Premature ejaculation treatment

The critical aspect about premature ejaculation is the frustration it causes to both parties in a relationship. Hours spent on mood setting are met with fleeting minutes and no satisfaction. 40% of males suffer from this problem and all seek a proper treatment

What is premature ejaculation?

30 to 40% of males suffer from premature ejaculation. It is a common problem that has both biological and psychological causes. It is not as much of an abnormality as a problem of decreased voluntary control during intercourse and masturbation. Different techniques are used for treatment.

What causes premature ejaculation?

Determining the cause is essential for choosing the appropriate treatment. These causes vary but can be categorized into an early type that spans the entire intercourse history and this count for 95% of males affected.

The other 5% suffer from a late onset of premature ejaculation.

Psychological factors

Anxiety and depression.
Intercourse disturbances.
Unsatisfactory outlook of physical appearance.
Lack of experience and sex education.
Sexual over stimulation.
Hyper sexuality.
First engagement of sexual intercourse.

Biological factors

Genetic factors.
Thyroid disorders.
Prostate and urethra disorders.
Hormonal imbalance.
Disturbed neurotransmitter levels.
CNS disorders.
Ejaculatory duct disorders.
Abnormal brain chemistry.
Ejaculatory hyperreflexia.

What are the best treatments for premature ejaculation?

They vary according to the cause. Treating the cause is essential wither it was biological or psychological. For example, premature ejaculation resulting from thyroid disorders requires the treatment of those disorders.

There is a scientific consensus of the efficiency of use of prescribed fixed doses of SSRIs that are not linked to sexual activities. SSRIs are compounds used as treatment of anxiety, depression and some personality disorders. Some cases use SSRIs as cure for insomnia.

How is premature ejaculation treated?

Many techniques are used for treatment like:

Homemade remedies:

Some cases don’t require medical intervention and some tips and advices are given for treating the condition:

  • Zinc supplements and dietary zinc found in meat and chocolate.
  • Change of diet to contain milk, soy beans, peanuts, whole wheat, spinach, garlic and other dietary sources of magnesium and zinc.
  • Intermittent pauses during sexual intercourse to control ejaculation.
  • Using condoms.
  • Aided masturbation an hour or two before intercourse delays ejaculation.

Start-and-Stop Technique and the Squeeze Method:

The Start-and-Stop and Squeeze method is effective in controlling premature ejaculation:

  • Initiation of sexual excitement that stimulates the male organ.
  • Stopping sexual activities when the male feels imminent ejaculation.
  • The partner grasps the head of the penis where the glans joins the shaft and gently squeezes.
  • When the ejaculation need subsides, the partner stops the squeezing.
  • Resuming intercourse.

Herbal treatment of premature ejaculation

Some herbs aid in treatment or control of premature ejaculation 

  • Asparagus.
  • Hibiscus.
  • Ginger.
  • Ginseng.
  • Ayurveda .
  • Oats.
  • Cinnamon.

Pelvic exercises (Kegel exercises) for treating premature ejaculation

Kegel exercises are one of the main treatments for premature ejaculation. Some steps must be taken to achieve adequate exercises. These steps are:

  • To identify the right muscles, stop urination midstream or tighten the muscle that helps preventing gas passing.
  • When urine flow is controlled, the location of the muscle can be determined accurately.
  • Tighten your pelvic floor muscles and then relax them slowly for 5 to 10 times in three sets and in different times throughout the day.
  • Start exercising in a supine position to prevent cramps.
  • After some weeks increase the duration of the exercise.
  • During the exercise, do not to flex the muscles in your abdomen, thighs or buttocks.

Medical treatment

  • Some antidepressants and local anesthetic ointments may be used to treat premature ejaculation.
  • These drugs have some side effects like nausea, dry mouth and in some cases decreased libido.
  • Ointments and gels can be used on the penile head to decrease friction and delay ejaculation but they may lead to decreasing pleasure and libido.
  • Psychotherapy can help in ceases caused by psychological factors. It is essential for treatment and recovery..

Age and premature ejaculation treatment

Treatment in married adults

Along with previously discussed methods, some tips can help married couple get rid of premature ejaculation:

  • Slow movement during intercourse.
  • Not thinking about premature ejaculation.
  • Adequate foreplay before sexual intercourse.
  • Kegel exercises.
  • Avoiding visual media use as stimulation for males.
  • The Start-and-Stop Technique.

Premature ejaculation treatment in elderly

Previous tips and treatments are the same but some tips must be stressed:

  • Not factoring in the age and thinking about premature ejaculation.
  • Psychological support by the wife.
  • Adherence to prescribed treatment protocols .
  • Kegel exercises .

Premature ejaculation treatment at Dar Elzokora

Advantages of Dar Elzokora

We use the latest technologies and techniques for treatment.

We have achieved marvelous success rates in not only treating the problem but increasing sexual performance and enjoyment for couples as well.

Surgery-free filler injections to treat premature ejaculation.

It is effective for a whole year not only for delaying ejaculation but in increasing the size of the penile head as well

Dr. Osama’s advice for patients with premature ejaculation

Premature ejaculation is only diagnosed in a recurrent and stable sexual intercourse. Masturbation is not indicative of a diagnosis and ejaculation speed differs between masturbation and intercourse:

  • Recurrent intercourse is an effective method for premature ejaculation treatment.
  • Aided masturbation two hours before intercourse delay ejaculation.
  • Discomfort or pain during urination mat be indicative of prostatitis and treating it rids of the problem.
  • Psychotherapy is essential for premature ejaculation caused psychologically.
  • Decrease the use of topical ointments, gel and anesthetics as their interaction with the skin causes allergies and sensitivities.
  • Using anesthetics decreases enjoyment and may lead to flaccidity issues.
  • Ritualistic use of oral pharmaceuticals before intercourse decreases intercourse vitality
  • Pharmaceutical use as a treatment is done under a doctor’s supervision and it include a strict continuous regimen based on the condition and patient needs
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Canary Tower – Gihan Circle – Gamal Abdel Nasser Street – Miami.


Fifth Settlement:

90th Street – CMC Mall – In front of Al-Nassam Hospital.

Sheikh Zayed:

Beverly Hills – Al Nada Clinics, Clinic No. 212, second floor – next to Al Nada Hospital.


Intersection of Banque Misr St. with the new railway under Al-Mawji Radiology.


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