Premature ejaculation is one of the most common sexual problems in men; research shows that approximately 20-30 percent of men complain about this condition. Due to embarrassment, most men do not seek help; however, this is a condition that is largely treatable.
What is premature ejaculation?
According to the definitions of the European Association of Urology (EAU) and the International Society for Sexual Medicine (ISSM), premature ejaculation has three main characteristics:
- Ejaculation before or very shortly after penetration (usually within approximately 1 minute in the congenital type)
- Lack of control over delaying ejaculation
- This causing distress to the person or their partner
For comparison: In a study conducted with 500 couples in five different countries, the average time from penetration to ejaculation was found to be approximately 5.5 minutes. The long durations shown in movies do not reflect reality.
Types and causes
- Lifelong (primary): The type that has persisted since the first sexual experience. Neurobiological factors (such as serotonin) are thought to play a role.
- Acquired (secondary): The type that appears when there was no problem before. It may be associated with causes such as performance anxiety, stress, relationship problems, prostatitis, thyroid problems, or erectile dysfunction.
Techniques that can be used at home
Stop-start technique
- Begin stimulation (alone or with your partner).
- When you feel you are close to ejaculating, stop stimulation completely.
- Wait for 30-60 seconds until the urge subsides.
- Start again; repeat this 3-4 times.
Squeeze technique
When approaching ejaculation, stimulation is stopped and the area just below the head of the penis is squeezed for about 10-20 seconds. After the urge subsides, wait for about 30 seconds and continue.
Kegel (pelvic floor) exercises
Squeezing and relaxing the muscles you use to stop urination mid-stream can support ejaculation control. For details, you can check our Kegel guide.
Other practical tips
- Masturbating 1-2 hours before intercourse
- Using a thicker condom
- Positions where the partner is on top
- Slowing down the pace by taking deep breaths
- Prioritizing the partner's pleasure with a long foreplay
These techniques are reported to be successful about half the time in the short term; they require regular practice and patience. Products such as penis rings and sheaths can also help extend the time in some men.
Medical treatment options
When behavioral methods are insufficient, your doctor may recommend the following:
- Topical anesthetic creams or sprays: They reduce sensitivity. It is recommended to use them with a condom to prevent numbness in the partner.
- Prescription medications: Delaying ejaculation medications such as dapoxetine or certain antidepressants. These should only be used under medical supervision.
- If there is also erectile dysfunction its treatment.
- Sex therapy and couples therapy: They reduce anxiety and strengthen communication in the relationship.
Frequently asked questions
Does premature ejaculation go away on its own?
In anxiety-related cases, it may improve with experience and relaxation; the lifelong type generally requires treatment.
Does premature ejaculation cause infertility?
No. As long as ejaculation occurs inside the vagina, it does not affect fertility.
Is delaying spray safe?
It is generally safe when used according to instructions; however, if an allergy or irritation occurs, use should be discontinued and a doctor should be consulted.
Sources
- Salonia A, et al. EAU Guidelines on Sexual and Reproductive Health: Erectile Dysfunction and Premature Ejaculation. European Urology. 2021;79(1):151-167.
- Althof SE, et al. International Society for Sexual Medicine's guidelines for the diagnosis and treatment of premature ejaculation. Journal of Sexual Medicine. 2010;7:2947-2969.
- Waldinger MD, et al. A multinational population survey of intravaginal ejaculation latency time. Journal of Sexual Medicine. 2005;2(4):492-497.
- The Royal Australian College of General Practitioners. Premature ejaculation: a clinical review for the general physician. 2015.
This content is for general information purposes; it is not a substitute for diagnosis and treatment. Be sure to consult a urology specialist before using medication.
