Your guide to Premature Ejaculation (PE)

In a survey done by ORG-IMS among Indian men, premature ejaculation or PE was found to be the most common sexual complaint. In India, premature ejaculation is also known as‘dhat’. This term was coined by Dr NN Wig in the 1960s. The origin of this term is from Sanskrit where ‘dhatus’ refers to bodily fluids.

The International Society for Sexual Medicine defines premature ejaculation asz‘Premature ejaculation is a male sexual dysfunction characterized by ejaculation which always or nearly always occurs prior to or within about one minute of vaginal penetration; and, inability to delay ejaculation on all or nearly all vaginal penetrations; and, negative personal consequences, such as distress, bother, frustration, and/or the avoidance of sexual intimacy.’

What is Premature Ejaculation (PE)?

Premature Ejaculation (PE) is a common sexual dysfunction, with one out of three men in the age group of 18 to 59 years facing it at some point in time. In this condition, a man ejaculates, or releases semen earlier than desired, i.e. either before or immediately after penetration at the time of intercourse. Once sexually stimulated, the brain sends signals to the man’s reproductive organ for releasing semen through the penis. PE occurs when this timing of sending signals get disrupted.

Though there is no established time limit for defining ejaculation as premature, many doctors consider ejaculation within a minute of arousal as Premature Ejaculation (PE). However, it also depends on an individual’s perspective of the term ‘premature’.

Premature Ejaculation (PE) can happen as a temporary affliction which gets cured on its own. When infrequent, Premature Ejaculation (PE) is often termed as rapid ejaculation, premature climax or early ejaculation. However, if it recurs continuously for three months, happens every time and becomes a cause of distress and leads to a lack of interest in sex, one must seek medical help.

Earlier Premature Ejaculation (PE) was considered to have solely psychological causes. However, today medical science has established that factors pertaining to both the body and the mind can cause Premature Ejaculation (PE) and it is important to talk to an expert in order to find the root cause. Social taboo and stigma often hold Indian men back from taking medical help, even though it is a very common affliction and is a completely treatable one.

A range of remedies exists for Premature Ejaculation (PE) cure, including, medicines, sexual methods and psychological therapy. Treatment could be single pronged or combined, as deemed fit by physiologists.

Treatment and therapy cure Premature Ejaculation (PE) in the majority of men. According to doctors, the pivotal point in the remedial process is learning to relax. In some cases, a couple of sessions with the doctor or the therapist is enough for improving the condition.

Disclosure of facts like Premature Ejaculation (PE) being a common dysfunction among men, and also that average time for ejaculation is just about five minutes – help in reducing concerns and building confidence.

Nearly

40%

of married couples in India struggle with PE

Annually

70%

of Premature Ejaculation cases are anxiety linked

Over

60%

of sexually active Indian men complain of PE

What are the causes of Premature Ejaculation?

Premature Ejaculation (PE) or the condition under which a man releases semen before or immediately after penetration is a sexual dysfunction having both physiological and psychological causes.

Earlier Premature Ejaculation (PE) was considered to have solely psychological roots, but, today it has been scientifically proved that a multifarious interface of biological and psychological factors lead to sexual dysfunction.

It is now globally accepted that serotonin or a natural substance produced by nerves, plays a critical role in Premature Ejaculation (PE). While greater levels of this element in the brain raise the time for ejaculation, lower levels diminish it and cause Premature Ejaculation (PE).

However, the precise cause of Premature Ejaculation (PE) is yet to be discovered.

Premature Ejaculation (PE) can be a lifelong condition or an acquired one. In the first case, Premature Ejaculation (PE) will happen right from the first time and will continue to recur in all subsequent sexual acts. In the latter, untimely or premature ejaculation occurs in a later phase, after experiencing normal and timely ejaculation for a certain period of time.

In both cases, a number of factors are instrumental, but psychological causes are particularly responsible for lifelong PE.

What causes lifelong premature ejaculation?

  • Self-conditioning - During adolescence, guilt often makes boys ejaculate quickly to avoid embarrassment and getting caught by family members. This can lead to lifelong premature ejaculation syndrome.
  • Trauma - Traumatic experiences, abuse or violence, during childhood can leave a man permanently anxiety-prone, which in turn can lead to lifelong PE.
  • Socio-cultural causes - At times, cultural practises and beliefs also work behind lifelong PE. Societies where sex is considered inappropriate and shameful or is a taboo, makes men uncomfortable in the act. The indoctrinated mind withholds easy participation and can potentially lead to lifelong PE.
  • Genetic causes - Sometimes, lifelong PE is genetically inherited.

What causes acquired premature ejaculation?

Both biological and emotional issues lead to acquired PE among men. The chief causes are -

  • Biological causes - Underlying diseases including high blood pressure and sugar, thyroid issues and ailments of the prostrate are the most common biological causes of acquired PE. Besides, abnormal levels of hormone or neurotransmitters, inflammation and infection of the prostate or urethra also lead to PE. At times serious sicknesses like that of multiple sclerosis which damage the nerves can lead to acquired premature ejaculation.
  • Emotional causes – Such causes include stress, depression, early sexual experiences or abuse, poor body image, performance anxiety, and guilt while involved in clandestine sex. Nervousness with a new partner, long periods of celibacy are other common causes of acquired PE.
  • Relationship issues – Issues in couples like conflicts, resentment, different sexual needs, high expectations, and lack of communication or preparation for intercourse majorly contribute to PE.
  • Addiction - Binge drinking and other addictions are also responsible for the condition.

What are the symptoms of PE?

Ejaculation or the release of semen from the penis during the sexual act is a process controlled by the central nervous system. Once aroused, the brain of a man sends signals to his genitals to release semen.

Though there isn’t any definite timing for ejaculation, one that happens before intercourse or within a minute of arousal, is largely known as Premature Ejaculation (PE).

Ejaculation happening before it is desired can get frustrating not only for the man but also for his partner as it takes away pleasure from the sexual act. With untimely ejaculation, the man loses his erection and the sexual act comes to an abrupt halt. This, when continues for long, gets bothersome and in turn, affects relationships.

Occasional or intermittent Premature Ejaculation (PE) is not a cause of concern as it happens to 30 to 40 per cent of men and gets cured automatically after some weeks or in a couple of months.

Only when Premature Ejaculation (PE) continues consistently for more than three months, that one needs medical attention. Premature Ejaculation (PE) or the inability to control semen release is primarily associated with intercourse, but the condition may occur in any sexual situation, including masturbation.

Premature Ejaculation (PE) - be it, lifelong (primary), i.e. occurring every time since the beginning, or Acquired (secondary) i.e. happening later in life after experiencing a period of normal ejaculation - exhibit almost similar kinds of symptoms.

Key symptoms of Premature Ejaculation (PE)

A lot of misconceptions exist regarding Premature Ejaculation (PE). Men at times wrongly consider certain signs as symptoms of this sexual dysfunction which in reality do not meet the medical criteria.

It is also possible to have variable ejaculatory patterns in which periods of fast or untimely ejaculation is followed by normal and timely ones. Such patterns are not symptoms of Premature Ejaculation (PE). Some key symptoms of PE include:

  • Ejaculation or release of semen by the penis with very little sexual trigger
  • Inability to control the release of semen during intercourse
  • Diminished sexual pleasure both in the man and his partner because of untimely ejaculation
  • Guilt, discomfiture or irritation due to incomplete or rushed sex

When should you seek medical attention for PE?

If the symptoms continue unabated for more than three months, medical care is a must. While talking to a doctor, the following things are important to consider -

  • Talk openly about the exact symptoms, including the time of ejaculation, nature of erection and time taken to get one.
  • The feeling of embarrassment only hampers treatment as it stops proper disclosure of the condition and its exact symptoms to the doctor. Without proper understanding, proper diagnosis becomes difficult.

If the identified symptoms are not convincing enough for the doctor, a medical examination of the prostate and neurological tests are prescribed in order to reach a definite conclusion about Premature Ejaculation (PE).

What are the risks of Premature Ejaculation?

Premature Ejaculation (PE), a common and medically manageable disease, if not addressed timely, can involve a number of risks and complications. Outcomes of Premature Ejaculation (PE) not only affects the personal life of the man but also disrupts the life of his partner, and if married, that of the entire family.

Most common risks associated with Premature Ejaculation (PE) are:

Stress and relationship problems - Relationship stress is an inevitable consequence of long term Premature Ejaculation (PE). A number of factors resulting from Premature Ejaculation (PE) lead to relationship issues, including-

  • Lack of Satisfaction in sex which affects the quality of sexual intimacy
  • Frustration and distress experienced by both the man and the women
  • Lack of confidence in the man’s sexual potency

All these have a negative effect on the overall quality of a man-woman relationship. Premature Ejaculation (PE) often takes a toll on the self-esteem of a man and causes marital conflicts. Men afflicted with this condition find it difficult to relax during the sexual act and tend to avoid discussing the issue with partners. This significantly decreases the frequency of sexual intimacy between couples. Severe and prolonged Premature Ejaculation (PE) can also result in constant conflict between partners, estrangement, separation or divorce.

Fertility problems - Premature Ejaculation (PE) can have more serious consequences as it thwarts intravaginal ejaculation without which fertilization and pregnancy become difficult if not impossible. Hence, couples planning a family can be greatly impacted if the man is afflicted with Premature Ejaculation (PE).

Risks associated with single men – Identifying Premature Ejaculation (PE) can create distress in the lives of single men and his parents; as such a man will be reluctant to take partners in his life or to get married. Existing social taboo often makes men hide such afflictions from family or doctors, which only aggravates the already distressing situation.

Side effects of treatment – Though Premature Ejaculation (PE) is not known to have caused direct morbidity or mortality, treatment of this condition can have side effects. Drug treatment of Premature Ejaculation (PE), even if prescribed by doctors, is often associated with adverse effects.

Dapoxetine, a commonly used drug for treating both primary and secondary PE, is known to have side-effects like headache, queasiness, diarrhoea, and giddiness. Also, treatment of Premature Ejaculation (PE) may be a very long term process just like lifelong therapies needed for depression, high blood pressure and diabetes.

Risks associated with Premature Ejaculation (PE) are not only limited to sexual health but also affects all aspects of life with both direct as well as collateral damage. Time has come to recognise sexual dysfunctions like Premature Ejaculation (PE) as serious public health issues.

Did you know that it is a myth that alcohol can control premature ejaculation?

Did you know that it is a myth that alcohol can control premature ejaculation?

Take quiz

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.

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

Do condoms help in managing PE?

Condoms, especially the Climax control variety, are known to diminish the sensitivity of the penis, which helps in delaying ejaculation. Climax control condoms come with numbing agents like benzocaine or lidocaine or are manufactured with thicker latex in order to delay ejaculation.

How does sex therapy or counselling help in managing PE?

Psychological counselling sessions with therapists are also very effective in Premature Ejaculation (PE) cure. The disorder often leads to distress, anxiety, and even emotional distance from the partner.

Sharing the symptoms, anxieties and exact nature of the disorder helps immensely in curbing performance anxiety and finding solutions for managing stress. Counselling is often used alongside drug therapy.

Does Ayurveda cure PE?

Various other remedies like Ayurveda, yoga, meditation and acupuncture are available for treating Premature Ejaculation (PE). The efficacy of these treatments is yet to be scientifically established.

How can your partner help in curing PE?

The available treatments work best when the partner is equally involved in the process, including being present in the counselling sessions.

The effort is taken by the partner in relieving underlying performance anxiety from the man also goes a long way in improving the condition.

Additionally, a second attempt at coitus –after an initial experience of premature ejaculation, is generally better as the ejaculatory control improves subsequently.

What is the science behind ejaculation?

All-natural actions of the human body are scientific and occur in a thoroughly logical and coordinated manner, primarily controlled by the brain. Ejaculation is no different.

In order to understand the science behind ejaculation, it is important to understand the anatomy of the penis and the science behind erection.

The penis has a very complex structure and is made of -

  • Corpora cavernosa, which is a twin-chamber running along the entire length of the penis and consisting of a network of blood vessels having a sponge-like texture.
  • The urethra, or the conduit for urine and sperm, runs alongside the base of corpora cavernosa
  • Erectile tissues enclosing the urethra, both the primary arteries and a number of nerves and veins
  • The shaft, which is the longest component of the male sex organ
  • The glans located at the head of the shaft
  • The meatus, or cavity at the tip of the glans from which urine/semen are discharged or ejaculated

How does an erection happen?

Erection is initiated from stimulation, either mental or sensory, which then leads to arousal. Once aroused, nerve messages start exciting the male sex organ or penis, whereas signals from the brain make the muscles of the corpora cavernosa relax and open up.

This helps in rapid blood flow into the opened up spaces. The blood fills up the cavernous arteries and exerts pressure on the corpora cavernosa, which inflates the penis and makes it erect.

The membrane surrounding the corpora cavernosa, known as tunica albuginea, locks in the blood in the corpora cavernosa and helps in sustaining an erection. Once the muscles in the penis contract, the blood flows into the corpora cavernosa stops, outflow channels open up, which in its process reverses the erection.

How does ejaculation happen?

Sexual excitement or act on reaching its optimum level through stimulation and friction triggers ejaculation - a reflex action controlled by the central nervous system. The shaft and the glans have a skin covering which is stuffed with nerve endings highly responsive to pressure and pulsation.

Fondling the skin creates impulses which are sent to the brain by the nerves. On receiving the message from the skin as well as from other body parts of an aroused man, the brain reacts by making the skin further sensitive to stimulation.

With enough stimulation, arousal culminates into orgasm through ejaculation of semen. Here too, a flurry of activities are involved in order to coordinate the discharge of sperm from testes, production of semen, and the last few contractions that eject semen out through orgasm.

What are the stages of ejaculation?

To start with, the sperms are taken out from their storage space and are aptly positioned for movement. The muscles in the walls of the penis contact and create a conveyor-belt like a process which move the thick masses of sperm away from the epididymis, or the place of their growth.

Peristaltic wave-like contractions of the pipe-like structures storing and transporting sperms from testes (vas deferens), keeps squeezing and pushing the sperms towards the tip of the penis.

Meanwhile, the prostate gland and seminal vesicles discharge secretions to produce the semen which is a complex mix of sperm and secretions. Further contraction forces the semen into the urethra.

The urethral bulb swells up with the inflow of semen and gets inflated up to 2 to3 times of its normal size. Ejaculation is now inescapable.

The muscles that encircle the urethral bulb together with the muscles surround the urethra proper create a muscular pump like force. As a result of this, muscle contractions at the tip of the penis occur every 0.8 seconds which toss semen out with an astounding amount of force.

This propelling can happen in about five spurts. In the initial spurts, semen can dash through 1-2 feet in the air or more. After the first few strong contractions, the muscles continue to contract with lesser vigour for many more seconds, ejecting 2 to 5 millilitres of semen out of the male body.

Meanwhile, muscles located at the bladder constrict and shut the bladder opening, preventing not only the backward flow of semen but also stooping urination during orgasm. The entire process of ejaculation takes nearly three seconds and is accompanied by a sense of inevitability and pleasure called orgasm.

Did you know that the STOP-START method helps in managing PE?

Did you know that the STOP-START method helps in managing PE?

Take quiz

What is the science of Premature Ejaculation?

The first evidence‐based definition for Premature Ejaculation (PE) was developed by The International Society for Sexual Medicine (ISSM) Ad Hoc Committee, in 2007.

Dr Serefoglu and his colleagues, who were members of the Committee, provided an integrated definition of Premature Ejaculation (PE) both lifelong and acquired. The society was established in 1978 for the purpose of promoting research and exchange of knowledge for the clinical entity “impotence” throughout the international scientific community.

According to the committee, Premature Ejaculation (PE) is a male sexual dysfunction characterized by -

  1. Ejaculation that always or nearly always occurs prior to or within about 1 minute of vaginal penetration from the first sexual experience (lifelong) or a clinically significant and bothersome reduction in latency time, often to about 3 minutes or less (acquired);
  2. The inability to delay ejaculation on all or nearly all vaginal penetrations; and
  3. Negative personal consequences, such as distress, frustration, and/or the avoidance of sexual intimacy.

Ejaculation is a reflex action monitored by the central nervous system of the human body. Only aroused or sensually stimulated messages from the male sex organs are sent to the spinal cord and brain.

When the level of excitement reaches its climactic stage, instructions are sent back by the brain to the male genitals, making ejaculation, or tossing out of semen from the penis, possible. Any disruption in the process can lead to untimely messages to the reproductive organs and cause early ejaculation or what is known as, Premature Ejaculation (PE).

Earlier, Premature Ejaculation (PE) was considered to have solely psychological causes like stress, depression and relationship issues. However, today medical science has established that factors pertaining to both the body and the mind can cause Premature Ejaculation (PE).

If premature ejaculation becomes a recurrent phenomenon and constantly interferes with pleasure, it should be considered as a medical problem, and it is important to talk to an expert and find the root cause.

What factors affect premature ejaculation (PE)?

A number of body constituents and parts play important roles in causing Premature Ejaculation (PE). Here are the most important ones -

Serotonin

The constituency of the human brain is believed to have a role in Premature Ejaculation (PE). Men with relatively lower levels of serotonin, a chemical substance, are likely to take less time to ejaculate.

Serotonin, when less active between nerves located in that part of the brain which controls ejaculation, causes early ejaculation and can lead to the medical condition of primary Premature Ejaculation (PE).

Serotonin also plays a critical role in the entire sexual activity and also in desire for sex. It also enables the passage of signals from one neuron to another. Lack of active serotonin hampers the signal transfer process in men during the sexual act.

The level of serotonin along with its state of activeness is determined by a gene, named 5-HTTLPR (serotonin-transporter-linked polymorphic region, or- the gene that codes for the serotonin transporter).

Of the three types of Carriers present in HTTLPR - LL, SL and SS - LL results in fast ejaculation. Hence, men with LL will ejaculate twice as faster than those with SS or SL genes.

According to medical science, Premature Ejaculation (PE) can occur in men having problems with erection, i.e. those with Erectile Dysfunction (ED). When a man is afflicted with Erectile Dysfunction (ED) the penis will not be able to achieve or hold on to erection firm enough for sex.

This results in the anxiety of losing an erection too soon and leads to a pattern of rushing to ejaculate, thereby causing Premature Ejaculation (PE), eventually. It often becomes a deeply rooted habit, extremely hard to give up.

Pelvic floor muscles

Pelvic floor muscles can also contribute to Premature Ejaculation (PE). Strong pelvic floor muscles increase penile strength and hardness and help in penetration and thrust.

Hence Pelvic floor muscle dysfunction can cause a weak erection and in the long run, Premature Ejaculation (PE).

Age

Premature ejaculation is mostly age agnostic. However, age does affect erections and the pattern of ejaculation. Erection in aged men is not as firm or as long as that of the young. Age also increases the apprehension of rapid ejaculation.

All these can lead to a Premature Ejaculation (PE) syndrome.

Did you know women can also have premature ejaculation?

Did you know women can also have premature ejaculation?

Take quiz

What treatments are available for PE?

An array of cure exists for treating Premature Ejaculation (PE) including behavioural and sexual techniques, topical anaesthetics, medications and psychological therapy. While a single pronged treatment works for some men, others need a combined approach.

Medical science has not yet found a medication dedicated solely for Premature Ejaculation (PE) cure. Doctors mostly suggest medication used in treating other syndromes but having the potential to cure Premature Ejaculation (PE).

Prescription medication has always been a very effective procedure in Premature Ejaculation (PE) cure. These drugs delay orgasm up to several minutes as a common side effect and work well for treating Premature Ejaculation (PE).

The commonly prescribed drugs used for the treatment of Premature Ejaculation (PE) are –

Selective serotonin reuptake inhibitors (SSRI)s

  • Fluoxetine (Prozac),
  • Paroxetine (Paxil) or sertraline (Zoloft);
  • Tricyclic antidepressants, like clomipramine (Anafranil).

Phosphodiesterase inhibitors

These drugs also work extremely well for men with premature ejaculation and can be taken alone or with an SSRI. Prescribed A mixture in this category include –

  • Sildenafil (Viagra)
  • Vardenafil (Levitra)
  • Tadalafil (Cialis)

Topical anaesthetics

The numbing agents of anaesthetic creams and sprays are very effective in Premature Ejaculation (PE) cure. Drugs in this category are –

  • Benzocaine
  • Lidocaine or prilocaine

** Advice given here should not be considered as medical advice, and the reader should always take doctor's opinion.

Did you know PE was a 'strength' in the evolution of Homo sapiens?

Did you know PE was a 'strength' in the evolution of Homo sapiens?

Take quiz

How to manage premature ejaculation (PE)?

A number of factors, both emotional and biological, lead to Premature Ejaculation (PE). Addressing the root causes of these factors can help prevent Premature Ejaculation (PE) to a large extent.

Here are some of the effective ways to prevent Premature Ejaculation (PE):

Dealing with social taboos - Socio-cultural practises and taboo often lead adolescent boys towards self-conditioning for quick ejaculation. This, in turn, can lead to Premature Ejaculation (PE) in future.

Care should be taken to provide an open and healthy atmosphere in the family, so that young boys are not forced into such unhealthy self-conditioning.

The pervasive misconception about sex in Indian society, which considers sex a shameful act also needs to be addressed to prevent Premature Ejaculation (PE).

Many indoctrinated adult men feel uncomfortable in the sexual act as they consider it inappropriate; this also leads to Premature Ejaculation (PE).

Trauma – Any childhood trauma can have ramifications in adulthood in the form of Premature Ejaculation (PE). Timely treatment of such traumas through counselling and medication is essential to in order to prevent the disorder.

Health issues - Diseases like high blood pressure and sugar, thyroid issues, ailments of the prostrate, hormonal imbalance, inflammation and infection of the urethra can cause Premature Ejaculation (PE). Addressing health issues on time can prevent the disorder.

Stress management – Depression, early sexual experiences or abuse, poor body image, performance anxiety, and guilt greatly contribute to Premature Ejaculation (PE). Proper management of these issues through communication and counselling helps in preventing the affliction considerably.

Relationship management – Tackling relationships with effective communication, understanding, empathy and love, keeps away conflicts, resentment and dissatisfaction – all of which lead to relationship issues and can cause Premature Ejaculation (PE).

Sex education - Sex education is extremely important as it prepares a man for intercourse, in the absence of which, he can face anxiety and stress, which might lead to Premature Ejaculation (PE).

≈Addiction - Binge drinking and other addictions often result in Premature Ejaculation (PE). Staying away from both can prevent the disorder.

Erectile Dysfunction cure - Most men having erectile dysfunction or ED get afflicted with Premature Ejaculation (PE) eventually. Treating ED is a prerequisite for prevention of Premature Ejaculation (PE).

Sorry, your browser does not support inline SVG.

Why Misters.in?

Judgement free zone

Scientific products

Discreet doorstep delivery

Discreet doorstep delivery

Full privacy guaranteed

Full privacy guaranteed

Trusted by thousands of men

Trusted by thousands of men

Judgement free zone

Judgement free zone

Judgement free zone

Backed by leading doctors

How to cope with Premature Ejaculation (PE)?

Premature Ejaculation (PE) is a very common sexual disorder and is completely curable. However, given that it affects the sexual act and takes away pleasure from it dealing or living with Premature Ejaculation (PE) has its share of challenges.

Taking care of certain things helps in living with Premature Ejaculation (PE) in a better way.

Here are some ways to deal with Premature Ejaculation (PE) -

Communicate well - Premature Ejaculation (PE) often leaves both partners frustrated and distressed. It also creates misconception regarding the man’s feelings for his partner and his interest in sex.

Talking freely with the partner clears confusion and draws her towards addressing the issue with empathy and concern. It will also help the partner in taking efforts to relieve the underlying performance pressure off the man.

Communicating with the doctor is also of equal importance in order to deal with the disorder effectively.

Sex therapy – Following sex therapy techniques like stop-start or squeeze-pause methods is of immense help in dealing with Premature Ejaculation (PE).

Second attempt at coitus – Trying for another erection after witnessing an incident of premature ejaculation, is also a great way as ejaculatory control improves the second time.

Manage stress – To remain stress-free during intercourse is the game-changer for many men afflicted with Premature Ejaculation (PE). It is also important not to have any misconception or taboo about sex in order to be free of anxiety and guilt during intercourse.

Reduced stimulation – Less stimulation also helps men deal with Premature Ejaculation (PE) better. Using creams and lotions, which partially anesthetize the penis, reduces stimulation leading to orgasm. Wearing condoms also help in controlling ejaculation.

Strengthening of muscles - Premature Ejaculation (PE) can be a consequence of infirm pelvic floor muscles. Kegel and other exercises help in strengthening the muscles and in dealing with the disorder in a better way.

Stimulating the body- A whole-body massage or stimulation before the sexual moment helps men with Premature Ejaculation (PE) enjoy the pleasure throughout his body instead of solely on sex organs. This decentralization of sensation keeps away performance anxiety and helps in relaxing.

For some men, masturbating a few hours before having sex with a partner is an effective way to deal with Premature Ejaculation (PE). For many others, thinking of something else during intercourse helps them last longer.

Maintaining good health – A healthy body is a prerequisite for a happy and stress free sexual life. Eating a balanced diet and drinking adequate fluids, immensely benefits in maintaining good health.

Premature Ejaculation (PE) is a common disorder and has an array of remedies which confirm complete cure. There is no point in blaming oneself or in feeling inadequate and incompetent. Learning to live with Premature Ejaculation (PE) in the best ways possible is the way forward.

Can PE be managed with the right diet?

New age medical researchers have established that certain changes in dietary routines can contribute towards Premature Ejaculation (PE) cure. The change is primarily done by eating a balanced diet rich in zinc, selenium, calcium, iron, carbohydrate and low protein, and by keeping away from regular intake of chocolate, chillies and caffeinated beverages.

What are the various food ingredients that aid in managing PE?

Ashwagandha

A widely popular medicinal herb of India, Aswagandha is highly effective in Premature Ejaculation (PE) cure as it improves brain power and libido. It also helps in better control of ejaculation by enhancing stamina.

Garlic and seeds of green onion

Endowed with aphrodisiac attributes, both, helps in delaying ejaculation and increasing blood circulation and stamina. Chewing garlic cloves raw or fried in ghee every morning, and drinking crushed green onion seeds mixed in water thrice before meals - improve the disorder to a great deal.

Ginger and honey

Another aphrodisiac – the mixture of ginger and honey - is known to increase libido and improve sexual performance.

Asparagus

Asparagus roots contribute immensely in keeping premature ejaculation away. Taking the roots boiled in milk, twice a day increases control over penile muscles.

Carrots

Having libido-enhancing traits which delay ejaculation, carrots are widely recommended for Premature Ejaculation (PE) cure. Eating boiled carrots together with egg and honey improves the condition considerably.

Oatmeal

Oatmeal boosts testosterone levels in the blood and is instrumental in relaxing penile muscles and providing energy.

Watermelon

The phytonutrient known as citrulline, present in watermelons, improves vasodilation and increases blood supply to the penis. It also helps in enhancing libido and sexual desire. Watermelon can be eaten in slices or as a fruit salad.

Spinach

Magnesium deficiency often leads to Premature Ejaculation (PE). Hence spinach – the foods with the highest magnesium content - is highly beneficial in treating the condition.

Turkey

Depression, one of the root causes of Premature Ejaculation (PE), decreases serotonin which plays a critical role in ejaculation. The depletion of serotonin levels actually happens due to decrease in tryptophan, an amino acid that helps in increasing serotonin in the brain. Turkey being one of the common sources of tryptophan, helps in increasing serotonin levels, thus addresses Premature Ejaculation (PE).

Oysters

Zinc contents in oysters help increase zinc levels and in turn relieve some Premature Ejaculation (PE) symptoms. Oysters also rapidly enhance sex drive.

Almonds

Free radicals regularly produced in the body lead to the infirmity of pelvic muscles and Premature Ejaculation (PE). Vitamin E, a powerful antioxidant, is the most effective material to combat free radical damage. Almonds are rich in vitamin E, hence are effective in Premature Ejaculation (PE) cure.

Other foods

Many other foods also help in addressing Premature Ejaculation (PE). These include - ladyfinger, cooked or in powder form, pumpkin seeds, soybeans, yoghurt, wheat germ cereal, kidney beans, chickpeas, sesame seeds, beef and lamb, dark chocolate and peas.

Some dietary routines can also prevent Premature Ejaculation (PE). To start with a balanced diet rich in zinc, selenium, calcium, iron, carbohydrate and low protein is a great way to maintain overall wellbeing and keep sexual dysfunctions including Premature Ejaculation (PE) away.

Avoiding chocolate, chillies and caffeinated beverages and including foods like ashwagandha, almonds, asparagus, carrots, garlic, ginger and honey, seeds of green onion, oatmeal, oysters, spinach, turkey, and watermelon, can also prevent and control Premature Ejaculation (PE).

What are the Ayurvedic treatments for premature ejaculation (PE)?

According to Ayurveda shukra (semen / reproductive system) is the ultimate body tissue as it has regenerative qualities. The branch of Ayurveda that deals with sexual dysfunctions in male and female is called Vajikarana.

Various vajikarana drugs are effective in strengthening and invigorating men with sexual issues and improves their reproductive ability. A number of ayurvedic oils including, Chandanadi tailam and Maha sugandhi tailamare when applied all over the body can also cure early ejaculation.

Some Ayurvedic drugs and procedures which help in the management of Premature Ejaculation (PE) are -

  • Praharsha anna (exciting food items)
  • balya (tonics)
  • Shukrakara drugs (aphrodisiacs)
  • Erandamoola (Ricinus communis Linn.)
  • Brahmi (Bacopa monnieri Linn)
  • Mandukaparni (Centella asciatica Linn)
  • Amlaki (Emblica officinalis Garten)
  • Swarna bhasma (gold)
  • Rasa sindhura (mercury-based formulations)
  • Ashwagandha Churna
  • Jatiphala (Myristica fragrans)
  • Speman tablet

Panchakarma procedures of Ayurvedic (five distinct cleansing procedures for the human body) including vasti (oil or decoction enemas) and shirodhara (constant oil drip on forehead) are very effective in Premature Ejaculation (PE) cure.

Some home remedies for Premature Ejaculation (PE) cure also exist in Ayurveda. These include –

  • Narasimha choorna, Bhallataka phala majjadi avaleha, Musalyadi choorna, Atmagupta and Ashwagandha - improve duration sex
  • Akarakarabhadi yoga, a homemade preparation made with ten herbs - increases the time taken for ejaculation
  • Brahmi, kaunch beej, kamini vidrawan ras, and yauvanamrit vati and Mandukaparni -reduce anxiety and stress

Ayurvedic dietary suggestions for managing PE

Ayurvedic cure of Premature Ejaculation (PE) also includes some dietary suggestions like intake of fresh fruits, nuts, cereals, fish, vegetables (especially fennel, celery, ginger, garlic, asparagus, drumstick lettuce, onions) and honey.

The treatment also recommends reduction or avoiding of alcohol, beverages like tea and coffee, processed food and food with a high quantity of sugar or flour.

Over the years, Ayurvedic cures have been successful in significantly increasing the time taken to ejaculate. However, the procedures have some side effects like stomach pain, dizziness, mild and pain.

It is important to keep in mind that Ayurvedic cure is a long term process. Though a lot of research is regarding the efficacy of this cure has produced positive results, final and definitive conclusions are yet to be drawn.

How does Yoga cure premature ejaculation (PE)?

It is an established fact that the most common sexual disorder in men is Premature Ejaculation (PE). Though men often tend to shy away from the condition due to social taboo, and shame - an array of remedies exist for complete cure of the syndrome.

With awareness, the reality has now started changing, and more and more men and women are prioritising health and wellbeing before shame and social sanctions.

Given the fact that medicinal drugs have side effects, many now look for alternative cares like including Ayurvedic cure, natural cure and yoga, for diseases and disorders. Same is also true for treating Premature Ejaculation (PE).

Being a well-tolerated, secured and useful non-pharmacological cure for Premature Ejaculation (PE), Yoga has gained a lot of popularity now. Recent research findings also established the benefits of mind-body interventions in relieving stress which often leads to sexual disorders.

Yogic asanas are actually very effective in increasing blood circulation throughout the body, which distinctly decreases tension and anxiety and builds sexual vigour.

This alternative form of treatment is totally free of side effects and has increased its acceptability in both the developed and developing countries.

As a natural solution to the disorder, yoga works in a two-pronged approach in Premature Ejaculation (PE) cure. It relieves the symptoms and improves the condition without any serious ramification while bringing back vitality and virility in men afflicted with the syndrome.

Of late, Yoga protagonists claim that the treatment also enables men with Premature Ejaculation (PE) have better control over their ejaculation.

Which yoga positions help in managing premature ejaculation (PE)?

Paschimottansana – Most effective for Premature Ejaculation (PE) cure; adds potency to sperms; those with spinal or back injury should avoid.

Plow Pose - Cures Premature Ejaculation (PE) and improves sexual and reproductive health.

Sarvanga Asana - Shoulder pose ensuring sexual vitality, the potency of sperms and strengthening reproductive organs; those with spinal or neck injury or hypertension should avoid.

Gomukhasana - Very simple yet extremely effective, not only in Erectile Dysfunction (ED) and Premature Ejaculation (PE) but also in providing energy to the body and alertness to the mind

Utthanapadasana – Multiple benefits, including controlling ejaculation, addressing constipation and digestive issues and strengthening intestines; those with a spinal or back injury, should avoid.

Bhujangasana – Very useful in Premature Ejaculation (PE) and in controlling ejaculation; those with wrist injuries must not perform this asana.

Vajrasana – Works well for the abdominal region, sustains sexual health and addresses digestion issues.

Kandasana – Cures all sexual disorder, builds flexibility of lower body parts and cures joint pains; also increases sexual desire and addresses premature ejaculation.

Brahmacharyasana - Highly effective for those with nightfall issues; it boosts libido and strengthens the testis.

Mandukasana – Resembling the posture of a frog, this asana works well for the abdominal and pelvic regions and sustains sexual health. While it is true that the Yoga postures, when rightly done, can be highly beneficial in sustaining an erection and controlling ejaculation during sex, wrong postures or techniques can cause harm or remain ineffective. The best way is to do them under the supervision of an expert or tutor, at least in the early stages of treatment.

What our customers are saying about us?

At misters.in, we understand that privacy is of supreme concern to our customers. A deeply personal problem like erectile dysfunction (ED) should stay private and confidential. The testimonials from our customers are identity masked, and some of them translated from vernacular languages while retaining the essence of the testimonial.
A satisfied repeat buyer of Misters PE therapy
I got to know of misters.in while searching for solution to premature ejaculation. I then took the quiz and ordered the PE therapy kit, which was delivered to my home. It was a reassuring and discreet process, something which I liked, as I did not want to discuss such personal issues with too many people.
A first-time buyer of Misters.in PE therapy
I did not like the experience of visiting the local sex clinic. I did not feel comfortable there and the discussion with the ‘expert’ was innuendo ridden. The quiz on misters.in is very straight forward and helped me get the best solution for my PE problem. Without beating around the bush!
A Misters.in customer
The detailed information on premature ejaculation that I got on misters.in helped me tremendously. I then decided to take the quiz and a PE therapy box was recommended basis my answers in the quiz. I think I will go for regular repeat orders now!