Stimulate the penis without entering your partner. Notice when you are about to ejaculate. Ask your partner to squeeze your penis at the place where the head meets the shaft. Your partner should squeeze for several seconds until the need to ejaculate lessens. After 30 seconds, resume foreplay and repeat as necessary. This will help you to gain control and enable you to enter your partner without ejaculating immediately. Another variation on the pause-squeeze method is the stop-go technique. This is the same as the pause-squeeze method, except that the partner does not squeeze the penis. [4] X Research source

Masturbate before sex. If you plan to have sex later in the evening, try masturbating an hour or two before. Use a thick condom that will reduce the amount of stimulation you get. This may make it take longer for you to climax. Avoid using condoms that are designed to increase your stimulation. Breathe deeply right before you ejaculate. This can help you to stop the ejaculation reflex. It may also help to switch to thinking about something boring until the urge passes.

Then resume sex once the urge to ejaculate has passed.

Performance anxiety or other stresses in your life. Sometimes if men are concerned about being able to get or keep an erection, they may develop a pattern of ejaculating too quickly. A traumatic sexual experience when you were younger. Some psychologists believe that if your early sexual experiences included feeling guilty or a fear of being discovered, that you may have learned to ejaculate very quickly. [11] X Research source If you and your partner are having problems in your relationship, this may be a contributing factor. This could be the case if the problem is new and did not happen in previous relationships. If this is the case, couples counseling may be helpful.

Keep in mind that these topical options are not helpful for everyone. [13] X Expert Source Robert Dhir, MDBoard Certified Urologist & Urological Surgeon Expert Interview. 23 September 2020. Lidocaine Prilocaine

Diabetes High blood pressure Alcohol or drug abuse Multiple sclerosis Prostate disease Depression A hormonal imbalance Problems with your neurotransmitters. Neurotransmitters are the chemicals that convey signals in your brain. Abnormal reflexes in your ejaculatory system A thyroid condition An infection in your prostate or urethra Damage from surgery or trauma. This is not common. An inherited condition.

Do not take it more than one time per day. It may cause side effects including headaches, dizziness, and feeling unwell. It is not suitable for men with heart, liver, or kidney conditions. It may also interact with other medications, including other antidepressants. Other options include the SSRI’s paroxetine, sertraline, fluoxetine, and citalopram. [18] X Expert Source Robert Dhir, MDBoard Certified Urologist & Urological Surgeon Expert Interview. 23 September 2020. The typical full effects of SSRIs (which are taken every day, not on-demand like Dapoxetine) are not seen until about two weeks after you begin use.

Other antidepressants. Possibilities include other SSRIs such as sertraline (Zoloft), paroxetine (Paxil), fluoxetine (Prozac, Sarafem) or the tricyclic clomipramine (Anafranil). Side effects may include nausea, dry mouth, dizziness, and reduced interest in sex. Tramadol (Ultram). This medication is used to combat pain. One of its side effects is that it can delay ejaculation. Other side effects include nausea, headaches, and lightheadedness. Phosphodiesterase-5 inhibitors. These medications are often used to treat erectile dysfunction. They include sildenafil (Viagra, Revatio), tadalafil (Cialis, Adcirca), and vardenafil (Levitra, Staxyn). Side effects include headaches, flushing, vision changes and a stuffy nose.