anxiety in men.
Frail or infirm pelvic floor muscles thwart the ability to delay ejaculation; hence exercises like pelvic floor exercises and pause-squeeze technique are prescribed to build these muscles
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