Methods like the stop-start technique and the squeeze technique help improve control and delay ejaculation over time. Practicing these techniques regularly can lead to better endurance during intercourse.

Strengthening the pelvic floor muscles can improve ejaculatory control and enhance overall sexual function. These exercises are simple, effective, and can be done daily for noticeable results.

Lidocaine or benzocaine creams and sprays reduce sensitivity, helping to delay ejaculation. These are applied to the penis before intercourse and can improve endurance without affecting pleasure significantly.

Certain SSRIs (like sertraline, paroxetine, or fluoxetine) and tramadol have been shown to increase ejaculation time. These medications can be prescribed specifically for PE, even if you don’t have depression. Some PDE5 inhibitors (like Viagra or Cialis) may also help by improving overall performance and confidence.

Testosterone Replacement Therapy (TRT) – If PE is linked to low testosterone, optimizing hormone levels through TRT may help improve stamina, libido, and overall sexual function.

ED medications can be used off label for premature ejaculation, these can help improve control, performance, and overall confidence in intimate situations. While these medications primarily treat erectile dysfunction, some—like certain selective serotonin reuptake inhibitors (SSRIs) and PDE5 inhibitors—can also delay ejaculation by enhancing blood flow and regulating neurotransmitters that affect arousal and climax. Combined with behavioral techniques or therapy, these medications offer an effective solution for men looking to extend their endurance and enjoy a more satisfying experience.