Premature ejaculation thread

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Leb89
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Premature ejaculation thread

Unread post by Leb89 »

One of my severest and most annoying symptoms is very strong premature ejaculation. The moment I start penetrating my gf I immediately ejaculate every single time. I can not even last 10 seconds, it’s always after the first stroke. My libido is very low too and my genital feeling is very diminished, so it doesn’t make much sense, but it is true. Before pssd I could easily control myself over a longer time with making little breaks. I made this thread to collect ways to solve especially premature ejaculation as a symptom, because I also know many people here and on discord suffer from it.

Here is what I already tried or know about:

- pelvic floor exercises (kegeling)
- hypnotherapy
- thicker condoms
- numbing condoms
- taking an SSRI (Cross it out, just to be complete)

Summary of other possibilities to help PE (updated from the input below):


- squeeze technique (developed by Masters and Johnson)
- PDE5i
- folate supplements
- campedex-5 herbal extracts formula

I appreciate any input about drugs or supplements that could solve the problem :)

PS: Please don’t come along with underlying psychological reasons or tell me it’s not a common PSSD symptom and all in my head. Constructive input only please!
Last edited by Leb89 on Sun Jan 17, 2021 8:38 pm, edited 3 times in total.
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kpavel
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Re: Premature ejaculation thread

Unread post by kpavel »

The squeeze technique was developed by Masters and Johnson, PDE5i, folate supplements, campedex-5 herbal extracts formula.

From bad things I guess paracetamol works. Could be via a cannabinoid mechanism.
sinceCelexa2010
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Re: Premature ejaculation thread

Unread post by sinceCelexa2010 »

I agree with you Leb89. Has anyone tried Tramadol? Someone has posted about success with it. It's thought of as an opiod, but it has many other actions including SNRI properties so it is a little scary to try. There is enough data out there supporting its effectiveness, but if it's due to its SSRI properties it may not work for us, or could of course make things worse.

Does ejaculating more frequently slow things down at all for you?

There have also been studies of specific serotonin receptor subtypes in regards to ejaculatory interval. I'll try to sort them out again and post a follow-up.
tonyareias
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Re: Premature ejaculation thread

Unread post by tonyareias »

SSRI is the most efective treatment for PE. But can take weeks to start work.
Leb89
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Re: Premature ejaculation thread

Unread post by Leb89 »

sinceCelexa2010 wrote: Sat Jan 16, 2021 2:15 pm I agree with you Leb89. Has anyone tried Tramadol? Someone has posted about success with it. It's thought of as an opiod, but it has many other actions including SNRI properties so it is a little scary to try. There is enough data out there supporting its effectiveness, but if it's due to its SSRI properties it may not work for us, or could of course make things worse.

Does ejaculating more frequently slow things down at all for you?

There have also been studies of specific serotonin receptor subtypes in regards to ejaculatory interval. I'll try to sort them out again and post a follow-up.
When I have Sex I always go for a „second round“, my refractory period is still quite short. So yes frequent ejaculation slows things down, but not if I would masturbate in the morning and have sex in the evening for example. Thanks for looking after the studies.
Leb89
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Re: Premature ejaculation thread

Unread post by Leb89 »

kpavel wrote: Sat Jan 16, 2021 1:46 pm The squeeze technique was developed by Masters and Johnson, PDE5i, folate supplements, campedex-5 herbal extracts formula.

From bad things I guess paracetamol works. Could be via a cannabinoid mechanism.
Thanks kpavel. I have put your ideas above. Have you tried folate supplements and campedex with success?
Last edited by Leb89 on Sun Jan 17, 2021 9:04 pm, edited 1 time in total.
Leb89
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Re: Premature ejaculation thread

Unread post by Leb89 »

tonyareias wrote: Sat Jan 16, 2021 10:08 pm SSRI is the most efective treatment for PE. But can take weeks to start work.
I know. 10 mg citalopram made me last for hours. But taking it again would be the VERY last option.
arahant
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Re: Premature ejaculation thread

Unread post by arahant »

Have you tried sexual exhaustion, like masturbating more frequently and more strongly? some get desensitization (dead grip)
Porn-induced delayed ejaculation might work, https://www.psychologytoday.com/us/blog ... -revisited
Wellbutrin (2007 - 2018)
Wellbutrin + Sertraline (2015)
Wellbutrin + Ritalin (2016 - 2018)
Wellbutrin + Ritalin + Sertraline (3 months in 2018)
Buspirone (Feb 2019 - Today)
Ritalin + Buspirone (Nov 2019 - today)
Leb89
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Re: Premature ejaculation thread

Unread post by Leb89 »

arahant wrote: Sun Jan 17, 2021 8:37 pm Have you tried sexual exhaustion, like masturbating more frequently and more strongly? some get desensitization (dead grip)
Porn-induced delayed ejaculation might work, https://www.psychologytoday.com/us/blog ... -revisited
Thanks for the article. I can’t masturbate more often for several reasons. Firstly I live together with my girlfriend, we have a very small flat and she doesn’t want me to watch porn. Secondly, since pssd I often experience pain in my genitals after masturbating. Thirdly, I have very low libido, so on most days I would have to force myself to masturbate several times a day.

Tbh, if I could solve the premature ejaculation issue once and for all, I would get back a HUGE part of my life quality. I mean, all the other sexual issues are also bringing me down, but if I could „technically function“ again, it would at least be easier and less stressful to be in a relationship.
arahant
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Re: Premature ejaculation thread

Unread post by arahant »

Porn works creating delayed ejaculation in around 2% of users, its far from effective in the majority of people trying to get desensitized from real women.

Usually, after an orgasm, the refractory period makes difficult to cum on the second round. Forcing yourself to masturbate may be a good price to be paid if it makes you last longer and your girlfriend being more satisfied. Even if you masturbate until cum during foreplay with her. No need to be with porn.
Wellbutrin (2007 - 2018)
Wellbutrin + Sertraline (2015)
Wellbutrin + Ritalin (2016 - 2018)
Wellbutrin + Ritalin + Sertraline (3 months in 2018)
Buspirone (Feb 2019 - Today)
Ritalin + Buspirone (Nov 2019 - today)
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