{"id":1617,"date":"2020-09-11T08:00:00","date_gmt":"2020-09-11T01:00:00","guid":{"rendered":"https:\/\/drsoaraweeurology.com\/?p=1617"},"modified":"2026-08-30T04:49:41","modified_gmt":"2026-08-29T21:49:41","slug":"%e6%97%a9%e6%bc%8f-%e8%87%aa%e5%b7%b1%e4%bf%ae%e6%ad%a3","status":"publish","type":"post","link":"https:\/\/drsoaraweeurology.com\/ja\/2020\/09\/11\/premature-ejaculation-self-fix\/","title":{"rendered":"\u65e9\u6f0f\uff1a\u307e\u305a\u8a66\u3059\u3079\u304d7\u3064\u306e\u81ea\u5df1\u5bfe\u51e6\u6cd5"},"content":{"rendered":"\n<div class=\"wp-block-columns coblocks-author-columns has-background is-layout-flex wp-container-core-columns-is-layout-52275889 wp-block-columns-is-layout-flex\" style=\"background-color:#8C8C971A;padding-top:2.5rem;padding-right:2.5rem;padding-bottom:2.5rem;padding-left:2.5rem\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:25%\">\n<figure class=\"wp-block-image size-full is-style-rounded\"><img data-recalc-dims=\"1\" fetchpriority=\"high\" decoding=\"async\" width=\"800\" height=\"800\" data-attachment-id=\"7037\" data-permalink=\"https:\/\/drsoaraweeurology.com\/ja\/new-photo-2024\/\" data-orig-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?fit=800%2C800&amp;ssl=1\" data-orig-size=\"800,800\" data-comments-opened=\"1\" data-image-title=\"Dr. Soarawee Weerasopone \u2014 Board-Certified Urologist in Bangkok, Thailand\" data-image-description=\"\" data-image-caption=\"&lt;p&gt;Dr. Soarawee Weerasopone \u2014 Board-Certified Urologist in Bangkok, Thailand&lt;\/p&gt;\n\" data-large-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?fit=800%2C800&amp;ssl=1\" src=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?resize=800%2C800&#038;ssl=1\" alt=\"Dr. Soarawee Weerasopone \u2014 Board-Certified Urologist in Bangkok, Thailand\" class=\"wp-image-7037\" srcset=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?w=800&amp;ssl=1 800w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?resize=300%2C300&amp;ssl=1 300w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?resize=150%2C150&amp;ssl=1 150w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?resize=768%2C768&amp;ssl=1 768w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?resize=12%2C12&amp;ssl=1 12w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?resize=600%2C600&amp;ssl=1 600w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?resize=400%2C400&amp;ssl=1 400w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?resize=200%2C200&amp;ssl=1 200w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/><\/figure>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:75%\">\n<p class=\"wp-block-paragraph\"><strong><a href=\"https:\/\/drsoaraweeurology.com\/\" target=\"_blank\" rel=\"noreferrer noopener\">Soarawee Weerasopone, Urologist<\/a><\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"https:\/\/www.bangkokhospital.com\/en\/bangkok\/doctor\/dr-soarawee-weerasopone-2\" target=\"_blank\" rel=\"noreferrer noopener\">Bangkok hospital Headquarter, Bangkok<\/a><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"tel:+66880221445\" target=\"_blank\" rel=\"noreferrer noopener\">Samitivej Sriracha Hospital \u2014 Urology department: <strong>088-022-1445<\/strong><\/a><\/p>\n\n\n\n<div class=\"wp-block-buttons is-layout-flex wp-block-buttons-is-layout-flex\">\n<div class=\"wp-block-button is-style-outline is-style-outline--1\"><a class=\"wp-block-button__link has-background-background-color has-text-color has-background has-link-color has-small-font-size has-custom-font-size wp-element-button\" href=\"https:\/\/www.bangkokhospital.com\/en\/bangkok\/doctor\/dr-soarawee-weerasopone-2\" style=\"color:#1b4965\" target=\"_blank\" rel=\"noreferrer noopener\">Book a Consultation<\/a><\/div>\n<\/div>\n<\/div>\n<\/div>\n\n\n\n<ul class=\"wp-block-social-links aligncenter has-normal-icon-size is-style-default coblocks-animate is-content-justification-center is-layout-flex wp-container-core-social-links-is-layout-3e41869c wp-block-social-links-is-layout-flex\"><li class=\"wp-social-link wp-social-link-wordpress wp-block-social-link\"><a href=\"https:\/\/drsoaraweeurology.com\/\" class=\"wp-block-social-link-anchor\"><svg width=\"24\" height=\"24\" viewBox=\"0 0 24 24\" version=\"1.1\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" aria-hidden=\"true\" focusable=\"false\"><path d=\"M12.158,12.786L9.46,20.625c0.806,0.237,1.657,0.366,2.54,0.366c1.047,0,2.051-0.181,2.986-0.51 c-0.024-0.038-0.046-0.079-0.065-0.124L12.158,12.786z M3.009,12c0,3.559,2.068,6.634,5.067,8.092L3.788,8.341 C3.289,9.459,3.009,10.696,3.009,12z M18.069,11.546c0-1.112-0.399-1.881-0.741-2.48c-0.456-0.741-0.883-1.368-0.883-2.109 c0-0.826,0.627-1.596,1.51-1.596c0.04,0,0.078,0.005,0.116,0.007C16.472,3.904,14.34,3.009,12,3.009 c-3.141,0-5.904,1.612-7.512,4.052c0.211,0.007,0.41,0.011,0.579,0.011c0.94,0,2.396-0.114,2.396-0.114 C7.947,6.93,8.004,7.642,7.52,7.699c0,0-0.487,0.057-1.029,0.085l3.274,9.739l1.968-5.901l-1.401-3.838 C9.848,7.756,9.389,7.699,9.389,7.699C8.904,7.67,8.961,6.93,9.446,6.958c0,0,1.484,0.114,2.368,0.114 c0.94,0,2.397-0.114,2.397-0.114c0.485-0.028,0.542,0.684,0.057,0.741c0,0-0.488,0.057-1.029,0.085l3.249,9.665l0.897-2.996 C17.841,13.284,18.069,12.316,18.069,11.546z M19.889,7.686c0.039,0.286,0.06,0.593,0.06,0.924c0,0.912-0.171,1.938-0.684,3.22 l-2.746,7.94c2.673-1.558,4.47-4.454,4.47-7.771C20.991,10.436,20.591,8.967,19.889,7.686z M12,22C6.486,22,2,17.514,2,12 C2,6.486,6.486,2,12,2c5.514,0,10,4.486,10,10C22,17.514,17.514,22,12,22z\"><\/path><\/svg><span class=\"wp-block-social-link-label screen-reader-text\">WordPress<\/span><\/a><\/li>\n\n<li class=\"wp-social-link wp-social-link-linkedin wp-block-social-link\"><a href=\"https:\/\/www.linkedin.com\/in\/soarawee-weerasopone\/\" class=\"wp-block-social-link-anchor\"><svg width=\"24\" height=\"24\" viewBox=\"0 0 24 24\" version=\"1.1\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" aria-hidden=\"true\" focusable=\"false\"><path d=\"M19.7,3H4.3C3.582,3,3,3.582,3,4.3v15.4C3,20.418,3.582,21,4.3,21h15.4c0.718,0,1.3-0.582,1.3-1.3V4.3 C21,3.582,20.418,3,19.7,3z M8.339,18.338H5.667v-8.59h2.672V18.338z M7.004,8.574c-0.857,0-1.549-0.694-1.549-1.548 c0-0.855,0.691-1.548,1.549-1.548c0.854,0,1.547,0.694,1.547,1.548C8.551,7.881,7.858,8.574,7.004,8.574z M18.339,18.338h-2.669 v-4.177c0-0.996-0.017-2.278-1.387-2.278c-1.389,0-1.601,1.086-1.601,2.206v4.249h-2.667v-8.59h2.559v1.174h0.037 c0.356-0.675,1.227-1.387,2.526-1.387c2.703,0,3.203,1.779,3.203,4.092V18.338z\"><\/path><\/svg><span class=\"wp-block-social-link-label screen-reader-text\">LinkedIn<\/span><\/a><\/li>\n\n<li class=\"wp-social-link wp-social-link-mail wp-block-social-link\"><a href=\"mailto:bhquro@bdms.co.th\" class=\"wp-block-social-link-anchor\"><svg width=\"24\" height=\"24\" viewBox=\"0 0 24 24\" version=\"1.1\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" aria-hidden=\"true\" focusable=\"false\"><path d=\"M19,5H5c-1.1,0-2,.9-2,2v10c0,1.1.9,2,2,2h14c1.1,0,2-.9,2-2V7c0-1.1-.9-2-2-2zm.5,12c0,.3-.2.5-.5.5H5c-.3,0-.5-.2-.5-.5V9.8l7.5,5.6,7.5-5.6V17zm0-9.1L12,13.6,4.5,7.9V7c0-.3.2-.5.5-.5h14c.3,0,.5.2.5.5v.9z\"><\/path><\/svg><span class=\"wp-block-social-link-label screen-reader-text\">\u30e1\u30fc\u30eb<\/span><\/a><\/li><\/ul>\n\n\n\n<style>\n\/* Hover effect for Social Dr Pom Block - Social Icons *\/\n.wp-block-social-links .wp-social-link {\n  transition: transform 0.2s ease, opacity 0.2s ease !important;\n}\n.wp-block-social-links .wp-social-link:hover {\n  transform: scale(1.15);\n  opacity: 0.9;\n}\n<\/style>\n\n<div class=\"dr-pom-academic-icons\" style=\"display: flex; gap: 16px; margin-top: 12px; align-items: center; justify-content: center;\">\n  \n  <a href=\"https:\/\/www.researchgate.net\/profile\/Soarawee-Weerasopone\" \n     target=\"_blank\" \n     rel=\"noopener\"\n     title=\"ResearchGate Profile\"\n     aria-label=\"View ResearchGate Profile\"\n     style=\"text-decoration: none; color: #00CCBB; transition: transform 0.2s; display: inline-block;\"\n     onmouseover=\"this.style.transform='scale(1.15)'\"\n     onmouseout=\"this.style.transform='scale(1)'\">\n    <svg width=\"28\" height=\"28\" viewBox=\"0 0 24 24\" fill=\"currentColor\">\n      <path d=\"M19.586 0c-.818 0-1.508.19-2.073.565-.563.377-.97.936-1.213 1.68a3.193 3.193 0 0 0-.112.437 8.365 8.365 0 0 0-.078.53 9 9 0 0 0-.05.727c-.01.282-.013.621-.013 1.016a31.121 31.121 0 0 0 .014 1.017 9 9 0 0 0 .05.727 7.946 7.946 0 0 0 .077.53h.001c.024.115.06.262.112.438.243.743.65 1.303 1.213 1.68.565.376 1.255.564 2.073.564.8 0 1.536-.213 2.105-.603.57-.39.94-.916 1.175-1.65.076-.235.135-.558.177-.93a15.4 15.4 0 0 0 .063-1.207v-.512a.27.27 0 0 0-.273-.273h-2.95a.27.27 0 0 0-.274.273v.785c0 .228.0.343.273.343h1.337c.094 0 .14.045.14.137 0 .61-.063 1.043-.155 1.318-.182.546-.7 1.018-1.683 1.018-.654 0-1.135-.114-1.475-.356-.34-.244-.55-.585-.658-1.024a3.797 3.797 0 0 1-.111-.43 5.515 5.515 0 0 1-.06-.51 19.85 19.85 0 0 1-.025-.726c-.004-.28-.004-.628-.004-1.045 0-.418 0-.766.004-1.046a19.85 19.85 0 0 1 .025-.726 5.475 5.475 0 0 1 .06-.51 3.785 3.785 0 0 1 .111-.43c.108-.44.318-.78.658-1.024.34-.243.82-.357 1.475-.357.6 0 1.064.078 1.413.293.347.215.595.515.74.91.063.155.166.21.31.156l.967-.4c.15-.058.187-.18.13-.32a3.025 3.025 0 0 0-1.262-1.452C21.12.218 20.428.0 19.586 0zM8.512 4.32c-2.7 0-4.066.997-4.066 3.06v.04c0 1.92.992 2.83 3.046 2.83 1.27 0 2.038-.39 2.385-1.05h.13l.067.51c.04.2.207.34.41.34h.99V7.95c0-2.59-1.06-3.63-2.962-3.63zm-.18 1.61c1.118 0 1.628.56 1.628 1.86v.4l-1.65.16c-1.35.13-1.86.46-1.86 1.13v.04c0 .67.41 1.06 1.45 1.06.85 0 1.55-.32 1.93-.84.04-.06.13-.07.18-.02.05.03.07.1.07.16v.43c0 .26.13.42.34.42h1.05c.21 0 .34-.16.34-.42v-3.6c0-1.94-1.13-2.83-3.46-2.83-1.94 0-3.07.86-3.4 2.04l1.55.45c.18-.69.6-1.04 1.83-1.04zM2.135 16.314c-.587 0-1.066-.156-1.434-.469-.367-.312-.618-.704-.752-1.176-.034-.124-.061-.232-.082-.327a3.794 3.794 0 0 1-.044-.366 8.83 8.83 0 0 1-.022-.547C0 13.221 0 12.985 0 12.704c0-.281 0-.515.001-.704a8.81 8.81 0 0 1 .022-.547 3.802 3.802 0 0 1 .044-.366c.02-.094.048-.203.082-.328.134-.471.385-.864.752-1.176.368-.313.847-.469 1.434-.469.477 0 .892.087 1.246.262.353.175.622.443.806.804.044.083.083.157.117.222.034.066.069.144.105.235.022.054.011.099-.034.135l-.66.292c-.045.027-.082.013-.112-.045a4.043 4.043 0 0 0-.155-.27 1.247 1.247 0 0 0-.49-.495c-.225-.131-.522-.196-.892-.196-.402 0-.726.064-.972.193-.247.13-.422.302-.527.518-.027.045-.054.099-.082.16a1.39 1.39 0 0 0-.067.197 2.46 2.46 0 0 0-.05.282 5.51 5.51 0 0 0-.033.43c-.008.17-.013.376-.013.617 0 .242.005.448.013.618.008.17.02.314.034.43.013.117.03.21.05.282.02.072.042.137.066.197.105.216.28.39.527.518.246.13.57.193.972.193.4 0 .714-.07.94-.21.227-.14.394-.346.503-.617a2.43 2.43 0 0 0 .104-.395c.018-.123.027-.282.027-.477V13.2H2.34c-.04 0-.06-.02-.06-.062v-.5c0-.04.02-.062.06-.062h1.812c.04 0 .062.02.062.06v.5c0 .156-.005.296-.014.422a4.71 4.71 0 0 1-.04.342 1.732 1.732 0 0 1-.064.262c-.13.523-.402.913-.815 1.17-.413.255-.95.382-1.61.382z\"\/>\n    <\/svg>\n  <\/a>\n  \n  <a href=\"https:\/\/orcid.org\/0009-0004-8387-3559\" \n     target=\"_blank\" \n     rel=\"noopener\"\n     title=\"ORCID iD\"\n     aria-label=\"View ORCID Profile\"\n     style=\"text-decoration: none; color: #A6CE39; transition: transform 0.2s; display: inline-block;\"\n     onmouseover=\"this.style.transform='scale(1.15)'\"\n     onmouseout=\"this.style.transform='scale(1)'\">\n    <svg width=\"28\" height=\"28\" viewBox=\"0 0 24 24\" fill=\"currentColor\">\n      <path d=\"M12 0C5.372 0 0 5.372 0 12s5.372 12 12 12 12-5.372 12-12S18.628 0 12 0zM7.369 4.378c.525 0 .947.431.947.947 0 .525-.422.947-.947.947-.525 0-.946-.422-.946-.947 0-.525.421-.947.946-.947zm-.722 3.038h1.444v10.041H6.647V7.416zm3.562 0h3.9c3.712 0 5.344 2.653 5.344 5.025 0 2.578-2.016 5.025-5.325 5.025h-3.919V7.416zm1.444 1.303v7.444h2.297c3.272 0 4.022-2.484 4.022-3.722 0-2.016-1.284-3.722-4.097-3.722h-2.222z\"\/>\n    <\/svg>\n  <\/a>\n  \n  <a href=\"https:\/\/scholar.google.com\/citations?user=lTgsRMUAAAAJ&#038;hl=en\" \n     target=\"_blank\" \n     rel=\"noopener\"\n     title=\"Google Scholar\"\n     aria-label=\"View Google Scholar Profile\"\n     style=\"text-decoration: none; color: #4285F4; transition: transform 0.2s; display: inline-block;\"\n     onmouseover=\"this.style.transform='scale(1.15)'\"\n     onmouseout=\"this.style.transform='scale(1)'\">\n    <svg width=\"28\" height=\"28\" viewBox=\"0 0 24 24\" fill=\"currentColor\">\n      <path d=\"M5.242 13.769L0.5 9.5 12 1l11.5 8.5-4.742 4.269C17.548 11.249 14.978 9.5 12 9.5c-2.977 0-5.548 1.748-6.758 4.269zM12 10a7 7 0 1 0 0 14 7 7 0 0 0 0-14z\"\/>\n    <\/svg>\n  <\/a>\n  \n<\/div>\n\n\n\n<p class=\"has-drop-cap wp-block-paragraph\">Have you ever experienced premature ejaculation? Most men have, at least a few times in their lives \u2014 myself included. If it happens rarely, it is not a problem and needs no treatment. But if it happens often enough to trouble you or your partner, the natural question is what to do about it first. This article covers seven things you can try yourself before any prescription is needed.<\/p>\n\n\n<script type=\"application\/ld+json\">\r\n{\r\n  \"@context\": \"https:\/\/schema.org\",\r\n  \"@type\": \"FAQPage\",\r\n  \"mainEntity\": [\r\n    {\r\n      \"@type\": \"Question\",\r\n      \"name\": \"What is premature ejaculation (PE)?\",\r\n      \"acceptedAnswer\": {\r\n        \"@type\": \"Answer\",\r\n        \"text\": \"Premature ejaculation is the inability to control orgasm, resulting in ejaculation before or very shortly after penetration. According to the American Urological Association, PE occurs sooner than desired and causes distress to one or both partners.\"\r\n      }\r\n    },\r\n    {\r\n      \"@type\": \"Question\",\r\n      \"name\": \"Is premature ejaculation a common problem?\",\r\n      \"acceptedAnswer\": {\r\n        \"@type\": \"Answer\",\r\n        \"text\": \"Yes. Premature ejaculation is the most common male sexual disorder. Most men experience it at least occasionally during their lifetime. It only becomes a clinical concern when it happens frequently and causes distress to the patient or partner.\"\r\n      }\r\n    },\r\n    {\r\n      \"@type\": \"Question\",\r\n      \"name\": \"Does exercise really help premature ejaculation?\",\r\n      \"acceptedAnswer\": {\r\n        \"@type\": \"Answer\",\r\n        \"text\": \"Yes. A randomized clinical trial showed that moderate intensity exercise for more than 30 minutes at least 5 times per week significantly improves premature ejaculation. Exercise increases serotonin neurotransmitter levels which helps prolong ejaculation time.\"\r\n      }\r\n    },\r\n    {\r\n      \"@type\": \"Question\",\r\n      \"name\": \"How does the Start-Stop technique work for PE?\",\r\n      \"acceptedAnswer\": {\r\n        \"@type\": \"Answer\",\r\n        \"text\": \"The Start-Stop technique involves stopping all genital stimulation when close to ejaculation, waiting until the excited state subsides, then resuming stimulation. This cycle is repeated to gradually improve ejaculatory control over time.\"\r\n      }\r\n    },\r\n    {\r\n      \"@type\": \"Question\",\r\n      \"name\": \"When should I see a doctor for premature ejaculation?\",\r\n      \"acceptedAnswer\": {\r\n        \"@type\": \"Answer\",\r\n        \"text\": \"You should consult a urologist or andrologist if premature ejaculation occurs frequently, causes significant distress, affects your relationship, or does not improve with self-help techniques. Medical treatments including topical therapies and medications are available and highly effective.\"\r\n      }\r\n    }\r\n  ]\r\n}\r\n<\/script>\n\n\n\n<figure class=\"wp-block-image aligncenter size-large\"><img data-recalc-dims=\"1\" decoding=\"async\" width=\"800\" height=\"534\" data-attachment-id=\"1627\" data-permalink=\"https:\/\/drsoaraweeurology.com\/ja\/woman-hand-holding-banana-for-illustration-of-premature-ejaculation-or-sexual-dysfuncion\/\" data-orig-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/09\/PE.jpg?fit=1200%2C801&amp;ssl=1\" data-orig-size=\"1200,801\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;11&quot;,&quot;credit&quot;:&quot;Leo Lintang&quot;,&quot;camera&quot;:&quot;NIKON D810&quot;,&quot;caption&quot;:&quot;Woman hand holding banana for illustration of premature ejaculation or sexual dysfuncion. Health problems&quot;,&quot;created_timestamp&quot;:&quot;1541513744&quot;,&quot;focal_length&quot;:&quot;70&quot;,&quot;iso&quot;:&quot;100&quot;,&quot;shutter_speed&quot;:&quot;0.00625&quot;,&quot;title&quot;:&quot;Woman hand holding banana for illustration of premature ejaculation or sexual dysfuncion&quot;,&quot;orientation&quot;:&quot;1&quot;}\" data-image-title=\"Premature ejaculation is the most common male sexual disorder\" data-image-description=\"\" data-image-caption=\"&lt;p&gt;Premature ejaculation is the most common male sexual disorder&lt;\/p&gt;\n\" data-large-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/09\/PE.jpg?fit=800%2C534&amp;ssl=1\" src=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/09\/PE.jpg?resize=800%2C534&#038;ssl=1\" alt=\"A man sitting on the edge of a bed, illustrating the distress caused by premature ejaculation\" class=\"wp-image-1627\" srcset=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/09\/PE.jpg?w=1200&amp;ssl=1 1200w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/09\/PE.jpg?resize=300%2C200&amp;ssl=1 300w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/09\/PE.jpg?resize=1024%2C684&amp;ssl=1 1024w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/09\/PE.jpg?resize=768%2C513&amp;ssl=1 768w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/><figcaption class=\"wp-element-caption\">Premature ejaculation is the most common male sexual disorder.<\/figcaption><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\">First, it helps to be clear about what premature ejaculation actually means. Different organisations word it differently, but the core idea is the same: <strong><em>an inability to control ejaculation, which then happens sooner than wanted<\/em><\/strong>. Two of the standard definitions are set out below.<\/p>\n\n\n\n<h4 class=\"wp-block-heading\">Definitions of premature ejaculation<\/h4>\n\n\n\n<ol class=\"wp-block-list\">\n<li>The <strong>World Health Organization<\/strong> (WHO) describes PE as an inability to delay ejaculation sufficiently to enjoy lovemaking, shown either by ejaculation before or very soon after intercourse begins, or by ejaculation occurring without a sufficient erection for intercourse to be possible.<\/li>\n\n\n\n<li>The <strong>American Urological Association<\/strong> (AUA) defines it as ejaculation that occurs sooner than desired, either before or shortly after penetration, causing distress to one or both partners.<\/li>\n<\/ol>\n\n\n\n<figure class=\"wp-block-image aligncenter size-large\"><img data-recalc-dims=\"1\" decoding=\"async\" width=\"800\" height=\"534\" data-attachment-id=\"1629\" data-permalink=\"https:\/\/drsoaraweeurology.com\/ja\/asian-woman-upset-her-boyfriend-after-having-sex-couple-or-sex-problem-concept\/\" data-orig-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/09\/PE-3.jpg?fit=1200%2C801&amp;ssl=1\" data-orig-size=\"1200,801\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;4.5&quot;,&quot;credit&quot;:&quot;PORNSAWAN&quot;,&quot;camera&quot;:&quot;NIKON D800&quot;,&quot;caption&quot;:&quot;Asian beautiful woman upset her boyfriend after having sex,couple or sex problem concept&quot;,&quot;created_timestamp&quot;:&quot;1497699115&quot;,&quot;copyright&quot;:&quot;SANGMANEE&quot;,&quot;focal_length&quot;:&quot;50&quot;,&quot;iso&quot;:&quot;100&quot;,&quot;shutter_speed&quot;:&quot;0.005&quot;,&quot;title&quot;:&quot;Asian woman upset her boyfriend after having sex (couple or sex problem concept)&quot;,&quot;orientation&quot;:&quot;1&quot;}\" data-image-title=\"This issue extremely psychogenic trauma to both patient and his partner\" data-image-description=\"\" data-image-caption=\"&lt;p&gt;This issue extremely psychogenic trauma to both patient and his partner&lt;\/p&gt;\n\" data-large-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/09\/PE-3.jpg?fit=800%2C534&amp;ssl=1\" src=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/09\/PE-3.jpg?resize=800%2C534&#038;ssl=1\" alt=\"A couple sitting apart on a bed, representing the strain premature ejaculation places on a relationship\" class=\"wp-image-1629\" srcset=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/09\/PE-3.jpg?w=1200&amp;ssl=1 1200w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/09\/PE-3.jpg?resize=300%2C200&amp;ssl=1 300w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/09\/PE-3.jpg?resize=1024%2C684&amp;ssl=1 1024w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/09\/PE-3.jpg?resize=768%2C513&amp;ssl=1 768w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/><figcaption class=\"wp-element-caption\">The distress falls on both partners, not just the patient.<\/figcaption><\/figure>\n\n\n\n<h4 class=\"wp-block-heading\">One question to answer before you start: has this always been the case?<\/h4>\n\n\n\n<p class=\"wp-block-paragraph\">This is the most useful question in the whole subject, and it decides whether the self-help below is the right starting point.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">If it has been this way since you first became sexually active, the techniques below are exactly where to begin. But <strong>if you used to have good control and lost it<\/strong>, something has usually changed, and finding what changed is more productive than practising technique. The commonest explanations are worth knowing:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Erectile difficulty.<\/strong> This is the one most often missed. A man who is struggling to keep an erection starts, quite unconsciously, to hurry \u2014 and what looks like premature ejaculation is actually the erection problem underneath it. Treating the ejaculation alone in that situation does not work, and men can spend a long time on the wrong problem. If your erections are also less reliable than they used to be, say so, because it changes the plan entirely.<\/li>\n\n\n\n<li><strong>An overactive thyroid.<\/strong> An uncommon cause but a genuinely treatable one, found on a simple blood test. Worth thinking about if you have also noticed weight loss, palpitations, heat intolerance or anxiety that is new.<\/li>\n\n\n\n<li><strong>Prostate inflammation.<\/strong> Chronic prostatitis can present with premature or painful ejaculation, often with pelvic discomfort or urinary symptoms alongside.<\/li>\n\n\n\n<li><strong>A new medication, or a substance.<\/strong> Both prescribed drugs and recreational ones can change ejaculatory timing in either direction.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">None of that means self-help is wasted \u2014 it helps in either case. It means that if control was lost rather than never gained, an assessment is worth having sooner rather than after months of technique.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Now to the practical part \u2014 the seven things you can do yourself.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">1. Talk openly with your partner<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">There is clear evidence that anxiety, negative thoughts and relationship difficulties can bring on premature ejaculation. Talking honestly and understanding each other better genuinely improves sexual performance \u2014 this is not a soft option, it is often the single most effective step.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">It is worth naming the cycle explicitly, because recognising it is half of breaking it: an episode leads to worry about the next time, that worry raises arousal and self-monitoring, and the heightened state makes another episode more likely. The loop feeds itself, and it is the reason the problem so often gets worse in silence and better once it is spoken about.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">2. Notice what makes it better or worse<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Pay attention to the circumstances \u2014 how tired you were, how long since the last time, how anxious you felt, what medication you had started. Identifying your own pattern tells you what to change, and it is far more useful to bring to an appointment than a general description.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">One pattern deserves a warning rather than a note. Alcohol does delay ejaculation for some men, and a number of men work that out for themselves and start relying on it. <strong>Please do not build a strategy on it.<\/strong> Alcohol worsens erections at the same time as it delays ejaculation, so it tends to trade one problem for another; the amount needed creeps up; and using a drink to manage a sexual difficulty is a well-worn path to a larger difficulty. If a drink is currently the only thing that works, that is a reason to come and be assessed, not a solution to keep.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">3. The \u201cStart-Stop\u201d technique<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">This technique was first proposed more than 50 years ago and remains useful. It is simple: as ejaculation approaches, ask your partner to stop all genital stimulation until the excited state subsides, then resume. The cycle is repeated as desired, and ejaculatory control gradually improves with practice.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Two things make it work better. It needs your partner&#8217;s agreement and involvement rather than being done to them, and it needs practice over weeks rather than a single attempt \u2014 most men who conclude it does not work gave it two or three tries. It can also be practised alone at first, which many men find easier before bringing it into partnered sex.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">4. The \u201cSqueeze\u201d technique<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">As ejaculation approaches, the partner firmly squeezes the junction between the glans and the shaft of the penis until the erection partly subsides. As with Start-Stop, the cycle is repeated as desired. Firmly does not mean forcefully \u2014 it should not be painful, and pain is a signal to ease off rather than to persist.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/28261848\/\">5. Exercise<\/a><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Regular exercise raises serotonin levels, and serotonin is the neurotransmitter that lengthens the time to ejaculation. A randomized trial found that moderate-intensity exercise for more than 30 minutes, at least 5 times a week, significantly improved premature ejaculation.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">6. Condoms<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">A condom reduces sensitivity of the glans. Some manufacturers also add a mild topical agent for the same purpose, which lowers sensation further and lengthens the duration of intercourse.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">7. Topical penile agents<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Desensitizing sprays or creams containing lidocaine, applied to the tip and shaft of the penis 10\u201315 minutes before sexual activity, significantly lengthen time to ejaculation. Two instructions must be followed carefully:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Wipe the agent off before contact with your partner. If it is left on, it can transfer and cause numbness for them.<\/li>\n\n\n\n<li>Do not delay after applying it. Leaving it on too long causes excessive loss of sensation, which can defeat the purpose entirely.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Two additions to those instructions. Wearing a condom over the treated area is a simpler way of preventing transfer than wiping, and worth considering if numbness for your partner has been a problem. And do not apply these agents to broken or inflamed skin, or continue using them if the skin becomes irritated or a rash develops \u2014 occasional allergic reactions to topical anaesthetics do occur, and that needs a different approach rather than persistence.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Those are the seven self-help measures. If premature ejaculation continues to trouble you after trying them, it is worth discussing with a urologist or andrologist \u2014 effective medical treatments exist, and the problem responds well to them. In practice that usually means a tablet from a class of medicines that delays ejaculation, taken either daily or before sexual activity depending on the drug and the pattern of the problem. Several of these are used for this purpose outside their original licence, which is common and legitimate in medicine but is something you should be told rather than discover afterwards. Where erectile difficulty is part of the picture, treating that is generally addressed first or alongside, because the two are so often tangled together.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">A word on what is sold for this online, since a great deal is. Sprays, tablets and supplements marketed for lasting longer are frequently of unknown content, occasionally contain prescription drugs that are not declared, and are not a substitute for finding out why the problem is happening. If self-help has not worked, an appointment costs less over time than a cupboard of things that did not.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Frequently Asked Questions<\/h2>\n\n\n\n<h3 class=\"wp-block-heading\">Q1: What is premature ejaculation (PE)?<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Premature ejaculation is the inability to control orgasm, resulting in ejaculation before or very shortly after penetration. According to the American Urological Association, PE occurs sooner than desired and causes distress to one or both partners.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Q2: Is premature ejaculation a common problem?<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Yes. Premature ejaculation is the most common male sexual disorder. Most men experience it at least occasionally during their lifetime. It only becomes a clinical concern when it happens frequently and causes distress to the patient or partner.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Q3: I used to have good control and lost it. Does that matter?<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">It matters a great deal, and it is the most useful question in this subject. Premature ejaculation that has been present since a man first became sexually active is different from control that was lost, because in the second case something has usually changed and finding it is more productive than practising technique. The commonest explanation is erectile difficulty: a man struggling to keep an erection unconsciously hurries, and what looks like premature ejaculation is the erection problem underneath. Treating the ejaculation alone then fails. Other causes include an overactive thyroid, which is uncommon but treatable and found on a simple blood test, prostate inflammation, and newly started medications or substances. If control was lost rather than never gained, seek assessment sooner rather than after months of self-help.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Q4: Does exercise really help premature ejaculation?<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Yes. A randomized clinical trial showed that moderate intensity exercise for more than 30 minutes at least 5 times per week significantly improves premature ejaculation. Exercise increases serotonin neurotransmitter levels which helps prolong ejaculation time.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Q5: How does the Start-Stop technique work for PE?<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">The Start-Stop technique involves stopping all genital stimulation when close to ejaculation, waiting until the excited state subsides, then resuming stimulation. This cycle is repeated to gradually improve ejaculatory control over time. It works best with a partner&#8217;s agreement and involvement, and it needs practising over weeks rather than a single evening \u2014 most men who conclude it does not work tried it two or three times. It can also be practised alone first, which many find easier.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Q6: Does alcohol help premature ejaculation?<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">It can delay ejaculation for some men, but it is not a strategy worth building on. Alcohol worsens erections at the same time as it delays ejaculation, so it tends to trade one problem for another; the amount needed tends to creep up; and using a drink to manage a sexual difficulty is a well-recognised route to a larger difficulty. If a drink is currently the only thing that works, that is a reason to be assessed rather than a solution to keep.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Q7: Are the sprays and supplements sold online worth trying?<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Generally not. Products marketed for lasting longer are frequently of unknown content, occasionally contain undeclared prescription drugs, and do nothing to establish why the problem is happening. Topical anaesthetic agents used properly are a legitimate option, as described above, but should not be applied to broken or inflamed skin and should be stopped if irritation or a rash develops, since allergic reactions to topical anaesthetics do occur. If self-help has not worked, an assessment is a better use of money than accumulating products.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Q8: When should I see a doctor for premature ejaculation?<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">You should consult a urologist or andrologist if premature ejaculation occurs frequently, causes significant distress, affects your relationship, or does not improve with self-help techniques. Come sooner if control was lost rather than never gained, if your erections are also less reliable, or if there is pelvic pain, painful ejaculation or urinary symptoms alongside. Medical treatments including topical therapies and medications are available and highly effective.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Q9: Can I discuss this by video consultation?<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Yes, and many men prefer to start that way with this particular subject. Bangkok Hospital Headquarters offers a Telemedicine service, arranged in advance by email to the Urology department at bhquro@bdms.co.th. The consultation is largely history \u2014 how long, whether control was ever good, what your erections are like, what medications you take \u2014 and that history is what determines whether any tests are needed. Examination and blood tests are arranged in person afterwards where required. Samitivej Sriracha is in-person only, booked through the Urology department line 088-022-1445.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">If premature ejaculation is affecting your quality of life, Dr. Soarawee Weerasopone offers confidential consultations at Bangkok Hospital Headquarters. <a href=\"https:\/\/www.bangkokhospital.com\/en\/bangkok\/doctor\/dr-soarawee-weerasopone-2\" target=\"_blank\" rel=\"noreferrer noopener\">Book a Consultation<\/a>. Appointments at Samitivej Sriracha Hospital can be arranged by calling the Urology department on <a href=\"tel:0880221445\">088-022-1445<\/a>. Questions about the cost of consultation or treatment should go to the hospital directly \u2014 for Bangkok Hospital, by email to <a href=\"mailto:bhquro@bdms.co.th\">bhquro@bdms.co.th<\/a>.<\/p>\n\n\n\n<h4 class=\"wp-block-heading\">Reference<\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Randomised trial of physical exercise in the management of premature ejaculation. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/28261848\/\" target=\"_blank\" rel=\"noreferrer noopener\">PubMed 28261848<\/a><\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Disclaimer:<\/strong> This content is written and reviewed by Dr. Soarawee Weerasopone, a board-certified urologist at Bangkok Hospital Headquarters. It is intended for educational purposes only and does not constitute medical advice. Premature ejaculation that began after a period of normal control may have an underlying cause that needs identifying rather than managing with technique alone. No medical advice, diagnosis or prescription is provided through personal messaging channels or social media. Always consult a qualified healthcare professional before starting any medical treatment.<\/p>\n\n\n\n<script type=\"application\/ld+json\">\n{\n  \"@context\": \"https:\/\/schema.org\",\n  \"@graph\": [\n    {\n      \"@type\": \"MedicalWebPage\",\n      \"@id\": \"https:\/\/drsoaraweeurology.com\/2020\/09\/11\/premature-ejaculation-self-fix\/#webpage\",\n      \"url\": \"https:\/\/drsoaraweeurology.com\/2020\/09\/11\/premature-ejaculation-self-fix\/\",\n      \"name\": \"Premature Ejaculation: 7 Self-Help Techniques Worth Trying First\",\n      \"description\": \"Seven evidence-based self-help measures for premature ejaculation, including the Start-Stop and Squeeze techniques, exercise, condoms and topical anaesthetic agents, why lifelong and acquired premature ejaculation are approached differently, and when to see a urologist instead.\",\n      \"inLanguage\": \"en\",\n      \"datePublished\": \"2020-09-11\",\n      \"dateModified\": \"2026-08-30\",\n      \"lastReviewed\": \"2026-08-30\",\n      \"specialty\": \"https:\/\/schema.org\/Urologic\",\n      \"medicalAudience\": { \"@type\": \"MedicalAudience\", \"audienceType\": \"Patient\" },\n      \"isPartOf\": { \"@id\": \"https:\/\/drsoaraweeurology.com\/#website\" },\n      \"author\": { \"@id\": \"https:\/\/drsoaraweeurology.com\/#physician\" },\n      \"reviewedBy\": { \"@id\": \"https:\/\/drsoaraweeurology.com\/#physician\" },\n      \"publisher\": { \"@id\": \"https:\/\/drsoaraweeurology.com\/#physician\" },\n      \"about\": { \"@id\": \"https:\/\/drsoaraweeurology.com\/2020\/09\/11\/premature-ejaculation-self-fix\/#pe\" }\n    },\n    {\n      \"@type\": \"MedicalCondition\",\n      \"@id\": \"https:\/\/drsoaraweeurology.com\/2020\/09\/11\/premature-ejaculation-self-fix\/#pe\",\n      \"name\": \"Premature ejaculation\",\n      \"description\": \"The most common male sexual disorder: an inability to control ejaculation, which then occurs sooner than wanted, causing distress to one or both partners. Occasional episodes are normal and require no treatment. A key distinction is between lifelong premature ejaculation, present since first sexual activity, and acquired premature ejaculation, where previously good control has been lost \u2014 the latter usually reflects an identifiable change and warrants assessment rather than technique alone.\",\n      \"differentialDiagnosis\": [\n        {\n          \"@type\": \"DDxElement\",\n          \"diagnosis\": {\"@type\": \"MedicalCondition\", \"name\": \"Erectile dysfunction\"},\n          \"distinguishingSign\": {\"@type\": \"MedicalSignOrSymptom\", \"name\": \"Less reliable erections alongside the ejaculatory complaint. Men who struggle to maintain an erection unconsciously hurry, and the apparent premature ejaculation is secondary; treating the ejaculation in isolation fails and delays correct management\"}\n        },\n        {\n          \"@type\": \"DDxElement\",\n          \"diagnosis\": {\"@type\": \"MedicalCondition\", \"name\": \"Hyperthyroidism\"},\n          \"distinguishingSign\": {\"@type\": \"MedicalSignOrSymptom\", \"name\": \"New weight loss, palpitations, heat intolerance or anxiety. Uncommon but treatable and identified on a simple blood test\"}\n        },\n        {\n          \"@type\": \"DDxElement\",\n          \"diagnosis\": {\"@type\": \"MedicalCondition\", \"name\": \"Chronic prostatitis\"},\n          \"distinguishingSign\": {\"@type\": \"MedicalSignOrSymptom\", \"name\": \"Pelvic discomfort, painful ejaculation or urinary symptoms accompanying the ejaculatory complaint\"}\n        },\n        {\n          \"@type\": \"DDxElement\",\n          \"diagnosis\": {\"@type\": \"MedicalCondition\", \"name\": \"Medication or substance effect\"},\n          \"distinguishingSign\": {\"@type\": \"MedicalSignOrSymptom\", \"name\": \"Temporal relationship to a newly started prescribed drug or a recreational substance, which can shift ejaculatory timing in either direction\"}\n        }\n      ],\n      \"possibleTreatment\": [\n        {\"@type\": \"LifestyleModification\", \"name\": \"Open discussion with the partner\", \"description\": \"Anxiety, negative thoughts and relationship difficulty contribute. A self-reinforcing cycle operates in which an episode generates worry, the worry raises arousal and self-monitoring, and the heightened state makes recurrence more likely; naming the cycle is part of breaking it.\"},\n        {\"@type\": \"LifestyleModification\", \"name\": \"Identifying personal triggers\", \"description\": \"Fatigue, interval since last activity, anxiety and newly started medication. Alcohol delays ejaculation in some men but should not be used as a strategy: it simultaneously impairs erection, the required amount escalates, and using alcohol to manage sexual difficulty is a recognised route to a larger problem.\"},\n        {\"@type\": \"MedicalTherapy\", \"name\": \"Start-Stop technique\", \"description\": \"Stimulation ceases as ejaculation approaches and resumes once arousal subsides, repeated as desired. Requires the partner's agreement and involvement and practice over weeks; may be rehearsed alone first.\"},\n        {\"@type\": \"MedicalTherapy\", \"name\": \"Squeeze technique\", \"description\": \"Firm compression at the glans-shaft junction until the erection partly subsides. Firm rather than forceful; pain indicates easing off rather than persisting.\"},\n        {\"@type\": \"LifestyleModification\", \"name\": \"Regular exercise\", \"description\": \"Moderate-intensity exercise for more than 30 minutes at least five times weekly significantly improved premature ejaculation in a randomised trial, attributed to raised serotonin.\"},\n        {\"@type\": \"MedicalTherapy\", \"name\": \"Condoms\", \"description\": \"Reduce glans sensitivity; some incorporate a mild topical agent. Also a simpler means than wiping of preventing transfer of a topical anaesthetic to a partner.\"},\n        {\"@type\": \"MedicalTherapy\", \"name\": \"Topical anaesthetic agents\", \"description\": \"Lidocaine-containing sprays or creams applied 10 to 15 minutes before activity. Must be wiped off or covered before partner contact to avoid transferred numbness, and not left on excessively. Not for broken or inflamed skin; discontinue if irritation or rash develops, as allergic reaction to topical anaesthetics occurs.\"},\n        {\"@type\": \"MedicalTherapy\", \"name\": \"Oral pharmacotherapy\", \"description\": \"A class of medicines that delays ejaculation, taken daily or on demand depending on the agent and the pattern of the problem. Several are used off-label for this indication, which should be disclosed to the patient. Where erectile dysfunction coexists, it is treated first or concurrently.\"}\n      ]\n    },\n    {\n      \"@type\": \"FAQPage\",\n      \"@id\": \"https:\/\/drsoaraweeurology.com\/2020\/09\/11\/premature-ejaculation-self-fix\/#faq\",\n      \"isPartOf\": { \"@id\": \"https:\/\/drsoaraweeurology.com\/2020\/09\/11\/premature-ejaculation-self-fix\/#webpage\" },\n      \"mainEntity\": [\n        {\"@type\": \"Question\", \"name\": \"What is premature ejaculation (PE)?\", \"acceptedAnswer\": {\"@type\": \"Answer\", \"text\": \"Premature ejaculation is the inability to control orgasm, resulting in ejaculation before or very shortly after penetration. According to the American Urological Association, PE occurs sooner than desired and causes distress to one or both partners.\"}},\n        {\"@type\": \"Question\", \"name\": \"Is premature ejaculation a common problem?\", \"acceptedAnswer\": {\"@type\": \"Answer\", \"text\": \"Yes. Premature ejaculation is the most common male sexual disorder. Most men experience it at least occasionally during their lifetime. It only becomes a clinical concern when it happens frequently and causes distress to the patient or partner.\"}},\n        {\"@type\": \"Question\", \"name\": \"I used to have good control and lost it. Does that matter?\", \"acceptedAnswer\": {\"@type\": \"Answer\", \"text\": \"It matters a great deal. Premature ejaculation present since first sexual activity differs from control that was lost, because in the second case something has usually changed and finding it is more productive than practising technique. The commonest explanation is erectile difficulty: a man struggling to keep an erection unconsciously hurries, and treating the ejaculation alone then fails. Other causes include an overactive thyroid, uncommon but treatable and found on a simple blood test, prostate inflammation, and newly started medications or substances. Seek assessment sooner rather than after months of self-help.\"}},\n        {\"@type\": \"Question\", \"name\": \"Does exercise really help premature ejaculation?\", \"acceptedAnswer\": {\"@type\": \"Answer\", \"text\": \"Yes. A randomized clinical trial showed that moderate intensity exercise for more than 30 minutes at least 5 times per week significantly improves premature ejaculation. Exercise increases serotonin levels, which helps prolong ejaculation time.\"}},\n        {\"@type\": \"Question\", \"name\": \"How does the Start-Stop technique work for PE?\", \"acceptedAnswer\": {\"@type\": \"Answer\", \"text\": \"Stimulation stops when ejaculation is close, resumes once arousal subsides, and the cycle repeats to improve control over time. It works best with the partner's agreement and involvement and needs practising over weeks rather than a single evening; most men who conclude it does not work tried it two or three times. It can also be practised alone first.\"}},\n        {\"@type\": \"Question\", \"name\": \"Does alcohol help premature ejaculation?\", \"acceptedAnswer\": {\"@type\": \"Answer\", \"text\": \"It can delay ejaculation for some men but is not a strategy worth building on. Alcohol worsens erections while delaying ejaculation, so it trades one problem for another; the amount needed tends to increase; and using a drink to manage a sexual difficulty is a recognised route to a larger difficulty. If a drink is the only thing that works, that is a reason to be assessed rather than a solution to keep.\"}},\n        {\"@type\": \"Question\", \"name\": \"Are the sprays and supplements sold online worth trying?\", \"acceptedAnswer\": {\"@type\": \"Answer\", \"text\": \"Generally not. Products marketed for lasting longer are frequently of unknown content, occasionally contain undeclared prescription drugs, and do nothing to establish why the problem is happening. Topical anaesthetic agents used properly are a legitimate option but should not be applied to broken or inflamed skin and should be stopped if irritation or rash develops, since allergic reactions occur. If self-help has not worked, an assessment is a better use of money than accumulating products.\"}},\n        {\"@type\": \"Question\", \"name\": \"When should I see a doctor for premature ejaculation?\", \"acceptedAnswer\": {\"@type\": \"Answer\", \"text\": \"Consult a urologist or andrologist if premature ejaculation occurs frequently, causes significant distress, affects your relationship, or does not improve with self-help. Come sooner if control was lost rather than never gained, if erections are also less reliable, or if there is pelvic pain, painful ejaculation or urinary symptoms alongside. Medical treatments including topical therapies and medications are available and highly effective.\"}},\n        {\"@type\": \"Question\", \"name\": \"Can I discuss this by video consultation?\", \"acceptedAnswer\": {\"@type\": \"Answer\", \"text\": \"Yes, and many men prefer to start that way with this subject. Bangkok Hospital Headquarters offers a Telemedicine service, arranged in advance by email to the Urology department at bhquro@bdms.co.th. The consultation is largely history, covering duration, whether control was ever good, the state of erections and current medications, and that history determines whether tests are needed. Examination and blood tests are arranged in person where required. Samitivej Sriracha is in-person only, booked through the Urology department line 088-022-1445.\"}}\n      ]\n    }\n  ]\n}\n<\/script>\n","protected":false},"excerpt":{"rendered":"<p>\u65e9\u6f0f\u306f\u6700\u3082\u4e00\u822c\u7684\u306a\u7537\u6027\u306e\u6027\u6a5f\u80fd\u969c\u5bb3\u3067\u3042\u308a\u3001\u307b\u3068\u3093\u3069\u306e\u7537\u6027\u306f\u51e6\u65b9\u7b8b\u3092\u5fc5\u8981\u3068\u3059\u308b\u3053\u3068\u306a\u304f\u6539\u5584\u3059\u308b\u3053\u3068\u304c\u3067\u304d\u307e\u3059\u3002\u30d0\u30f3\u30b3\u30af\u75c5\u9662\u306e\u6ccc\u5c3f\u5668\u79d1\u533b\u3067\u3042\u308b\u30bd\u30e9\u30a6\u30a3\u30fc\u30fb\u30a6\u30a3\u30e9\u30bd\u30dd\u30fc\u30f3\u533b\u5e2b\u306f\u3001\u307e\u305a\u8a66\u3059\u3079\u304d7\u3064\u306e\u30a8\u30d3\u30c7\u30f3\u30b9\u306b\u57fa\u3065\u304f\u30c6\u30af\u30cb\u30c3\u30af\u3092\u8aac\u660e\u3057\u3001\u4ee3\u308f\u308a\u306b\u5c02\u9580\u533b\u306b\u8a3a\u3066\u3082\u3089\u3046\u3079\u304d\u6642\u671f\u306b\u3064\u3044\u3066\u3082\u89e3\u8aac\u3057\u307e\u3059\u3002.<\/p>","protected":false},"author":185281453,"featured_media":9365,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"advanced_seo_description":"Seven evidence-based self-help techniques for premature ejaculation \u2014 Start-Stop, Squeeze, exercise, condoms and topical agents \u2014 and when to see a specialist. By Dr. Soarawee Weerasopone.","jetpack_seo_html_title":"Premature Ejaculation: 7 Self-Help Techniques | Dr. Soarawee","jetpack_seo_noindex":false,"jetpack_seo_schema_type":"","_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_wpcom_ai_launchpad_first_post":false,"_jetpack_hide_featured_image":false,"_jetpack_featured_image_duplicate_dismissed":0,"_jetpack_feature_clip_id":0,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":true,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2},"_wpas_customize_per_network":false,"jetpack_post_was_ever_published":false},"categories":[1363],"tags":[1475,1474],"class_list":["post-1617","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-mens-health","tag-fix-premature-ejaculation","tag-premature-ejaculation"],"jetpack_publicize_connections":[],"jetpack_likes_enabled":false,"jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/pgZdrK-q5","jetpack_featured_media_url":"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/09\/Premature-ejaculation.webp?fit=1200%2C630&ssl=1","_links":{"self":[{"href":"https:\/\/drsoaraweeurology.com\/ja\/wp-json\/wp\/v2\/posts\/1617","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/drsoaraweeurology.com\/ja\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/drsoaraweeurology.com\/ja\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/drsoaraweeurology.com\/ja\/wp-json\/wp\/v2\/users\/185281453"}],"replies":[{"embeddable":true,"href":"https:\/\/drsoaraweeurology.com\/ja\/wp-json\/wp\/v2\/comments?post=1617"}],"version-history":[{"count":36,"href":"https:\/\/drsoaraweeurology.com\/ja\/wp-json\/wp\/v2\/posts\/1617\/revisions"}],"predecessor-version":[{"id":11819,"href":"https:\/\/drsoaraweeurology.com\/ja\/wp-json\/wp\/v2\/posts\/1617\/revisions\/11819"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/drsoaraweeurology.com\/ja\/wp-json\/wp\/v2\/media\/9365"}],"wp:attachment":[{"href":"https:\/\/drsoaraweeurology.com\/ja\/wp-json\/wp\/v2\/media?parent=1617"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/drsoaraweeurology.com\/ja\/wp-json\/wp\/v2\/categories?post=1617"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/drsoaraweeurology.com\/ja\/wp-json\/wp\/v2\/tags?post=1617"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}