Healthdirect Free Australian health advice you can count on.

Medical problem? Call 1800 022 222. If you need urgent medical help, call triple zero immediately

healthdirect Australia is a free service where you can talk to a nurse or doctor who can help you know what to do.

Men's sprinting race.

Men's sprinting race.
beginning of content

Premature ejaculation

Premature ejaculation is very common. Many men ejaculate prematurely, or come too early, at some time in their lives.

If it happens occasionally, that is not a worry. But if you regularly come earlier than you or your partner would like, then it is an issue to think about.

It is important to remember that ejaculation problems are nothing to be embarrassed or shy about. Talking to your partner or a health professional about your concerns can often help to reassure you. Your doctor will also be able to provide more advice.

This is important. Most men with premature ejaculation can be helped, which can help with developing and maintaining intimate relationships.

Causes of premature ejaculation

There is rarely a single cause of premature ejaculation. It usually occurs due to a combination of psychological factors such as anxiety, stress and relationships problems. Alcohol and recreational drugs can make premature ejaculation worse.

Some men may have physical problems tied in with premature ejaculation, such as impotence or high blood pressure. Some medicines can make it worse too.

Premature ejaculation treatments

There are a number of ways you may wish to try before seeking medical help. These include:

  • masturbating an hour or two before you have sex
  • using a thick condom to help decrease sensation
  • taking a deep breath in order to briefly shut down the ejaculatory reflex (an automatic reflex of the body during which ejaculation occurs)
  • having sex with your partner on top, as you may find this position less arousing
  • taking a break and thinking of something other than sex.

If you seek medical help, there are many different options for treatment.

Couples therapy

If you are in a long-term relationship, you may benefit from couples therapy. There are two stages in couples therapy. First, couples are encouraged to explore any issues that may be affecting their relationship, and given advice on how to resolve them. Second, they are shown techniques that can help the man 'unlearn' the habit of premature ejaculation. The two most popular techniques are the 'squeeze technique' and the 'stop-go technique'.

In the ‘squeeze technique’, the woman begins masturbating the man. When he feels that he is almost at the point of ejaculation, he signals to the woman. She stops masturbating him, and squeezes the head of his penis for around 10-20 seconds. She then removes her hands, and waits for another 30 seconds, before resuming masturbating the man. This is done several times before ejaculation is allowed to happen.

The ‘stop-go’ technique is similar, except that the woman does not squeeze the penis. Once the man feels more confident about delaying his ejaculation, the couple can then begin to have sexual intercourse, stopping and starting as required.

Although the techniques sound simple, they require a lot of practice.

Medicines

Another treatment is a local anaesthetic spray that can be bought over-the-counter at your pharmacy without prescription. You spray it on the head of your penis 10 minutes before having sex. Many men have found it particularly useful when used in combination with the squeeze or stop-go techniques.

Also, antidepressants and other medicines have been used successfully to treat premature ejaculation.

Counselling

There are specialists to deal with ejaculation and other sexual problems. You may benefit from seeing one of these professionals.

Not sure what to do next?

If you are still concerned about your premature ejaculation, why not use healthdirect’s online Symptom Checker to get advice on when to seek medical attention.

The Symptom Checker guides you to the next appropriate healthcare steps, whether it’s self care, talking to a health professional, going to a hospital or calling triple zero (000).

Sources:

Mayo Clinic (Premature ejaculation), MrDr (Premature ejaculation)

Last reviewed: July 2015

Need more information?

These trusted information partners have more on this topic.

Found 16 results

Premature ejaculation - myDr.com.au

Premature ejaculation: what is it, what are the causes and what treatments are available?

Read more on myDr website

Premature ejaculation | Andrology Australia

Premature ejaculation happens when a man is unable to control the timing of ejaculation, and ejaculates before he and/or his partner feels ready for this to happen, and this causes distress.

Read more on Andrology Australia website

Video: Premature Ejaculation | myVMC

Premature ejaculation affects a surprisingly large number of men.

Read more on myVMC – Virtual Medical Centre website

Ejaculation problems | Andrology Australia

About ejaculation What is ejaculation? Ejaculation is the release of semen from the penis at orgasm (sexual climax)

Read more on Andrology Australia website

Ejaculation: how it works - myDr.com.au

When a man is sexually stimulated, friction on the glans penis and other stimuli send signals through the nervous system that cause ejaculation.

Read more on myDr website

Sexual problems - information for men | Andrology Australia

Erectile or ejaculation problems? Free info and downloads

Read more on Andrology Australia website

Testosterone - Lab Tests Online AU

To determine if your testosterone levels are abnormal, which may help to explain difficulty getting an erection (erectile dysfunction), inability of your partner to get pregnant (infertility), or premature or delayed puberty if you are male, or masculine physical features if you are female

Read more on Lab Tests Online website

Gender identity and mental health

Gender identity is typically developed very early in life. It’s about how you perceive your gender, how you show this to others, and how you want others to treat you.

Read more on headspace website

Priligy Tablets - myDr.com.au

Priligy Tablets - Consumer Medicines Information leaflets of prescription and over-the-counter medicines

Read more on myDr – Consumer Medicine Information website

GP education in men's health | Andrology Australia

Education for GPs Andrology Australia delivers education activities on male reproductive health disorders and associated conditions for general practitioners wishing to advance theirlevel of knowledge and skills in this area.

Read more on Andrology Australia website

Check your symptoms Find a health service

Healthdirect 24hr 7 days a week hotline

24 hour health advice and information you can count on

1800 022 222

Government Accredited with over 140 information partners

We are a government-funded service, providing quality, approved health information

Australian Government, health department logo ACT Government logo New South Wales government, health department logo Northen Territory Government logo Government of South Australia, health department logo Tasmanian government logo Government of Western Australia, health department logo
Feedback