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How To Fix Premature Ejaculation

Mon, 11/28/2016 - 21:27 / By Andrew Rynne

How To Fix Premature Ejaculation

DEFINITION. Before going into how to fix premature ejaculation (PE) it might be no harm to attempt to define it first. But this is not as easy as it may sound. Because, believe it or not, there is still no agreed definition of what exactly constitutes premature ejaculation.

Both the International Society for Sexual Medicine and the International Classification of Diseases has come up with definitions that seem to imply the use of a stop watch as a diagnostic tool!

The former says PE is ejaculating in less that one minute of commencing intercourse WHILE the latter gives the man less than 15 seconds to qualify for a PE badge.

Using time alone as the single criteria for defining premature ejaculation seems to me to be missing the point. My working definition for what its worth is that premature ejaculation is:

“The continuous inability to control the timing of ejaculation such that the sexual needs of either party engaged in sexual activity is not being met.”

In practice however, I believe a man has premature ejaculation when he tells me he has it. If he perceives his timing to ejaculation as problematic then that's good enough for me.


How to fix premature ejaculation might be a challenge but it is one that we can really help you with and we are here for you.

Premature Ejaculation can we fixed in the following ways:

premature-ejactulation-icon-2 Behaviour Modification

This requires practice and may benefit from the help of a Sex Councillor. Basically it is about learning to recognize your point of no return when you know that if sexual stimulation continues beyond that point that you will ejaculate. At that precise point you discontinue all stimulation and let things settle down before starting again. A lot of men tell me that they are unable to do this and I have to respect the validity of their point of view.

premature-ejactulation-icon-2 Topical Anesthetics

These come in creams or gels such as Emla or Promescent. Clinical studies have shown these to be effective. Exactly where the gel is applied is crucial and I can help you with this if you wish. Or have a look at this excellent video:


premature-ejactulation-icon-2 The SSRI group of drugs.

These too are very effective in showing down ejaculation. They are not without side effects of course but often the benefit/risk ratio makes sense. In my practice I reserve the use of SSRI for those couples who can't start a family because of premature ejaculation.


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