How do you stop premature ejaculation

[russelltonya729]

Managing premature ejaculation can be done in a number of ways, including:

For a few seconds, gently squeeze the base of the penis while pausing stimulation. This is done when you're getting close to max. This helps put off ejaculation.
Do exercises for your kegels: Kegel exercises can help you control your ejaculation by strengthening the muscles in your pelvic floor.
Mindfully Masturbate: Learn your arousal patterns by stroking and stopping before the peak and then starting up again. This makes you more aware and in charge.
Deep breathing: Take slow, deep breaths during contact to calm your excitement and keep your performance going longer.
Use products that calm you down: Over-the-counter creams or sprays can make you less sensitive, which can delay ejaculation.
Communication: Be honest with your partner about your worries. Performance anxiety can be eased with understanding and help.
Try Different Positions: Changing positions that stimulate you less can help you wait to ejaculate.
Get Professional Help: If you keep ejaculating before your time, talk to a doctor or therapist who specializes in sexual health for specific advice and support.

[RJ_in_Pa]

Great post Russell. The act of stopping just before your peak/ejaculating is what some call “Edging”. Getting right to the edge without going over. As a young man, this was very sexy and stimulating. Sometimes having to stop every 10 seconds or so, which could go on for a long time until you can’t stand it any more and let it go. If your partner knows you well enough and can sense where edge is, it is even better. I miss those days!

You can also edge solo.

[sogwap]

I've had ED/PE issues for what seems like forever.

Two years ago I started using Trimix. One of the reasons for Trimix is that you can stay erect even after ejaculation.
With Trimix, I am fully erect in 5-10 minutes and the erection will last for an hour or more. Even after ejaculation.

About a year ago I had a Doppler ultrasound. My urologist confirmed that I have good blood flow and that I don't have Venous Leak.
So I asked what is the cause of my ED? The only answer was psychological, or performance anxiety.

Before using Trimix. I tried all sorts of remedies. Start/stop, sprays, pulling, squeezing, etc
For three years I took a low dose (10mg daily) of Paroxetine (Paxil), Which helped delay ejaculation from 1 minute or less to maybe 3-5 minutes. Which was still too short to satisfy my wife.
I also practiced what I call slow sex. So instead of thrusting. I tried slowing sex down. This helped. But left my wife frustrated often telling me she couldn't feel anything.

Seems the only thing that worked was Trimix. Trimix doesn't stop the ejaculation, But it does allow me to stay erect and continue sex even after ejaculation. However, I have to be very careful. Since my wife claims I lose my mojo. So now when we have sex, I have a silent ejaculation. After which I actually feel energized and can continue the sex with more vigor. Now often when she has her's it feels to me like I can then have another dry orgasm.

PS Two things I have not tried.
First is to take a higher dose (30 mg) of Paroxetine 2-3 hours before sex. I've never tried this since it's almost impossible to plan sex. Also, I would note I no longer take Paroxetine.
The second is to take my beta blocker 30 minutes before having sex. Normally I take it in the morning. But a couple of times I took it before bedtime and was unable to ejaculate. Whether this was coincidental (meaning something else was going on) or if it indeed caused delayed ejaculation I don't really know.

[ronnyCam]

Great post! Your recommendations are very valuable. I'd like to add a few thoughts and additional suggestions:

Stop-Start Technique: This method is similar to the squeezing technique you mentioned, but instead of squeezing, you simply stop stimulation for a few seconds when you feel you're about to peak, then start again. This can help you gain better control over the process.

Psychological Aspects: Often, premature ejaculation is related to psychological factors like stress or anxiety. Relaxation practices such as meditation or yoga can be very beneficial.

Medications: In some cases, discussing medication with a doctor might be helpful. Possible treatments include:
Dapoxetine: This is a selective serotonin reuptake inhibitor (SSRI) specifically designed for treating premature ejaculation.
Antidepressants: Some antidepressants, like paroxetine or sertraline, can also help delay ejaculation.
Topical Anesthetics: Creams or sprays containing lidocaine or prilocaine can reduce sensitivity and prolong ejaculation time.

Physical Activity: Regular exercise, especially those that strengthen the pelvic floor muscles like Kegels, can significantly improve control over ejaculation.

Your recommendations are indeed comprehensive and practical. I hope they help many people manage this issue effectively!