Contributions by Dr. Nikki Goldstein & Jacqui Zyl

Dr. Nikki Goldstein

Advisor

Australia’s modern-day expert on all things relating to sex and relationships. Voted Australia’s Best Sex Educator in 2013 & 2014. Appears regularly on television and is a regular contributor to a string of popular publications and radio shows.

Jacqui Zyl

Author

Jacqui is an experienced health writer with an academic background in pharmacology and marketing. Jacqui aims to make complex science accessible to consumers and to help people become empowered owners of their health.

Welcome to your essential guide for premature ejaculation. We want to acknowledge – early on in the piece – that if you’re more like 30-Second Man than 10-Minute Man, you’re far from alone. In fact, premature ejaculation is the most common sexual problem to affect men1, it’s just that blokes don’t talk about it much because… well… it’s embarrassing.

But it’s time push through the taboo surrounding it and open up the conversation.

If you want to last longer in bed, and help kill the shame and embarrassment that goes with premature ejaculation, it’s time to understand it better and learn what the most effective treatment options are.

So, let’s get started.

Chapter 1

Understanding Premature Ejaculation

In this chapter we define premature ejaculation, so you can determine if it’s really something you need to be concerned about.

We also provide some useful background information and stats and look at the psychological impacts.

Key takeaways:

  • Premature ejaculation is the most common sexual problem to affect men. About 1 in 3 men experience it.
  • By definition, if you repeatedly come less than 1-minute after penetration and it’s causing you distress, then you have premature ejaculation.
  • There are two main types of premature ejaculation, both of which are treatable.

5 minute read

It used to be survival of the fastest…but not anymore

Back in the day, hundreds of years ago, ejaculating quickly wasn’t considered a problem. In fact, it used to be something men would strive for.

The male who blew his load fast during sex would be considered the superior one because he could impregnate a female faster, which allowed him to have sex with more females and father more children.

That meant he would win the ‘sperm wars’ and earn his place as head of his tribe.

If you think about it, cavemen weren’t exactly retreating to a cosy bedroom to have sex. They were doing the deed outdoors where animal predators could easily have had them for lunch. So, risk and anxiety made the male want to ejaculate as fast as possible in order to escape danger.

It was literally survival of the fastest.

In those times, there was little to no awareness of the female orgasm, so climaxing quickly wasn’t really an issue for either party.

Fast-forward to the age of Homo Sapiens (modern humans), along with the discovery of the female orgasm, and this whole idea has flipped on its head.

As humans, we now prolong sex purely for pleasure and can generally ‘get busy’ in the safety of our homes without fearing attack by an animal predator. That means quick ejaculation has become more of a disappointment than a benefit.

But how quick is considered too quick?

Defining premature ejaculation

It’s tough to define because there’s no clear time when a man is supposed to ejaculate during sex.

One man might think he has premature ejaculation because he can’t last for 2 hours, whereas another man might think he has delayed ejaculation because it tagelss him 15-minutes to come.

It depends on your partner too. If they don’t need long to feel satisfied with sex, you may not care how long you last. But if your partner wants hours of sex, you may be frustrated at your inability to hold back.

So, it’s all a matter of perspective.

What is the average time of ejaculation?

It varies in the research, but one 2005 study found the average time taken for a man to ejaculate during intercourse was around 5.5 minutes.2

Another 2008 study asked Canadian and American sex therapists what they perceived to be the ‘normal’ time for a man to climax after penetration and they settled on 3-13 minutes.3

That doesn’t mean you’re abnormal if you last more or less time – these numbers are just a guide.

What is the average time of premature ejaculation?

The medical definition, and the guide most doctors use to diagnose premature ejaculation, is: 4

Ejaculating always or nearly always within 1-minute of penetration

AND

Being unable to delay ejaculation during sex all or nearly all of the time

AND

Feeling bothered and frustrated by this and avoiding sex and intimacy as a result

In severe cases, ejaculation can happen before penetration even begins.5

Experiencing premature ejaculation occasionally is normal and nothing to be concerned about. However, if it happens during more than half of your sexual encounters – i.e. you last less than 1-minute most of the time or you have trouble delaying ejaculation – you may want to talk to a doctor and consider treatment options.

There are different types of premature ejaculation

Although the stereotype of premature ejaculation tends to be Jim Levenstein from American Pie – a horny teenager who can’t help but cream his pants at the sight of a hot exchange student – that’s pretty far from the truth.

Premature ejaculation can affect both young and old men and can start early or later in life.

There are two main types:

Type 1: Lifelong premature ejaculation

Starts from a man’s first sexual experience and can continue throughout life if left untreated.1 It may get a bit better with age, but that’s likely because the body is getting older rather than the premature ejaculation improving.6

Type 2: Acquired premature ejaculation

Occurs in men who have previously had normal ejaculation times before their premature ejaculation started. It can begin at any time in a man’s life7 and is often linked to relationship troubles, stress, or erectile dysfunction.1

There are also two further types of premature ejaculation that are not really considered disorders according to the medical definition:

Type 3: Variable premature ejaculation

Where ejaculation time is inconsistent and unpredictable – sometimes it’s quick and sometimes it takes longer.8 It might be because the guy is with a new partner, in a new sexual situation, or he just hasn’t had sex in a while.

Type 4: Subjective premature ejaculation

When a man complains of having premature ejaculation, when in reality, he has a normal or even extended ejaculation time.8

If you’re experiencing one of the first two types, you’re in good company, according to the stats.

  • Premature ejaculation is the most common sexual problem to affect men,1 even more than erectile dysfunction
  • Worldwide, about 30% of men experience premature ejaculation9
  • Almost 24% of Australian men say they orgasm too quickly10
  • Premature ejaculation is likely to be underreported and undertreated, so the number of men who actually suffer is probably higher11
  • After puberty, any man can suffer from premature ejaculation, but it’s more common in young men1
  • The risk of premature ejaculation decreases with age12
  • Higher levels of education, divorce and the presence of social phobia appear to increase the risk of premature ejaculation12

Having premature ejaculation can really get you down

If you're always arriving early in your 20s or 30s, you are probably worried. You’re supposed to be having the best sex of your life, right? What if these years pass by and you never get to experience that kind of fulfilment?

You might feel embarrassed or ashamed and find it hard to discuss with your partner, loved ones, or even your doctor. It can feel like a huge blow to your manhood.

Furthermore, it can contribute to – or worsen – depression and anxiety and also negatively affect your relationship. That’s the dark side of premature ejaculation.

Is premature ejaculation permanent?

The good news is that there is nothing broken about you or your penis. Ejaculating quickly is not an insurmountable problem and there are several ways you can manage it if you’re willing to talk about it and consider treatment options.

Remember, despite your fears, partners can be understanding and will often be happy to work with you to overcome your challenge or find ways to enjoy sex despite it.

Don’t suffer in silence. As hard as it might be to address your premature ejaculation problem with your partner or even a doctor, talking about it is the key to overcoming it.

Chapter 2

The Causes of Premature Ejaculation

Here, we look at the possible causes of premature ejaculation, including the psychological and physical causes. After reading this chapter you’ll understand why it’s not always a straightforward diagnosis.

Key takeaway:

  • Your mental state can affect how long you can last in the bedroom. Performance anxiety, stress, depression and relationship problems are all contributing factors.
  • Physical issues can also be to blame, such as low serotonin levels in the brain.

3 minute read

What is the main cause of premature ejaculation?

You might have heard that masturbating quickly in adolescence or not having sex very often are a few causes, but it’s not quite that simple.

The truth is that the causes are varied and they’re hotly debated amongst doctors and sex therapists, mainly because defining it is so hard (as we explained above).

Most commonly, it is thought to be a psychological or physical thing and can be made worse when you engage in alcohol and drug taking.

Psychological causes

What’s going on between your ears affects how your penis can perform on so many levels.

So, let’s break it down.

Performance anxiety

Ever worried about not being able to keep your boner long enough during sex? Or looked down and been disappointed about the size of your willy?

What about wondering whether your new partner finds you attractive enough? Or perhaps you’ve learnt to associate guilt with sex so you’re in the habit of rushing to climax?

Whatever your concern, if you’re constantly having negative thoughts about your penis, your body, or anything to do with sex, it could be affecting how long you’re lasting in bed.

This vicious cycle of negative thinking and worry is known as performance anxiety and is thought to be one of the main causes of premature ejaculation – especially acquired premature ejaculation.1

In the case of lifelong premature ejaculation, it can actually be the other way around, where the performance anxiety is as a result of the premature ejaculation.1 That means your previous experiences of coming early or losing your stiffy have created fear around it happening again, which then makes it happen again.

Frustration to the max!

We offer some useful advice for managing performance anxiety in chapters 3 and 4.

Stress

Stress and anxiety are closely linked, and stress can trigger anxiety.14 As most of you would know, being stressed at work, for example, can cause worrisome thoughts that spill over into your private life.

Yep, your boss has essentially entered your bedroom – Arghhh!

This kind of stress can cause your mind to be elsewhere during sex, causing you to blow your load early or maybe lose your hard on.

One theory is that anxiety activates the sympathetic nervous system (the one that is responsible for activating the fight or flight response) which in turn reduces the ejaculatory threshold.8 That’s the amount of stimulation you need before reaching your ‘point of no return’ (when you can no longer hold back an orgasm).

Another theory is that high levels of anxiety about performing well enough in bed can distract you from monitoring and being in control of your level of arousal, resulting in premature ejaculation.8

Whatever the cause, if the stress and anxiety is chronic and is starting to affect your sex life in the long term, it needs to be managed.

Depression

No, this doesn’t mean your dick is sad, but you might be…

When it comes to depression and premature ejaculation, it’s a bit of a chicken and egg situation. Studies show that depression can contribute to premature ejaculation, and premature ejaculation can also make depression worse.8

The underlying reason is not completely understood, but research shows that medical treatments for depression can improve premature ejaculation symptoms. That’s why some treatments for depression are used to manage premature ejaculation as well.

Relationship problems

Unless you’re the type who thrives on make-up sex – and let’s face it, that’s more likely to happen in the early days of a relationship – then any kind of tension between you and your partner can put a strain on your sex life. This can translate to problems, including premature ejaculation and erectile dysfunction.

On the flipside, relationship problems can start because of premature ejaculation.16

If you’ve had satisfying sexual relationships with other partners in the past where premature ejaculation wasn’t a concern, it's possible that issues between you and your current partner could be causing the premature ejaculation.17 In this instance, resolving the issues is likely to help.

If, on the other hand, your partner is having trouble accepting your existing premature ejaculation and it’s causing a rift between you, it might be time to seek professional help.

Erectile dysfunction

If you experience this, the last thing you want to have is premature ejaculation as well. It’s like losing the same game twice.

Unfortunately, though, they’re often linked.

The reason may be because a guy needs extra intense stimulation to maintain his erection, which then triggers his early arrival. Or, it may be that he’s trained himself to come quickly because he’s afraid of losing his hard on.1

Furthermore, he might be experiencing performance anxiety about the erectile dysfunction, which only makes him come even faster!12

It’s complicated, but if the problems started with erectile dysfunction, then often treating that first resolves the premature ejaculation issue.18

Physical causes

Sometimes your anxious thoughts or your nagging girlfriend aren’t to blame, but there’s actually a physical issue at play.

For men with lifelong premature ejaculation, it could be:5,19,20

  • Low serotonin levels in the brain. Men with first-degree relatives (such as a father) who suffer from this are more likely to have it themselves
  • Increased sensitivity of the penis and a lower ejaculatory threshold

For men with acquired premature ejaculation, it could be:21,22,23,24

  • Inflammation and infection in the prostate or urethra (the tube that allows urine to pass out of the body)
  • Injury to the pelvic region
  • Injury to the nervous system
  • Abnormal levels of certain hormones, such as too much testosterone or low thyroid levels
  • Side effects from certain medications

It will take a visit to the doctor to diagnose this, so yes, you will have to swallow your embarrassment and get it checked out.

Alcohol and drugs

Booze and party drugs make you feel good, and they might even help big willy last longer in the sack. But there’s actually a tipping point after which they can start to ruin your sex life.

Alcohol is a depressant, and heavy use can dampen mood, decrease sexual desire, and make it difficult to get erections or reach orgasm while under the influence. The more you drink the worse it gets.

So, if you think your premature ejaculation is a problem now, then drowning your problem in alcohol can result in no nooky at all. Probably not your original plan.

Then there’s recreational drugs such as ecstasy (MDMA) and cocaine. These may serve to delay ejaculation in the short term (and are often used for that very reason), but overuse and long-term use can make premature ejaculation worse.24

Warning

Do not use recreational drugs to manage your PE!

Chapter 3

Natural & Home Treatments for Premature Ejaculation

In this chapter, we describe a variety of natural treatment options that you can do in the privacy of your home. They’re particularly good for men experiencing acquired premature ejaculation related to performance anxiety.

Try some out and see what works best for you.

Key takeaway:

  • Premature ejaculation can often be managed with some simple behavioural and lifestyle changes.
  • Talking about your issue with your partner can actually help ease the shame and embarrassment of it.

5 minute read

Unlike you, we’re not here to disappoint. ;)

Depending on what type of premature ejaculation you have, there are different ways to prevent and manage it.

If you have acquired premature ejaculation, these natural and home treatments might be enough on their own. Alternatively, or you may need to combine them with medical or psychological treatments for greater effectiveness. We’ll address these a bit further down.

Talk about the elephant in the room

You know you have premature ejaculation and so does your partner, but it’s the one topic you avoid like the plague.

Well, it’s time to man up and speak up.

Being able to name what is happening to you and having your partner respond in a loving and kind way can get you out of the web of worries about whether you are going to last or not. You might even find that your partner doesn’t care as much as you do about how long you last.26

Studies have shown that couples who communicate openly and honestly about any kind of sexual dysfunction have the best chance of dealing with the issue effectively.27 Furthermore, talking about sex in general with your partner can serve to enhance your sex life.

But what if you’re single?

Talking about premature ejaculation with casual partners is super embarrassing, but there are ways you can turn an awkward situation into a positive one.

Responding to premature ejaculation with a new partner

Picture this: You’re on a hot date and the connection between you is great. The flirting begins and things get a bit physical. One thing leads to another and before you know it, you’re both in bed, naked and aroused.

You’re so turned on that foreplay is all you need to get to your max arousal level. When the action starts, it’s all over (for you) in 10 seconds.

There’s an awkward silence and you see a mixed look on your new partner’s face. What do you do?

  1. Feel ashamed, apologise, and find a phony excuse like “I’m really tired.”
  2. Keep kissing and caressing them, tell them how much of turn-on they are, and continue to stimulate them.

If you go with number 2, chances are they will be more aroused knowing the effect they’ve had on you and admire your confidence in a situation when most men would lose theirs.

Confidence is a huge turn on and is likely to keep your partner aroused. A distant and ashamed response to your awkward premature ejaculation moment will likely kill the momentum.

Stress less

During sex, it feels great to be in control and fully immersed in the moment, but stress can rob you of that great feeling.

If that’s you and you’re starting to experience premature ejaculation or erectile dysfunction when you never used to, then it’s time to take back control.

Meditation, breathing exercises and yoga can help relax the nervous system and can increase mindfulness and awareness in the moment.28 Even 10 minutes a day can make a difference to your mindset and your libido, which can in turn help with premature ejaculation.

Focusing on the breath has the additional benefit of distracting your thoughts. By thinking about your breathing more, you’re thinking less about sex, which can decrease arousal and allow you to last longer.

Also, small studies have shown that yoga can prolong the intravaginal ejaculation latency time – a fancy way of saying the time it takes you to come after penetration.29

Eat well, move well, sleep well, repeat

If you don’t like the man in the mirror because he’s carrying a bit of a spare tyre (and maybe even some man boobs), then it’s time for some lifestyle changes.

Research shows that overall poor health increases a man’s risk for sexual dysfunction, including premature ejaculation.30

Being overweight can cause you to lose sexual confidence, which can contribute to performance anxiety.

Schedule time in your week for regular exercise. Working up a sweat will cause the release of hormones and trigger physiological reactions that boost libido. Additionally, the emotional awareness of being healthy and fit gives you a better outlook on life and translates into a better sex life overall.28

Make sure you’re getting 7-9 hours of sleep each night because it reduces stress and keeps the immune system healthy.28

Lastly, ditch those burgers and chips and replace them with nutritious whole foods (minimally processed or unprocessed foods) that give your body the fuel it actually needs.

In particular, include foods that are rich in zinc and magnesium such as beef, lamb, oysters, yoghurt, spinach, almonds, pumpkin seeds, soy beans and dark chocolate.

Zinc and Magnesium are your friends

Research has found a link between zinc deficiency and sexual dysfunction in men, so ensuring you get enough zinc in your diet – or using supplements if you don’t – may improve ejaculation time.31

Magnesium may also play a role: One study found that men with premature ejaculation tend to have lower levels of magnesium in their semen.32

Try natural medicines

These have a poor evidence base compared to other types of medical treatments, but they might be worth trying if prescription medicines aren’t your thing.

Recent research33 published in Sexual Medicine compared the benefits of acupuncture, Chinese herbal medicine and Ayurvedic (Indian) herbal medicine for treating premature ejaculation.

Acupuncture was found to slightly increase the time it takes to ejaculate after penetration by about half a minute compared to placebo.

Chinese herbal medicine increased the ejaculation time after penetration by about 2 minutes, and Ayurvedic herbal medicine increased the time by nearly 1 minute.

Small gains, but gains nonetheless!

Remember: Just because something is natural, doesn’t mean it comes without side effects. Also, if you are taking any other medications, it’s worth checking with your doctor about possible drug interactions.

Behavioural changes, tips and tricks

These can work wonders either on their own or when combined with other medical or psychological treatments.

Do Kegels (pelvic floor exercises)

Kegels aren’t just for pregnant women, they’re for guys like you too!

Strengthening your pelvic floor muscles can have a surprisingly big impact on your ability to hold off a climax.

A 2014 Therapeutic Advances in Urology study34 discovered that in a group of men with lifelong premature ejaculation, the pelvic floor exercises led to an improvement in body and pelvic floor awareness, which helped them improve their self-confidence and sense of control of their ejaculatory reflex.

Your pelvic floor muscles are the ones you use to stop yourself from weeing or passing gas. You can strengthen them by clenching and holding for three seconds. Do this 10 times then rest for a while. Perform this routine three times per day. Gradually increase how long you hold the clench and practice doing it while lying down, sitting, standing and walking.

Use the ‘stop-start’ technique

This method is also called edging. It’s when you have sex until you’re close to orgasm, then stop and cool off for a while. It’ll help you recognise where your ‘point of no return’ is in order to learn to control the sensations prior to ejaculation.35

During your break, it’s a great opportunity to focus on your partner for a bit to ensure they’re having a satisfying sexual experience as well.

Pause and squeeze

Sounds like a yoga teacher’s exercise instruction, but it’s actually for your penis.

When you feel the urge to ejaculate, stop having sex and squeeze the end of your penis just beneath the head. Hold for several seconds until your body no longer wants to climax. You (or your partner) can repeat this as much as necessary. It also helps train you to hold back.

Get the first one out of the way

This is one of the easiest ways to cope with premature ejaculation. Just let your climax happen, laugh it off with your partner, and gear up for round two. Most partners don’t care that much anyway.

Every guy has a refractory period (the period of time after he climaxes) before he can finish again. It’s a perfect opportunity to focus on your partner’s experience for a little bit. Once you’re ready for another go, it will take you substantially longer to climax again.

The best part about this approach is that there’s no anxiety. There’s no holding back or squeezing your muscles or using condoms. You get maximum enjoyment out of sex. And who knows? Taking pressure out of the situation may be just what you need to hold off that first orgasm.

Masturbate before sex

This is similar to the ‘get the first one out of the way’ approach, but you do it alone. If you’re worried that you’ll finish too quickly in the bedroom, handle your business by yourself before sex. The release will make you less likely to orgasm quickly during penetrative or oral sex. 

Masturbate less overall

This may seem to run counter to our last strategy, but hear us out.

Like most guys, you probably rush right to the end when you masturbate. There’s no one else to please, so why wait, right? But this can train your body to reach the finish line as fast as possible.  

If you limit your climaxes to only the sex you have with your partner, you may grow accustomed to the slow climb toward orgasm. This will teach you to enjoy the whole experience, rather than the final moment. 

Avoid penetrative sex

When you think sex, you probably think penetration, but that’s not all sex is about. There are so many ways to get sexual pleasure, such as massages, touching each other, manual masturbation (using fingers, hands, tongue or other part of the body), taking a bath together or even using sex gadgets.  

Have a conversation with your partner about your premature ejaculation and agree to avoid penetrative sex for a while. Focus on other kinds of sexual acts that don’t cause you to climax quickly. This can help you relax and worry less about your impending orgasm.

Understand how to bring a woman to orgasm

Despite what you may think, extended intercourse is not actually what brings a woman to orgasm.  

What?!  

We know that’s why most of you think you need to last longer in bed, but research consistently shows that only around 25% of women reliably have orgasms during intercourse, no matter how long it lasts.36  

It’s not actually the vagina that triggers orgasms in women, but the clitoris. For the clueless guys out there, that’s the little bump outside the vagina an inch or two above it beneath the top junction of the vaginal lips.  

One Belgian study showed that when men use their hands, tongues, and/or vibrators to help women to orgasm, few women care how long men last.36  

So maybe you just need to understand how to press your partner’s buttons better?  

Use a thick condom and/or more lube

Condoms are tough for some guys because they limit sensitivity, but that’s actually a bonus if you struggle with premature ejaculation. Wearing a condom can lighten the experience enough for you to last longer before finishing. The thicker the condom the better.17 But don’t double bag (use one condom over another) as it can break the condom.37  

Another useful trick is to use more lube. It’ll reduce friction, which may help you last longer.  

Change things up

Changing sexual positions not only keeps things exciting in the bedroom but it also interrupts intercourse and can allow the sensitivity of your penis to be reduced for a short time.

Different positions can also mean your penis experiences more or less sensitivity. For example, the missionary position can result in greater sensitivity, whereas the female on top can help a guy last longer.  

Test other positions out and see which work best for you in terms of reducing sensitivity.  

Watch less porn

We know, watching porn is pretty fun. We all do it, and since high-speed internet came into existence, we’re able to do it even more. In fact, it’s so accessible now, that it’s possible to overdo it and rewire our brains as a result.

According to research, porn consumption increases dopamine production in the brain – similar to addictive drugs. If we have too much of it, it can cause faster ejaculations.38

Also, many guys masturbate to porn just to ‘get off’ in the shortest time possible or because they’re worried about being caught.

PornHub, the world’s largest porn site, says more than half of its largely male audience spends less than five minutes per visit. Ejaculating quickly to porn trains your brain to ejaculate faster in any sexual situation.33

Porn can also cause you to have unrealistic expectations of sex, which means you can have trouble getting turned on when you’re with a partner because regular sex seems boring in comparison.

So, if you think porn is part of your issue, it’s time to break the habit.

Positive change won’t happen overnight, especially if you’ve been watching it consistently for a long time, but you will begin to notice a difference the longer you abstain from it.

Need some support? Our online psychologists can help.

Chapter 4

Psychological Treatments for Premature Ejaculation

If your premature ejaculation is mainly due to performance anxiety, stress, or relationship issues, this chapter will discuss some different therapy options.

Key takeaways:

  • Sex therapy, couples counselling and mindfulness meditation can all help get to the bottom of psychologically-rooted premature ejaculation.

2 minute read

Sex therapy

These two words might make you picture candles, blindfolds and soft music, but that’s just woo woo stuff you see in the movies.

Sex therapy is actually a specialised type of psychotherapy. It’s provided by licensed psychologists who have advanced training in issues related to sexual and relationship health.

What happens in sex therapy?

As a client, you’ll meet in the therapist’s office – or online – either alone or with your partner.

It’s normal to feel anxious at first, especially if you have trouble talking about sex in general, but your therapist should make you feel comfortable.

During the sessions, your therapist will want to understand what factors are impacting on your sex life. These might include lack of confidence, having kids, illness, disability or previous negative sexual experiences. They will then work with you to resolve these issues.

Chances are you’ll also get ‘assignments’ to do at home, such as trying some of the behavioural techniques described above or working on communication strategies with your partner.

Importantly, everyone will be keeping their clothes on! The therapist will not have sexual relations with anyone or show anyone how to have sex.

Phew!

Want to engage in therapy? Our Mosh psychologists can help.

Couples counselling

We can already hear you saying “no way”, but put the stigma aside for a moment and hear us out.

A lot of blokes can have a hard time communicating, which can lead to relationship problems such as a lack of intimacy. If things get bad, it can trigger other sexual issues such as premature ejaculation or erectile dysfunction.

A couples counsellor usually focuses on assisting couples to build better communication and strengthen their relationship. They often work with issues of betrayal, infidelity, and pre-marital counselling – sex may not be discussed at all.

You might be surprised at the difference open and honest communication with your partner can make to your sex life.

Our Mosh psychologists can help.

Mindfulness meditation

Ideally, we should all be mindful during sex, but often our minds can wander – from playing porn films in our brains, worrying about how we’re performing in bed, thinking about work, or wondering what our butt looks like.

So how can you bring your attention back?

Start a mindfulness meditation practice.

Mindfulness involves the building of a body-mind connection. It’s an understanding of sensations and emotions, as they are experienced within the body. It’s a focus on the present, rather than the future or the past.

Men who are dealing with premature ejaculation can’t always identify the sensation that tells them that they’re reaching a point of no return. However, with mindfulness, they may be better able to identify it and control it.

A mindfulness practice can also help you unpack the negative meaning you have attached to sex because of your premature ejaculation.

For example, if you’ve had multiple negative experiences linked to premature ejaculation, you may have developed a story in your head that says you are unworthy of sex and love until you overcome this problem. Mindfulness can help to separate these thought links.

How do you practice mindfulness meditation?

There are lots of apps to help get you started, but it’s quite simple to do on your own.

Simply sit still in your chair for 10-20 minutes each day. During this time, close your eyes and guide your attention to different locations in your body and ask yourself “what do I feel?” Always focus on the sensations themselves, not the story behind the sensations. If your mind wanders, gently guide it back.

After a few weeks of flexing your mindfulness muscle, start incorporating that skill into sex and ask yourself the same questions: "What do I feel? Where do I feel it? Can I pay close enough attention to detect subtle changes in those sensations?"

Over time, you’ll learn to identify the sensation related to the sexual stimulation before you orgasm and be better able to control it.

Chapter 5

Medical Treatments for Premature Ejaculation

If the natural and at home treatments aren’t quite enough, you may need to take it up a notch.

Here, we discuss some medical options.

Key takeaway:

  • There are safe and effective medications available from a doctor to help manage your premature ejaculation.

1 minute read

Is there a cure for premature ejaculation?

This is the hot question, and the answer depends on what’s causing it.

Lifelong premature ejaculation cannot be cured, but can be managed with psychological and/or medical treatment in 75% of cases.20

For acquired premature ejaculation, it’s possible to get rid of or manage the issue by treating the underlying causes. Treatment will of course depend on the cause.

Anaesthetic spray or cream

This is a really easy-to-use, at-home treatment that works by reducing the sensitivity of the skin on the penis.

The main ingredients are usually lidocaine and/or prilocaine – two types of anaesthetics.

One study published in the urology journal BJU International showed that men with premature ejaculation who used the anaesthetic spray lasted on average 2.4 times longer than those who didn’t use it.

You simply apply the spray or cream 10-20 minutes before sex. You may also want to put a condom on top during sex to prevent the spray/cream being absorbed by your partner.

For more long-lasting results, it’s best to combine this treatment with psychological therapy and some of the behavioural tips and tricks we mentioned above.

Anaesthetic sprays or creams are available without a prescription and can be ordered discreetly through Mosh.

Some other medications we can’t mention

Australian law prevents us from mentioning certain medications until you’ve spoken to a doctor, so our lips are sealed.

What we can say, though, is there are clinically proven ways to manage both primary and secondary premature ejaculation with medicines, if needed.

Curious? Arrange a discreet online consultation with a medical practitioner to determine if this is an option for you.

Remember: All medications can have side effects. It’s important to understand these and discuss them with the doctor before using any medication.

Chapter 6

Next steps

This is the bit where we give ourselves a plug, because, well, we think we’re worth it and we’re sure you’ll think the same if you decide to come on board.

Key takeaway:

  • Mosh is here to help. We’ll get you a doctor- or psychologist-tailored treatment plan to manage your premature ejaculation. No strings attached.

1 minute read

With our help, you can get a doctor- or psychologist-tailored treatment plan to manage your premature ejaculation. We’ll tailor treatment to meet your budget and needs, and ship it to your door discreetly every 3 months. That makes us affordable and predictable.

The Mosh process

1. Chat

Start by answering some questions (in 2 minutes) about your current hair loss condition and your overall health to determine your options. Yeah, we know, but it’s important!

2. Assess

Your doctor will review your answers to determine the best hair loss treatment for you. This may include a secure video chat explaining hair loss and the best hair treatment for men.

3. Treat

If you’re a good fit for Mosh, our partner pharmacy will prepare the hair loss treatment and deliver your parcel discreetly to your door for free.

Why we’re different

  • No long-term contracts – We’re confident in our products our service and we think you’ll be happy with the results and want us to continue to help. If you aren’t happy, stop any time. It’s that simple.
  • Discreet, online consultations at times that suits you – our doctors and nurses can evaluate your situation and treatment program without meeting in-person. They also available from 8am-6pm every day of the year and afterhours are an option too, so you don’t have to disrupt your work day.
  • Custom, comprehensive treatment plans – Every person is different so their treatment plans should be too.
  • Continuing support at no additional cost – Your treatment plan includes nurse follow-ups, educational support material, and ongoing medical support at no extra cost.
  • Privacy and discretion – Not only can your consultations be done in the privacy of your home, but your treatments will be delivered to your door every three months in discreet, unmarked packaging.
  • Fast delivery and tracking – We offer guaranteed next-day delivery and online order tracking.
  • Pause deliveries anytime – If you’re going away or want to take a break from your orders, you can pause them anytime. There is no need to cancel altogether.

This information is not intended to be a substitute for professional medical advice, diagnosis, or treatment. It should never be relied upon for specific medical advice. If you have any questions or concerns, please talk to your doctor.

References

  1. https://www.healthymale.org.au/files/resources/premature_ejaculation_fact_sheet_healthy_male_2019.pdf
  2. https://www.ncbi.nlm.nih.gov/pubmed/16422843
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  4. https://www.mayoclinic.org/diseases-conditions/premature-ejaculation/symptoms-causes/syc-20354900
  5. https://www.betterhealth.vic.gov.au/health/healthyliving/premature-ejaculation
  6. http://thechart.blogs.cnn.com/2010/10/28/men-and-sex-survival-of-the-quickest/
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  22. https://www.msdmanuals.com/en-au/home/men-s-health-issues/sexual-dysfunction-in-men/premature-ejaculation
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  25. https://drugabuse.com/is-alcohol-wreaking-havoc-on-your-sexual-performance/
  26. https://blogs.psychcentral.com/sex-talk/2018/07/tips-for-men-struggling-with-premature-ejaculation/
  27. https://www.bostonmedicalgroup.com/premature-ejaculation/talking-with-your-partner/
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