Natural treatments for premature ejaculation
Premature ejaculation is the clinical term for an involuntary, early male orgasm that happens within the first 1-2 minutes of sexual intercourse. For reference: the average time of sexual intercourse for most couples is about five minutes and only very few make it past ten minutes. Premature ejaculation is a problem for up to 30 percent of men, although some estimates place that number even higher. It’s not so much the absolute timing — after all, some couples may be fully satisfied with a short but intense intercourse — but that the man ejaculates even though he doesn’t yet want to.
The drivers behind premature ejaculation aren’t fully understood yet, but it’s more common in younger men and often the condition goes away with age. For many men it’s a life-long problem, though. Genetic disposition, psychological issues, chronic stress, low serotonin levels, hyperthyroidism and other factors can be the underlying causes, but don’t necessarily have to.
There are several effective and inexpensive medications available that will help you get ejaculation under control and delay it up to the normal five minute level (more on this at the end of this article). But before taking pills, many men want to first try home remedies for premature ejaculation. Given how widespread the problem is across different countries and cultures, there’s a long list of natural cures that claim to improve ejaculation control. Below we list the most popular remedies and help you separate fact from myth.
Herbal remedies against premature ejaculation
Premature ejaculation has been troubling men for at least two millennia, and it thus doesn’t surprise that two of the oldest civilizations, China and India, hold rich arsenals of herbal treatments against it. India’s Ayurvedic medicine counts kamini vidrawan ras and yauvanamrit vati as herbs that are effective against premature ejaculation. Chinese traditional medicine praises yimusake and qilin for the same purpose. All these herbs are available as supplements in the form of pills and powders.
A 2017 meta review of several studies on the effectiveness of these herbal remedies concluded that Ayurvedic medicine yielded a one minute gain in ejaculation time, while Chinese medicine yielded a two-minute improvement. However, the quality of most studies wasn’t very good and data availability on side effects and contraindications with other drugs is sparse. Moreover, since these are natural products, there’s also a risk of contamination (pesticides, heavy metals, etc.) and fluctuating effectiveness (since each batch of herbs has a different biochemical makeup).
Supplements for premature ejaculation
There are many supplements on the market that promise to treat premature ejaculation, with many including the Indian and Chinese herbs discussed above. Aside from the latter, supplements typically include zinc and magnesium. Zinc has been shown to somewhat boost testosterone production, which in turn raises libido and sexual strength. Besides supplements, zinc can also be absorbed through dietary changes, such as eating more seeds & nuts, soy products, kidney- and chickpeas.
But, is taking in more zinc really useful for treating premature ejaculation? In fact, no. While zinc may help with treating erectile dysfunction, it appears counterproductive for premature ejaculation. Studies have found that men who have early orgasms typically have higher testosterone levels than other men (and men with erectile dysfunction have lower testosterone levels). Increasing your testosterone levels, by for example supplementing zinc, will likely only worsen your premature ejaculation problem.
As for magnesium, no evidence has been found yet that it significantly affects ejaculation timing. The mineral is important for your overall health and does relax muscles in general but it doesn’t have any specific benefits for ejaculation control.
Topical treatments for premature ejaculation
Essential oils, including Ayurvedic herbs like ashwagandha, but also thyme, sandalwood and clove oil, are sometimes used by men to treat premature ejaculation. However, there’s little scientific evidence that topical oil treatments significantly enhance ejaculation timing. At best, they modestly improve penile blood circulation or have a mild anesthetic effect that desensitizes the penis (as in the case of clove oil) and thus delays ejaculation a little.
But clove oil’s effectiveness is inferior to medical anesthetics like lidocaine and prilocaine. These are available as creams and sprays and applied on the penis shortly before sex for a numbing effect that delays ejaculation. Talk to your doctor to learn more about the use of anesthetics for treating premature ejaculation.
Premature ejaculation therapy
Orgasms happen because of a complex interplay of physical and mental factors. Behavior therapy therefore can also provide much help to getting your orgasm timing under control. Therapy can help you relax and boost your sexual confidence, and there’s the option to get your partner involved in it, too. In fact, engaging your partner — whether through therapy or simply through an open discussion — is always a good idea. It will make her or him understand your problems and feelings better and you no longer need to hide anything.
Partner therapy can also help clearing misconceptions. Sometimes, especially in new relationships, a man may think that not lasting longer than two minutes is a very big deal to his partner and he’ll feel guilty of having disappointed his partner. Therapy can help find out how important the duration of sexual intercourse really is to his partner. Often the foreplay and intimacy during sex in general give partners far more pleasure than the intercourse.
Given how many men are troubled by premature ejaculation, many psychologists have specialized on subject and there’s a wide range of counseling options available for you to explore.
Premature ejaculation exercises
Special exercises can enable you to postpone your ejaculation up to the normal five minutes. The so-called squeeze method is one popular exercise. After having stimulated your penis close to the point of ejaculation, your partner firmly squeezes the penis to kill off the ejaculation urge. This exercise then is repeated for several times. Practiced over the course of several months a few times a week, this exercise will teach you how to delay your climax on your own, without the aid of squeezing.
Pelvic floor training is another option. Regularly stop peeing midstream and exercise your anal muscles by contracting them like you want to prevent passing gas (do this initially in a prone position). Hold the contracted position for a few seconds every time and repeat the contraction for 10-15 times during each round of exercise. If frequently practiced for 3-4 months, a 2014 study showed that these exercises will make your pelvic muscles stronger and thus give you better ejaculation control.
There’s also some evidence for the benefits of prostate massage for premature ejaculation. Prostate massages refers to the stimulation of the prostate gland through the anus (the prostate sits about 3 inches inside the anal canal), which is an increasingly accepted practice for giving men a deeper sexual experience. Prostate stimulation can trigger orgasm and learning how to do this takes away the mental pressure of your orgasm being solely dependent on your penis.
Perhaps the simplest and most universally tested exercise of all is masturbation. Masturbating 1-2 hours before you have sexual intercourse will temporarily desensitize your penis and capacity for sexual arousal, which means you’ll last longer during the ensuing sex.
Premature ejaculation pills
Now that you know all about the natural remedies against premature ejaculation, let’s briefly look at what medical options exist. While there are no pills on the market specifically made or approved for treating premature ejaculation, doctors often prescribe SSRI antidepressants for this purpose. The research record shows that they are quite effective at delaying male orgasms by about 5-6 minutes when taken ad-hoc a few hours prior to sex.
The American Urological Association has recommended the use of SSRIs, like sertraline (Zoloft) or fluoxetine (Prozac), for treating premature ejaculation. For this you won’t have to take pills regularly but only prior to sex whenever you feel like you require a little pharmaceutical help. This limits the risks of experiencing side effects, which are common for regular SSRI users.
Every man responds differently to the different SSRIs available, so you’ll likely need to experiment a little to find which drug is right for you. Sertraline and fluoxetine are the most popular choices, though.
If you are interested in learning more about sertraline and other SSRI, talk to your doctor, who can help you set a treatment plan tell you about the possible side effects.
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