Premature ejaculation (PE) is a condition that affects around 30% of men globally. In Malaysia, it’s estimated that 1 in 5 men suffer from PE.
PE is characterized by the inability to delay orgasm for more than three minutes. This applies to all sexual situations including masturbation.
It is not unusual for PE to cause frustrations in your relationship as it affects the quality of sex, quality of intimacy and can make it challenging for couples trying to conceive. Treating PE will help enhance your relationship with your partner, allowing you to be more fulfilled together.
There can be many causes of PE, ranging from physical to psychological factors, but the exact cause is unknown.
A number of physical factors can cause PE. These include:
Psychological factors are a little more complex. Feelings of anxiety, stress and guilt can cause you to rush through sex and this can, in part, be due to previous sexual experiences that could have been unpleasant or traumatic.
Premature ejaculation usually takes a multi-pronged approach of medication and behavioural treatment. Our Speedoc doctors will be able to recommend the most appropriate treatment course for you.
Psychological therapy is a way to work through the negative feelings and emotions that arise during sex. As you begin to manage your emotions better, you will gradually become less nervous and more confident about your sexual performance. This type of therapy can be used as the only treatment or in combination with medication or behavioral therapy.
The Squeeze Method
This method helps you become aware of the sensations leading to climax. With this method, your penis is firmly squeezed when you are close to ejaculation. As you become aware of what the climax feels like, you will slowly be able to better control your ejaculation.
The Stop-Start Method
This method helps you slowly regain control of your ejaculation. With this method, your penis is stimulated until you are close to climax and then stopped, allowing the urge to climax to let up. This process is repeated three times and you ejaculate on the fourth time.
This method is repeated three times a week until you have gained more control.
Pelvic Floor Exercises
To train your pelvic muscles, try Kegel maneuvers that essentially involve engaging and relaxing your pelvic muscles for three counts consecutively. Do this a couple of times a day, slowly building up to three sets of 10 a day and the more times you are able to get this done, the better. Training your muscles may take some time to actually produce a difference. This also depends on whether this is the cause of your PE.
If ED is a reason for your PE, opt for ED medications that can also help maintain an erection. Some of these medications take an hour to begin working.
Decreasing the sensitivity of your penis may help to delay ejaculation. You can do so by wearing a condom or applying a numbing agent directly.
It's normal to feel uncomfortable about discussing sexual health concerns. But don't let that stop you from reaching out for help. The Speedoc app allows you to choose from a house call or video consultation:
All our doctors are licensed with the Malaysian Medical Council, subjected to extensive background checks.
Consult a doctor in the privacy of your home and have your medication delivered to your door! We use opaque, unbranded packaging to ensure that your privacy is safeguarded.
Have your medication refills delivered to a location of your choice within 3 hours. Our doctors are also available 24/7 to attend to any urgent medical needs.
A GP is a medical officer who can suggest possible treatments, but you will need to seek the expert opinion of a urologist if there are other underlying reasons.
The short answer is, yes. Masturbating can help you last longer in bed, but you have to involve the whole body instead of focusing only on the penis.
No, premature ejaculation is a curable condition, although it may take some time to find the right combination of treatment methods that would work for you.