r/PrematureEjaculation Nov 11 '25

I think I have PE, now what?

42 Upvotes

Welcome to a community of people looking for solutions to premature ejaculation, a rarely discussed but relatively common problem for men.

PE is not well-researched, and so while there are scientific studies that have different recommended treatments, in my experience this sub is on the forefront of discovering new treatment for PE.

Use the questions below to help focus your search for an effective treatment, and if you find something that helps share back with the community!

Question 1: Do you actually have PE?

  • You need to have sex and do so several+ times to have a sense of how long you last. Masturbation doesn't correlate. And everyone is quick the first time. If you're a virgin, don't sweat it until you start having sex
  • There are different definitions of PE, but generally its penetrative sex lasting less than 1 minute. If you last longer than that, you likely can treat your PE with simpler techniques like pelvic floor exercise and breathing

Question 2: Do you have Lifelong or Acquired PE?

  • Have you always finished quickly during sex or was there a time where you lasted longer (3+ minutes)?

Question 3: Do you have ED also?

  • ED can cause PE and it can make it harder to treat PE. If you have ED, start solving this first and return to PE once your ED is treated

Question 4: Now what?

  • Sort the sub by top posts all time and start reading. You'll find different treatment options that have worked for people as you go, and if someone's situation sounds like yours (e.g. acquired PE, no ED, started doing squats and stretches and that solved it), then try that routine and see if it helps
  • It will take a lot of trial and error and each treatment may take months to see if it has an effect or not
  • As you get familiar with treatment options, search the sub for more experiences to consider

Treating PE is a journey, and all journeys have ups and downs. The important thing is to keep moving forward and learn along the way. This sub is a testament to that.


r/PrematureEjaculation 2h ago

Solutions - Lifelong PE How to Use Reverse Kegel for Premature Ejaculation, Everything you need to know. by Dr. Mond MH

6 Upvotes

Reverse Kegel is the opposite of the Kegel exercise. during a Kegel exercise, you tense up your pelvic floor muscles to strengthen them, and in reverse Kegel, you completely relax your pelvic floor muscles to lower stimulation and delay orgasm.

Mechanism of work

When you have sex, there are two types of pleasure that you feel in your penis: pleasure type one and pleasure type two. Type one is a pleasurable sensation that maintains your erection and keeps your penis hard, but it doesn't lead to ejaculation, this pleasurable sensation originates in your frenulum and your shaft.

Type two pleasure is an intense type of pleasure that leads to orgasm. This type of pleasure originates in your prostate. Your prostate is a specialized sex organ that has many roles, but its most important role is to initiate the ejaculation process,

Your prostate is only sensitive to pressure, and by pressure, I mean squeezing. When it's squeezed, this will activate the second type of intense pleasure that leads to orgasm

Normally, your prostate is held in place by the weight of your bladder and intestines from above, and your pelvic floor from below. when you have a tense pelvic floor, this will lead to your prostate being squeezed between your bladder and intestines and your tense pelvic floor. This activates the second type of pleasure, which in turn activates the ejaculation process and leads to orgasm and PE

When you do reverse kegel and keep your pelvic floor muscles relaxed, you prevent the prostate squeeze and delay orgasm.

now let's discuss the neural pathway to better understand this process.

first we need to understand the autonomic nervous system, in the human body we have two types of nervous systems in terms of physiology: the somatic nervous system and the autonomic nervous system (ANS), the somatic nervous system controls voluntary actions like walking and moving your arms around, the autonomic nervous system controls actions that you don't have control over, like your blood pressure and heart rate etc.

this ANS can further be divided into two divisions based on the time it's activated, these divisions are sympathetic and parasympathetic, some of you maybe familiar with theses names, the parasympathetic division of the ANS controls physiological processes (like your heart rate) when you are resting and relaxed, while the sympathetic division of the ANS controls physiological processes (like your heart rate) when your are stressed. your heart rate when you are lying on your couch reading a reddit post is different than your heart rate when you are running from a lion.

how does the ANS correlate to the male sexual act? during the sexual act the parasympathetic division of the ANS controls the erection, and the sympathetic division initiates the orgasm. meaning your sympathetic system has only one job when it's activated and that job is to make you ejaculate.

the ejaculation process starts at your prostate. while the parasympathetic is keeping you hard, the sympathetic is listening to your prostate to start the ejaculation process, once your prostate receives enough stimulation (enough pressure/squeezing) your sympathetic will fire up and make you ejaculate.

when you do reverse kegel you prevent prostate stimulation, which will prevent the sympathetic from firing up and thus delay your orgasm.

How to do reverse kegel the correct way

Many of you do reverse kegel wrong and end up making yourself orgasm during the process, Here's how to do reverse kegel the correct way to delay your orgasm

1. Know what a tense pelvic floor is like

to know how to do reverse kegel first you need to know what a tense pelvic floor feels like, to do this I want you pull up your pelvic floor muscles as if you are trying to bring your anus upwards, similar to what you would do if you were trying to hold a fart in. this is your pelvic floor muscles as fully tense, reverse kegel is the exact opposite of this now let's go to step two

2. Push down

After you pull your pelvic floor muscles up, now push down as if you are trying to push a fart out. It's okay if you fart while doing this, we're just learning the technique here, with your pelvic floor muscles pushed all the way down as far as you comfortably can, this is reverse Kegel, and you're ready for step three

3. Keep it down for 15 seconds

keep your pelvic floor muscles in reverse kegel position for 15 seconds and pay attention to what it feels like compared to normal, and tense pelvic floor muscles.

4. Relax and feel your PFM come up

after holding down for 15 seconds, relax and stop pushing down, your pelvic floor muscles will naturally come back half the way up to their resting position, the resting position is midway between fully tense (kegel) and fully relaxed (reverse kegel)

5. Wait for 30 seconds and repeat

wait in the normal resting position for 30 seconds, and when you are ready you can start pushing down again.

6. Repeat

Do this 5 to 10 times per day until you master your pelvic floor muscle movements and gain full control.

Common mistakes to avoid

Avoid these three common mistakes

1. Don't do reverse kegels on a full bladder

make sure you pee before starting since doing reverse kegels on a full bladder will make it rather uncomfortable

2. Don't rush the results

don't try to gain full control from the start, instead start slow to master your pelvic floor muscles control and get permanent results

3. Don't hold your breath

the main goal for reverse kegel is to relieve pressure from your prostate and prevent it from being squeezed. for this to happen effectively, you need to avoid holding your breath, when you hold your breath your diaphragm will push your intestines down against your prostate and squeeze it, and this will lead to failure. remember to breathe normally at normal depth and rate.

This is the exact step-by-step guide to do reverse kegels effectively, if you have any questions you can ask below and I'll get back to you.

Dr. Mond MH MD

Endocrinologist

Disclaimer: this post is for educational purposes only.


r/PrematureEjaculation 4h ago

Questions Looking on hypersensitivity - what do we think about rubbing alcohol?

4 Upvotes

Techinques used in the group for sensitivity, are using capsaicin cream, Sponge bob…

Surgical spirit (rubbing alcohol) can decrease sensitivity pernamently, by damaging nerves by putting larger doses.

Desperate time, tried everything.

Yes i would trade lot sensitivity and enjoying in sex just to have sex. Because i dont have non, and it is playing major effect on my life and me.

i know it is not smart thing, but is seems better that SDN, crioablation, fillers, or every sex depending on creams and gels.

How would it effect fertility, or other penis tissue?

Please continue if you want to write kegels, reverse kegels, stretching, and stuff. Many if those post already.


r/PrematureEjaculation 8h ago

Questions Has anyone with lifelong PE improved after switching between SSRIs?

4 Upvotes

Hi everyone,
I have lifelong premature ejaculation (usually under 30 seconds), and I’m hoping to hear from people who have had similar experiences.
Here’s my medication timeline:
9 days: Olanzapine 6 mg + Fluoxetine 25 mg (combination tablet)
5 days: Sertraline 100 mg/day
2 days: Sertraline 200 mg/day
15 days: Escitalopram 10 mg/day
6 days so far: Escitalopram 20 mg/day
So far, I haven’t noticed any improvement in my premature ejaculation, and it’s still usually under 30 seconds.
I’d really appreciate hearing from anyone who has gone through something similar:
How long did it take before an SSRI started helping your PE?
Which SSRI worked best for you (fluoxetine, sertraline, escitalopram, or another one)?
Did increasing the dose make a noticeable difference?
If an SSRI didn’t help, what treatment ended up working for you?
I’m looking for personal experiences rather than medical advice. Thanks in advance!


r/PrematureEjaculation 11h ago

Questions Those who have resolved involuntary kegels (or those who've had success with numbing products)

3 Upvotes

What did you do? I have life long PE (43m) and I've recently started to experiment with numbing products. It obviously numbs as expected but I still have involuntary kegels at the same rate. Less feeling but same PE is quite deflating. Any help would be appreciated.


r/PrematureEjaculation 17h ago

Questions Cured/Progress PE people: Which pelvic floor exercises have been the best ones to help?

1 Upvotes

r/PrematureEjaculation 1d ago

Questions What are the most common causes of premature ejaculation in otherwise healthy men?

15 Upvotes

r/PrematureEjaculation 1d ago

Questions Overly sensitive glans

5 Upvotes

So i believe my PE stems from having an oversensitive glans. Basically, i had phimosis until i was 16 or 17. I managed to fix the problem by myself, using different creams, and also maybe my dick got bigger with development which helped. Now i can roll it back always in any situation. It's still, however, quite sensitive and i can't for example walk around with my head uncovered without causing some discomfort. This of course results in me busting really quickly during sex. I can usually jerk off as much as i want, because i can move the hood of my penis up and down to prevent overstimulation, but that doesn't work with a vagina.

So i think the cause of my PE has alot to do with phisyology and my 'medical history'. Is anyone else in a similar situation, and am i right to attribute my problems to it? The question now is: is there any way to fix this? Am i doomed to use delay sprays and creams for the rest of my life? (And if i am, which i hope not, which ones do you recommend, lol) .


r/PrematureEjaculation 1d ago

Solutions - Acquired PE Just sharing what has worked for me

13 Upvotes

I know people here are getting pretty tired of obvious product promotion, and honestly, I don't blame anyone. I don't like those posts either.
But I still think there's value in people sharing what has actually worked for them, especially with something like PE where a lot of people are too embarrassed to talk about it openly.
For me, the two products I've kept coming back to over the long term are Promescent and EjaGuard.
I use them for slightly different situations.
If I'm having one of those days where I already know I'm probably going to struggle, I'll usually go with Promescent. It's lidocaine-based and the effect is more noticeable, so I feel like I have a bigger margin for error when my sensitivity is especially high.
On days when I feel more relaxed and don't think I need that much help, I prefer using EjaGuard. It's milder and doesn't feel as heavy, so it works better for me when I just want a bit of extra control without making the whole experience feel too different.
I genuinely like both of them, just for different reasons.
I don't think one is objectively better than the other. Promescent is the one I reach for when I want something stronger and more predictable. EjaGuard is the one I prefer when I want something lighter and more subtle.
That's basically my experience. I don't expect everyone to agree with me. Just sharing what has worked for me over time in case it's useful to someone else dealing with the same issue. Take it for what it's worth and make your own decision.


r/PrematureEjaculation 1d ago

Questions Started ejaculating before penetration after years of normal sex. Has anyone experienced this?

7 Upvotes

I'm 23 right now and I recently went through a breakup after finding out my girlfriend cheated on me. Looking back, there was something that started happening in our sex life before we broke up, and I'm trying to understand if anyone has experienced something similar.

For most of our relationship, our sex life was great. We had good chemistry, plenty of foreplay, and she was usually satisfied. I never had issues with performance or lasting.

Then, almost out of nowhere, I started ejaculating as soon as I was about to penetrate her. At first I thought it was just a one-off, but it kept happening. Eventually, I couldn't even penetrate before ejaculating. This had never happened to me before.

I'm wondering if this could have been caused by stress, anxiety, psychological factors, or something physical. Has anyone gone through something similar? If so, what helped you recover?

I'm looking for genuine advice or personal experiences rather than judgment. Thanks.


r/PrematureEjaculation 1d ago

Questions Spongebob technique-any idea to use different product with less plastic than sponge, but still to rely on same principle of rubbing and friction

1 Upvotes

Idea is to get same result


r/PrematureEjaculation 1d ago

Findings side effects of lidocaine get

3 Upvotes

as in my previous post i have applied the gel on my penis and it works so good but after some hours i got slightly itchy on my penis and got swollen and it remained of days

and it prevented me to masturbate

but i think i applied more of the gel

some says that we should only apply a pea sized of it


r/PrematureEjaculation 2d ago

Questions I am doomed

6 Upvotes

TL/DR - I can’t fix my PE despite trying everything. I need help.
—————————

I’ve PE for years. My fault for training myself to intentionally release ASAP as a kid. Late 20s now and it’s just really affecting love life. Gotten to the point I can’t get into close proximity of a girl with having a raging erection (so clearly obvious) I feel some notice but don’t say anything. A slight touch and it just goes.

I’ve tried no porn, no fap, prolonged fapping, desensitised creams, stop start, masturbating before hand. Nothing and I mean nothing works. Seems to be some deep routed problem that I can’t escape and I hate it to the point I don’t enjoy penetrative sex because it’s 10 seconds of fun followed by embarrassment. It sucks because I want to enjoy prolonged penetrative sex.

My only work around is taking a Viagra and then just keep going after I finish and play it off as “oh I was just so horny I could keep going” but this is unsustainable.

Anyone deal with this, there must be a solution surely???


r/PrematureEjaculation 2d ago

Solutions - Lifelong PE Spent years finishing fast without realising I'd trained myself into it — sharing what changed for me

37 Upvotes

M20s, onset around 19-20, IELT was roughly 1-2 minutes at its worst.

Most of my problems started showing up in my early twenties. Finishing far quicker than I wanted, and then anxiety about that making it worse the next time. Classic loop.

I did the usual, assumed it was psychological, assumed it was nerves, assumed I'd grow out of it. Also had bloods done at one point which came back completely normal.

What eventually made sense to me was looking at my solo habits rather than looking for something wrong with me.

Since my teens I'd been finishing in a couple of minutes every single time. Firm grip, fast, straight to the end. I'd been doing that for years without ever thinking of it as practice. Which, functionally, it was. I'd rehearsed finishing fast thousands of times and then been surprised when that's what my body did with a partner.

So I changed the rehearsal. Slowed everything down, much lighter, and stopped treating finishing as the objective. Sessions became about staying in a lower-intensity state without rushing, rather than getting to the end.

Honest notes on how it went for me:

Took about six weeks before I noticed any real difference, and a few months before it felt properly reliable.

It went backwards at points. That threw me more than the actual problem did, because I read every dip as failure.

The anxiety was the last thing to fade. It only really went once things had been consistent for a while.

To be clear I'm only speaking about my own experience here and I'm not claiming this is the cause for anyone else, I know PE has plenty of different drivers and mine may well have been unusual.

Mainly curious whether anyone else has looked at their solo habits as a factor, and if so what you found. Did changing anything there make a difference for you, or was yours down to something completely different?


r/PrematureEjaculation 2d ago

Questions I can last 15+ minutes with porn and a Fleshlight, but only seconds with my girlfriend. Has anyone overcome this?

9 Upvotes

I'm honestly feeling frustrated and hoping someone here has gone through something similar.

When I'm alone using Fleshlight, I can easily last 15+ minutes without much difficulty, I tried with porn and without and either way I can handle it.

But when I'm having sex with my girlfriend, it's the complete opposite. I finish within seconds, sometimes before we even really get started.

It's not that I'm not attracted to her—in fact, I think that's part of the problem. I get so excited and aroused that I seem to lose control almost instantly.

Has anyone experienced this and actually managed to improve it?

What helped you the most?

I'd really appreciate hearing from people who've dealt with this. It's starting to affect my confidence, and I'd like to improve it for both of us.

Thanks in advance.

EDIT: I didn't have this, I developed this 1 year ago, I'm with my gf for 3 years now


r/PrematureEjaculation 1d ago

Solutions - Lifelong PE I’m just here to help! Spoiler

0 Upvotes

About 9 years ago I accepted I had PE (life long) and was desperate, I was about to lose my marriage, and everything I had built in life up to that point!

In desperation I decided to take antidepressants, to not only make things worst but also made me not care about it; at the same time I moved countries and started from 0 in a new place with my partner, new language, new environment new everything but sex life was the same.

After talking to about 25 different psychologists, a couple of urologists, doing blood work and buying anything and everything online to make it work, I realized this was not a problem one could fix from one angle only (name it desesitation, kegel, meditation / breathing)

I decided to put all the knowledge together, a multidimensional plan from a university in Spain to work, and after 3 months I was able to have orgasms without ejaculating and maintaining my erection.

The plan ended up in an app since the protocol needs to be adjusted from many different angles depending on one’s condition, but I am here to help not to sell the app, please reach out if you need support, have any questions, or just want to chat! I’m happy to do that, I have been able to help over 25k people so far and my mission is to do so🙏


r/PrematureEjaculation 2d ago

Questions Kratom

5 Upvotes

For those that have had success with Kratom which variety did you use and mg dosage. I have read it can be addictive I’m aware. Just occasionally would like to go for a while without ejaculating.


r/PrematureEjaculation 2d ago

Questions Have SSRIs ruined my sex life?

5 Upvotes

M29. In my sex life (i.e., since I was 16), I’ve had problems with erections and premature ejaculation. But this only happened at the very beginning of intercourse. After a few weeks with a new partner, everything would go back to normal - 5 to 15 minutes was the norm, and sometimes it could even last a full hour (of course, there were occasional problems with erections during sex or with climaxing, but only briefly.

Unfortunately, when I was 20, I had to start treatment for anxiety disorders. I was prescribed venlafaxine, which increased the average duration of intercourse. In short: I took various SSRI/SNRI medications on and off for about 7–8 years. Earlier this year, I was diagnosed with ADHD (who would’ve guessed?), and I also started a relationship. I was prescribed Medikinet (at the time, I was still on 20 mg of paroxetine), and at first, I had no problems with sex. The problems started when I began tapering off the SSRI. I became so hypersensitive that all it took was for my partner to touch me near my thigh, and my hips would already be arching with arousal. And the duration of intercourse dropped from those few to a dozen or so minutes to just 1–3. To keep this brief, I’ll describe a few of the most important:

The biggest problem is that the tension around my Kegel muscles and prostate is so intense that I can’t relax it. Sensitivity plus starting from a high level of arousal means that even when adjusting my position, my muscles tense up so much that I climax immediately. When I’m masturbating, I’m able to control it much better—even using my hand or a toy—and I can last up to 30 minutes.

- Since I’ve been with her, I haven’t watched pornography. I don’t rule out a masturbation habit, because while I was on medication, it was very hard for me to climax
- I have a sedentary job, and I do strength training—during sex, I feel very intense tension in my body around the prostate and Kegel muscles (I’ve tried both reverse and regular Kegels). I saw a physical therapist about this—it helped a little,
- I saw a urologist who pointed out (which might be important to some of you) that I had prostatitis. I was prescribed Diclac and Tadalafil. So far, I haven’t seen any results.
- What’s important, though, is that in my previous relationships I had a lot of sex, and it was often my partners who initiated it. Here, I have to be the one to initiate it; I feel pressure and anxiety, so the psychological factor definitely plays a big role
- I’ve tried gel and condoms—to no avail.
- Fun fact: I was still on medication before I met my girlfriend, and I had a one-night stand with a friend. I don’t think I could come for about an hour.

I probably don’t need to mention that my current situation is causing me a great deal of frustration, shame, and a loss of self-confidence. I’ve always been good in bed (even without the handicap of medication), and now this is happening. I’m wondering if taking medication could have had a long-term effect on this? I think it has to do with serotonin inhibition; maybe it’s also related to ADHD and my current treatment. Has anyone had a similar experience? Is there a way out of this if it’s secondary? I saw a sexologist; he said there’s a chance, and he wanted to prescribe Tadalafil and Paroxetine, but I don’t want to go back on medication if I don’t have to. On the other hand, I’m afraid my brain is so out of whack that there’s no turning back. That realization is probably the worst part.
I’d be happy to answer any questions.


r/PrematureEjaculation 2d ago

Solutions - Acquired PE Looking for an accountability buddy

6 Upvotes

I am a straight man. I have been struggling with PE for a long time and I am getting tired of being passive and defeated. I keep searching for what will cure it but fail to keep consistency. I will be working on it 4 days a week with 3 days of rest for integration and mindfulness. I am looking for someone sincere to keep up with me, update each other about the progress, and find new techniques or helpful tools to aid the journey.


r/PrematureEjaculation 2d ago

Questions Kegels

2 Upvotes

So question, i have a tight Pelvic floor for years and have sort of went overboard on Reverse kegels lately. It seems to have affected my EQ. Should I throw in some regular kegels just to keep a balance


r/PrematureEjaculation 2d ago

Solutions - Acquired PE Best tips for quick PE

6 Upvotes

I’ve got a big kink for PE. I’ve had a few moments in life where I’ve had it. But generally I have the opposite and struggle to finish. I’m in the most healthiest long term relationship of my life and very understanding and kink friendly. I’d like to develop PE as rapidly as possible. Lidocaine is a no for me. What tips can you give me? Details appreciated. I’m assuming OFM? A gf trigger? Limited masturbating. Can I try kegals in reverse to make it worse? Any help appreciated


r/PrematureEjaculation 2d ago

Questions for those with PE and a small penis - which of the 2 would you magically improve?

1 Upvotes

for those with PE and a small penis (4" and smaller) - which of the 2 would you magically improve? (assuming the solution for penis size is 6" and the sex duration would be 15 min of straight PIV)


r/PrematureEjaculation 2d ago

Questions How often have you cum during foreplay?

8 Upvotes

I wouldn't say this is a regular occurrence for me, but it has happened. I do have to ask my wife to stop touching my penis sometimes.


r/PrematureEjaculation 2d ago

Questions Is it possible to fix PE without being able to put tongue on roof of mouth ?

2 Upvotes

I see a lot of the solutions for PE involving breathing and having correct tongue posture (tongue on roof of mouth), unfortunately for me my palate is very small and I have quite a large tongue so my tongue is unable to sit properly/fit on the roof of my mouth. Am I cooked? Do you still think it’s possible for me to fix my PE even if I aren’t able to have my tongue on the roof of my mouth.

Ps I’m a university student that can’t afford palate expander or anything like that to help this issue, and not something my parents would help out with (understandably)


r/PrematureEjaculation 2d ago

Solutions - Lifelong PE Clomipramine one single dose on demand 25 mg

5 Upvotes

I am suffering from life long pe i am trying different sort of drugs and supplements today i tried this drug for the first time and shocked that dapoxetine and ssrI's meds dont work for me on demand but this one does the result is great the control over ejaculation was 9/10 pleasure (sensitivity ) 7/10

usually i feel the urge to ejaculate coming or close after 20 seconds of continious thrusting now five minutes or more and i felt i could last more if i edge but i dont do that in my experiments because i want the true effects of the drug without adding technics to delay it.

The side effects :Mental disconfort fatigue a strong urge to sleep that lasts for couple of hours