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Best Treatments for Premature Ejaculation and How They Work

A premature ejaculation is a common condition among men, characterised by the inability to control ejaculation, which occurs before or shortly after penetration. This dysfunction can have an emotional impact, affect self-esteem and jeopardise the quality of relationships. Fortunately, there are various strategies and treatments for premature ejaculation that can help control this condition and improve your sex life.

How Premature Ejaculation is diagnosed

The diagnosis of premature ejaculation should be carried out by a qualified health professional, based on the patient's clinical history and description of symptoms. Normally, the frequency of occurrence, the ejaculatory latency time and the psychological impact of the condition are assessed. In some cases, it may be necessary to rule out other medical causes that could be associated with the dysfunction, such as hormonal changes or neurological problems. With an accurate diagnosis, it is possible to define the treatments for premature ejaculation most appropriate for each case.

Treatments for Premature Ejaculation

Treatment for premature ejaculation can involve behavioural approaches, psychological therapies and medical options. Choosing the best strategy depends on the individual needs of each patient.

Discover the Best Treatments for Premature Ejaculation at Médico Na Net

Behavioural Therapy

Behavioural techniques are often recommended as a first step in the treatment of premature ejaculation. Some of the most commonly used include:

  • Start-Stop techniqueIt consists of interrupting sexual stimulation before ejaculation and resuming after a few seconds, helping to increase control time.
  • Compression TechniqueIt involves pressing lightly on the base of the penis before ejaculation to reduce arousal and prolong the time to climax.
  • Previous masturbationSome men find benefits in masturbating a few hours before sex, reducing sensitivity and prolonging the act.

Psychological Therapy and Anxiety Reduction

Anxiety and stress play a key role in premature ejaculation. Cognitive-behavioural therapy can help patients manage anxiety related to sexual performance. Relaxation exercises, such as meditation and controlled breathing, can also be useful for reducing tension and increasing control over the sexual response.

Pelvic Floor Exercises

Strengthening the pelvic floor muscles can significantly improve ejaculatory control. Kegel exercises, which consist of repeatedly contracting and relaxing the muscles of the perineum, help to strengthen these muscles and delay ejaculation.

Use of Desensitisation Methods

To reduce the sensitivity of the penis and increase the time until ejaculation, approaches such as:

  • Increased Thickness CondomsReduce direct stimulation during sexual intercourse.
  • Desensitising gels or creamsApplied topically, they help to reduce sensitivity and prolong ejaculatory latency time.

Oral treatment

Another effective approach to treating premature ejaculation is the use of oral medication. These substances act on the central nervous system, prolonging the time until ejaculation. Clinical studies have shown that this type of treatment can significantly increase ejaculatory latency time, offering efficacy rates of more than 60% to 70% of cases.

In addition to their proven efficacy, oral treatments are generally well tolerated by patients and have a favourable safety profile. However, it is essential that they are prescribed by a healthcare professional, ensuring that the right dose and regime is chosen for each individual.

Lifestyle Changes

Healthy habits can have a positive impact on sexual performance. Some strategies include:

  • Regular physical activity improves circulation and reduces stress.
  • Adopt a balanced diet, avoiding excessive consumption of alcohol and tobacco.
  • Improve sleep quality, as fatigue can worsen the symptoms of premature ejaculation.

Seeking Medical Help is Essential in Treating Premature Ejaculation

Many men avoid seeking medical help because they are embarrassed or uncomfortable talking about the condition. However, premature ejaculation is a treatable problem, and the sooner it is addressed, the better the results. A consultation with a health professional will help you get a proper diagnosis and find the most effective treatment for each case.

In Doctor on the NetWe offer specialised online consultations, providing a discreet and personalised service for those looking to improve their sexual health. If you're struggling with premature ejaculation, book an appointment with us and discover the best treatment options for you.

A premature ejaculation can be a source of frustration and anxiety, but there are various strategies and treatments for premature ejaculation that can help improve the quality of your sex life. From behavioural techniques and specialist therapies to lifestyle changes and oral treatments, effective solutions can be found for every case. Don't let this problem affect your confidence and well-being - book an appointment online consultation for premature ejaculation at Médico na Net and receive professional counselling to take back control of your intimate life.

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Dr Alexandra Azevedo

Training: University of Barcelona
No. of doctors: 71409

Biography

Dr Alexandra Azevedo graduated in Medicine from the University of Barcelona in 2015, where she subsequently specialised in General Practice. During her training, she developed a strong interest in the approach to chronic pain, having completed an integrated master's degree in Medicine and Surgery with clinical research into pain management. Her professional experience includes several years of clinical practice in Spain, particularly in Catalonia, where she has had contact with a wide variety of pathologies and challenges, both in the emergency department and in primary healthcare.

She currently works as a family doctor at the ULS Braga. She has been a member of the medical-surgical emergency team at Vila Nova de Famalicão Hospital and has worked as a guest lecturer at the Nursing School of the University of Minho, teaching anatomy and physiology of the circulatory, respiratory and digestive systems.

Her main clinical interests include emergency medicine, chronic pain, depression and anxiety, as well as preventive medicine and the control of vascular risk factors. She is also dedicated to anti-smoking counselling and weight loss counselling, helping her patients to adopt healthier lifestyle habits. Her approach to care is based on a holistic vision, considering health as a balance between physical and psychological well-being.

Dr Alexandra stands out for her humanism and her ability to offer quick and effective solutions to minor problems, ensuring that her patients feel well looked after. At Médico na Net, she sees an opportunity to bring healthcare to more people in an accessible and convenient way.

Passionate about music and travelling, she loves getting to know different cultures and lifestyles, which enriches her view of the world and her medical practice. For her, medicine is not just a profession, but a real commitment to the well-being of the people she cares for. As she likes to say: "Health is the balance between physical and psychological well-being.