Ever wondered why premature ejaculation happens, and why it seems so hard to talk about? You’re not alone, and in this episode, we’re opening up the conversation. We’re taking a closer look at what might be causing it, why it affects so many men, and how it can impact more than just your intimate life. You’ll get a sneak peek into some of the most overlooked strategies and eye-opening insights that could shift the way you think about PE. No fluff, no shame, just real talk and actionable tips.

Ready to find out what’s really going on behind closed doors? Dive in and discover what you’ve been missing.

Episode Video


Let’s face it. Premature ejaculation (PE) is not something most people feel comfortable talking about. But if it’s affecting your confidence, your relationship, or your overall satisfaction in the bedroom, it’s time to break the silence. Whether you've experienced it once or it’s been a recurring issue, understanding the causes, symptoms, and treatments for premature ejaculation can make a huge difference in your sex life.

What Is Premature Ejaculation and Why Does It Happen

Premature ejaculation is defined as ejaculating sooner than you or your partner would like. This usually occurs within one to three minutes after penetration. But for some, it can happen in under a minute. What makes it a medical issue is when it happens consistently and causes emotional or relationship distress.

There are two primary types of premature ejaculation. Lifelong PE is present from your very first sexual experience. Acquired PE, on the other hand, develops after a period of typical sexual function. While some men may occasionally ejaculate early, the condition is only considered PE when it’s persistent over a period of six months or more.

Up to 30% of men deal with PE, making it the most common sexual dysfunction in younger men. The tricky part? The exact cause isn’t always clear.


Causes of Premature Ejaculation You Should Know

​The causes of premature ejaculation are often a mix of physical and psychological factors. If you’ve ever dealt with stress, anxiety, or depression, these mental health conditions can interfere with your ability to control ejaculation. Early sexual experiences or negative sexual conditioning can also shape how your body responds during intimacy.

Physically, things like hormonal imbalances (such as low serotonin), an oversensitive penis, or even underlying health issues like thyroid problems can contribute. Medications, particularly those that affect your nervous system, may also play a role. In some cases, premature ejaculation may even have a genetic link.

Recognizing the Symptoms of Premature Ejaculation

​The primary symptom of premature ejaculation is simple: you climax sooner than you want to, and you can’t seem to control it. But there’s more to it than just timing. If this loss of control leads to stress for you, your partner, or both. It’s something worth addressing.

The emotional impact of PE shouldn’t be underestimated. It can affect your self-esteem, lead to avoidance of intimacy, and strain even the strongest relationships. But remember: PE is common, and it’s treatable.


How to Treat Premature Ejaculation Without Medication

One of the best ways to manage premature ejaculation is by retraining your body’s response through behavioral techniques. These are simple, natural strategies you can start using right away, no prescriptions necessary.

The start-stop technique involves pausing sexual activity just before climax and waiting for the urge to subside before resuming. This helps you build awareness and control over your arousal. Another method, the squeeze technique, involves gently squeezing the head of the penis (also called the glans) for about 10 to 20 seconds right before you’re about to ejaculate. Over time, this can reduce your sensitivity and extend the duration of sex.

You might also try masturbating an hour or two before sex. This helps reduce arousal during intercourse. A thicker condom can reduce penile sensitivity, helping you last longer. And yes, even using a penis pump before sex has been shown to delay ejaculation for some men.

Pelvic Floor Exercises for Premature Ejaculation Control

​One highly effective, yet often overlooked solution for premature ejaculation is pelvic floor muscle training, also known as Kegel exercises. These strengthen the muscles responsible for ejaculation and orgasm control.

By regularly tightening and releasing these muscles throughout the day, you can gain better control during sex. If you’re not sure where your pelvic floor muscles are, try stopping your urine midstream—that's the muscle group you want to work on. Practicing these exercises consistently can help improve your endurance and delay ejaculation.


Medication Options for Premature Ejaculation

When behavioral techniques aren’t enough, you might consider medication. Certain selective serotonin reuptake inhibitors (SSRIs), like paroxetine, sertraline, and escitalopram, are originally prescribed for depression but have been shown to delay ejaculation as a side effect.

There’s also a fast-acting SSRI called dapoxetine, which is approved specifically for treating PE and can be taken on demand. However, many users report mixed results, and common side effects include headache, nausea, and dizziness. Some men simply don’t find these medications to be worth the hassle.

Another non-pill option is topical anesthetics, like lidocaine or prilocaine creams or sprays. These numb the head of the penis, helping you last longer by dulling sensitivity. Just remember to wash it off before penetration to avoid numbing your partner as well.


​Combining Treatments for Premature Ejaculation for Better Results

​For many men, a combination of behavioral techniques and medication brings the best outcome. You might use a numbing cream or a thicker condom while practicing the start-stop or squeeze method. You can also pair SSRIs with counseling or therapy, especially if performance anxiety or emotional factors are playing a role.

Don’t underestimate the power of sex therapy, relationship counseling, or even hypnotherapy to tackle deeper-rooted issues contributing to premature ejaculation.

​Real-World Tips for Dealing With Premature Ejaculation

​If you’re just getting started with treatment, try beginning with behavioral techniques and lifestyle changes before turning to medication. Using a topical numbing cream with a thick condom, practicing Kegels, and experimenting with the start-stop or squeeze method can be a powerful combination.

These options are easy to try at home, and for many men, they work better than medication. You’re not broken, and this isn’t something you need to “just deal with.” You have options, and you can absolutely take control of your sex life again.


Final Thoughts

Premature ejaculation may feel frustrating or embarrassing, but it’s far more common than you might think. And more importantly, it’s treatable. Whether your PE is lifelong or recently developed, you now have the knowledge and tools to start making changes.

Start with simple techniques. Experiment. Communicate with your partner. And if needed, don’t hesitate to explore medical or therapeutic options. The key is not to give up. Premature ejaculation doesn’t have to define your sex life.


Additional Resources

Curious about how you can boost your bedroom game and build lasting confidence? Check out the Get Wood Now Boost course and start your journey to feeling like yourself again!

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Join me on a sexual revolution to empower men and women to regain our sexual power. The Modern Man Club is a place where I share my research-based secrets for sexual performance without medication or surgery.

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