Are There Any Non-Drug Treatments for Premature Ejaculation (PE)?

Yes. Non-drug treatments for PE include behavioral modification techniques and/or psychotherapy. The two most commonly used behavioral modification techniques are the squeeze and start-stop methods. Both are based on the concept of recognizing when you are at a mid-level of sexual excitement and heading to ejaculation, but are not yet at the point of ejaculatory inevitability.

In the squeeze technique, a man physically squeezes the end of the shaft of the penis (just before, but not at, the penis head) with one hand. The most natural position is for the thumb to be on the top side of the penis (the side facing the ceiling) and the index finger or several other fingers squeezing the bottom side of the penis (the side facing the floor). By applying a moderate to strong amount of pressure for a short period of time, the building pleasurable sensation is interrupted and the erectile rigidity may become decreased. Once you feel ready, you can resume sexual activity or masturbation and then repeat the squeeze technique repeatedly. The goal, over time, is to develop more control over ejaculation timing.

The start-stop method is similar to the squeeze technique. Instead of manually squeezing the penis, you simply pull out or stop stimulation when you sense a mid-level of excitement is developing, but before ejaculatory inevitability is reached. This technique, like the squeeze technique, can be used with sexual activity or masturbation. Once the feeling of sexual excitement has subsided to an extent, you should resume stimulation and repeat this cycle any number of times. Again, the goal is to develop a sense of control over timing of ejaculation. Sometimes men are worried about losing their erection if they stop stimulating. If that’s the case, the start-stop technique can be done after taking Sildenafil. Sildenafil can be used to help maintain the erection for a period of time even without constant stimulation, and the start-stop technique can then be effectively practiced to improving ejaculatory timing.

Psychotherapy for sexual issues, also called sex therapy, is based on the idea that anxiety, stress, interpersonal conflict, or other psychological conditions can be causative factors leading to PE. The goal of psychotherapy is to resolve those issues and can be provided in individuals’ or couples’ settings.

 

This information is not, nor is it intended to be, a substitute for professional medical advice, diagnosis, or treatment, and should never be relied upon for specific medical advice. If you have any questions or concerns, please talk to your doctor.  

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