Can premature ejaculation be completely cured?

Premature ejaculation can often be clearly improved with proper care. In some cases caused by anxiety or behavior, it can resolve with training and addressing the root cause. For deeper-rooted cases, multiple methods may need to be combined and managed continuously. Consulting a specialist to identify the true cause will help create the most targeted treatment plan for premature ejaculation.

What causes premature ejaculation?

It can arise from both psychological factors (stress, anxiety, excitement, past experiences) and physical factors (overactive nerve endings, abnormal hormones or neurotransmitters, prostatitis, or coexisting ED). Understanding the true cause through a doctor's evaluation helps in selecting the appropriate treatment method.

How to use topical medication for premature ejaculation? Is it safe?

Lidocaine/Prilocaine topical anesthetic should be applied to the tip of the penis about 10–20 minutes before sexual intercourse and then washed off to reduce numbness in the partner. It is generally safe when used correctly, but some individuals may experience irritation. It should be used according to the advice of a doctor or pharmacist.

What is the best method to treat premature ejaculation?

There is no one-size-fits-all solution. The best approach depends on the underlying cause and lifestyle. Often, a combination, such as practicing delay techniques along with topical or oral medications, yields the best results. A specialist will help assess and design a personalized treatment plan for premature ejaculation.

How do premature ejaculation and ED differ? Can they occur together?

Premature ejaculation (PE) is the condition of ejaculating sooner than desired, while erectile dysfunction (ED) refers to the inability to achieve or maintain an erection. Although these two conditions are distinct, they often occur together. Some individuals may experience premature ejaculation due to the fear of losing their erection, which is why doctors often assess both issues simultaneously.

How much does it cost to treat premature ejaculation at the clinic?

The costs depend on the chosen method, ranging from topical/oral medications that are not expensive to filler injections for sensitivity reduction, which are priced according to the procedure. It is recommended to consult a doctor for an assessment and to receive a clear quotation. At MENdical Clinic, initial consultations are free via LINE.

Treating premature ejaculation without medication: 5 techniques (that you can do yourself)

💡 Short answer

Premature Ejaculation is the condition of ejaculating sooner than desired, which affects relationships. It can be treated in various ways, including techniques to delay ejaculation, topical anesthetic medications, oral medications, and filler injections to reduce sensitivity. A specialist will assess both physical and psychological causes and choose the appropriate approach for each individual to prolong duration and enhance confidence.

TreatmentPremature ejaculation(Premature Ejaculation – PE) is one of the main concerns that affects the confidence and relationships of many men. A common question heard at the clinic for premature ejaculation is, "Can premature ejaculation be treated?" or "What should younger men do if they experience premature ejaculation?" Many people try to find ways to address premature ejaculation on their own or seek non-medication treatments due to anxiety or embarrassment.

As a specialized men's health clinic that addresses premature ejaculation in a holistic manner (both physically and mentally), we understand this concern. This article will delve into the causes of premature ejaculation and recommend 5 techniques that you can practice on your own.

Causes of premature ejaculation (PE) – Why does it happen? (Physical or psychological?)

Before looking at the solutions, we need to understand the "root cause" of the problem first. The specialized clinic for premature ejaculation will categorize the causes of PE into two main groups, which require different management approaches:

1. Physical Causes of PE

It is a problem caused by physical abnormalities. Common causes include:

Penile Hypersensitivity: The tip of the penis is more sensitive to touch than normal, making it easier to reach orgasm.
Weak Pelvic Floor: The muscles used to "hold back" or delay ejaculation (similar to the muscles used to control urination) are not functioning strongly enough.
Other conditions: such as abnormal thyroid hormones or inflammation of the prostate gland.

2. Psychological Causes of PE

This is a very common cause, especially in men who are in good health:

Premature ejaculation due to stress or anxiety (Performance Anxiety): The pressure of "having to perform well" or the fear of "failure" causes the brain to signal to finish the act quickly.
Learned Behavior: For example, frequently rushing during masturbation since adolescence, the brain thus "remembers" that it needs to finish quickly.
Relationship issues: conflicts with a partner or misunderstandings.

Effective treatment for premature ejaculation must begin with diagnosing which group you belong to.

Causes of premature ejaculation

5 Techniques to Treat Premature Ejaculation on Your Own (Without Medication)

Here are 5 techniques to treat premature ejaculation without medication that you can start practicing on your own, recommended by experts in Sex Therapy.

Technique 1: Pelvic Floor Muscle Training (Kegel Exercises)

This is the most important physical technique. The pelvic floor muscles are the muscles you use to "hold" urine and delay ejaculation. If these muscles are strong, you will have a better ability to delay.

How to do it: Try to contract your pelvic floor muscles (like when you are trying to hold back urine or gas) and hold for 3-5 seconds, then relax for 3-5 seconds. Repeat 10-15 times per set and do at least 3 sets per day.
Advantages: It is a treatment for premature ejaculation in men that directly addresses physical issues.
Considerations: It requires a significant amount of time and consistency (several weeks) to see results, and many people "contract the wrong muscles" or "forget to do it" (this is where we will connect to our [Emsella service], which is like doing Kegels 12,000 times in 28 minutes).

Technique 2: The Stop-Start Method

This is a classic technique to "reset" brain behavior (psychologically).

Method: When you are masturbating or having intercourse and feel that you are "close to finishing" (near the Point of No Return), immediately "stop" all stimulation. Wait until the feeling of excitement decreases to nearly normal, then "start" stimulating again.
Goal: Repeat 3-4 times before allowing yourself to actually ejaculate, so that the brain and body learn that "I can be aroused without needing to ejaculate."

Technique 3: The Squeeze Method

Similar to the Stop-Start technique, but incorporates physical actions.

Method: When you feel close to finishing, stop and use your thumb and index finger to "squeeze" the area between the head and the shaft of the penis (the area just below the head).
The goal: Squeezing will help reduce excitement and delay ejaculation immediately. Practice repeatedly to allow the body to learn control.

Methods to self-treat premature ejaculation.

Technique 4: Self-Masturbation Behavior Adjustment (Masturbation Awareness)

This is the treatment for premature ejaculation that addresses the root of "learned behavior" (psychological).

Issue: Many men (especially younger men) learn to engage in "Rushed Masturbation" to finish quickly (for example, out of fear of being seen).
Solution: Practice self-pleasure in a relaxed environment without rushing. Pay attention to your body, learn to "slow down" on your own, and "avoid" focusing on overly stimulating media.

Technique 5: Mindfulness & Breathing

This is an excellent technique for those who experience premature ejaculation due to stress (psychological).

Issue: When you start to feel anxious (Performance Anxiety), your body enters "Fight or Flight" mode, which accelerates ejaculation.
Solution: During sexual intercourse, try to shift your focus away from "thoughts" (Will I fail?) and return to "feelings" (touch, breath). Practice deep breathing in and slow breathing out to help your body relax and get out of panic mode.

Why do "self-treatment methods for premature ejaculation" not work for everyone?

The five techniques mentioned above are very beneficial, but many people find them "difficult to implement" in real-life situations or "try them but see no improvement," with the main reasons being:

Anxiety Wins: For those experiencing premature ejaculation due to severe stress, trying to use techniques (such as Stop-Start) can actually increase stress and anxiety. This issue is not just about "technique," but also about "mindset," which needs to be addressed by a professional (Sex Therapist).
The problem lies in the body: If you practice Kegels (Technique 1) but your pelvic muscles are too weak, or if you have a high level of sensitivity (Hypersensitive) (Techniques 3 and 4 may not be sufficient), self-training may not be able to overcome this physical limitation.

Where is the best place to treat premature ejaculation? When should I see a doctor?

You should consider visiting a clinic for premature ejaculation if:

You tried self-treatment methods for premature ejaculation, but the symptoms did not improve.
This issue has persisted for years or has severely impacted relationships.
You want a "clear" and "effective" approach under the care of a physician.
You may wonder if the cause could be from the "body" and not just "stress."

Care guidelines at MENdical Clinic:

atMENdical ClinicWe are a specialized clinic for treating premature ejaculation that not only looks at the problem from one angle but analyzes it comprehensively from both physical and psychological perspectives.

Psychological therapy (Sex Therapy) can help if your issue is premature ejaculation due to stress or "learned behavior." Our specialists in Sex Therapy will professionally help you "reset" those thoughts and concerns, which is more effective than trying to do it yourself at home.
Physical rehabilitation

For those with weak pelvic floor muscles (Technique Correction 1), this is an innovation that is like "doing Kegels 12,000 times in 28 minutes" to restore the muscles used to directly delay ejaculation.
For those with hypersensitivity, this is a medical procedure that helps to "reduce sensitivity" of the nerves without "transferring numbness to the partner" (unlike topical medications).

Summary: Can premature ejaculation be treated?

The answer is "it can be fixed."
Self-help methods for premature ejaculation are a good starting point. However, if the issue is complex or arises from chronic stress and physical problems, consulting a clinic specializing in premature ejaculation with experts in both physical (Urologist) and mental (Sexologist) health is the best solution.

Treatment methods	Principle	Time to see results	Advantages	Limitations
Practice delay techniques (Stop–Start / Squeeze)	Practice self-control of ejaculation.	Several weeks to months	No medication needed, you can do it yourself at no cost.	Discipline and continuous practice are essential.
Topical anesthetic (Lidocaine/Prilocaine)	Reduce nerve sensitivity.	Use 10–20 minutes before.	Easy to use and affordable.	It may cause numbness in the partner, so it should be washed off beforehand.
Medication (Dapoxetine/SSRIs)	Adjust neurotransmitter release to slow down ejaculation.	Dapoxetine ~1–3 hours.	Clearly extend the time.	A prescription from a doctor is required, and there may be side effects.
Injecting fillers to reduce sensitivity.	Increase the distance of the skin layer above the nerve endings.	Immediate results, lasting effects.	No preparation is needed before engaging in sexual intercourse.	It must be performed by a physician in a healthcare facility.

Treating premature ejaculation without medication: 5 techniques (that you can do yourself) | MENdical Clinic, Urology and Men's Health Clinic