Combination Therapies for Better Results

She is an accomplished men’s health expert with a robust background in healthcare innovation, clinical medicine, and academic research. Dr.

Treatment Type	Method	Typical Duration	Effectiveness Rate
Pharmacological	SSRIs (e.g., Dapoxetine)	4-12 weeks	70-85%
Topical Anesthetics	Lidocaine-based creams	Immediate	60-75%
Behavioral Therapy	Start-Stop Technique	Ongoing	50-70%
Electrical Stimulation	Pelvic nerve stimulation	Varies	40-60%

Brown was previously Medical Director of a male fertility startup where she lead strategy and design of their digital health platform, an innovative education and telehealth model for delivering expert male fertility care.

Change	Expected Benefit	Implementation Tips
Regular Exercise	Reduces stress, improves circulation	3-5 times/week
Balanced Diet	Supports hormonal health	Focus on fruits, vegetables, lean proteins
Reducing Alcohol Intake	Decreases performance anxiety	Limit to moderate levels
Quitting Smoking	Improves overall vascular health	Seek support if needed

She completed her undergraduate studies at University of North Carolina at Chapel Hill (go Heels!) with a Bachelor of Science in Radiologic Science and a Minor in Chemistry.

• Consider professional counseling for psychological causes.
• Use behavioral exercises like stop-start method.
• Take prescribed SSRIs to delay ejaculation.
• Practice pelvic floor relaxation techniques.
• Maintain a healthy, balanced diet.
• Limit exposure to performance pressure.
• Engage in shared sexual experiences with partner.
• Use condoms with numbing agents if suitable.
• Track progress to stay motivated.
• Incorporate relaxation techniques before intimacy.
• Avoid rushing; focus on quality over speed.
• Seek group or couple therapy if needed.

She took a position at University of California Los Angeles as a radiologic technologist in the department of Interventional Cardiology, further solidifying her passion for medicine.

Premature Ejaculation Diagnosis

Hims & Hers has strict sourcing guidelines to ensure our content is accurate and current. We rely on peer-reviewed studies, academic research institutions, and medical associations. We strive to use primary sources and refrain from using tertiary references. Dr. Kelly Brown is a board certified Urologist and fellowship trained in Andrology. She also pursued the unique opportunity to lead departmental design and operational development at the Ronald Reagan UCLA Medical Center, sparking her passion for the business of healthcare.

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Dr.

Approach	Method Description	Scientific Evidence	Notes
Acupuncture	Stimulating specific points for sexual stamina	Limited	Requires qualified practitioner
Herbal Remedies	Herbal blends said to improve stamina	Anecdotal	Consult healthcare provider
Homeopathy	Personalized remedy selection	Lack of scientific validation	Use with caution

Brown then went on to obtain her doctorate in medicine from the prestigious Northwestern University - Feinberg School of Medicine and Masters in Business Administration from Northwestern University - Kellogg School of Management, with a concentration in Healthcare Management.

I am a Sex Coach that specializes in male performance struggles

We offer sertraline and paroxetine online as off-label treatments for PE, following a consultation with a licensed healthcare professional who will determine if a prescription is appropriate. Other medications are also sometimes vidalista 20mg uk prescribed off-label for PE as well, such as sildenafil, which is technically a blood pressure medication. Surprised to see behavioral listed as an option for treatment for premature ejaculation home remedies? Well technically, meeting with a sex therapist or other mental health provider can be a home activity thanks to telehealth. Behavioral therapy can help to treat the psychological causes of early ejaculation, like poor self-image and performance anxiety.

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Another option you might explore is couples therapy, which can address mismatched sex drive between partners, alongside other issues that may affect sexual intercourse and the sexual experience between partners. You can also talk through how to deal with PE in your relationship. Premature ejaculation can be frustrating and stressful, both for you and your sexual partner. It can affect everything from your sexual self-confidence to your relationship as a whole. Luckily, it’s a treatable condition, so life-long premature ejaculation doesn’t have to be the reality you resort to. During her surgical residency in Urology at University of California San Francisco, she utilized her research year to focus on innovations in telemedicine and then served as chief resident with significant contributions to clinical quality improvement. Dr.

25. Does premature ejaculation affect sperm count?

However, it’s been a widely recommended technique since the 1950s and an anecdotal favorite for men affected by PE. It’s also an easy technique that you can use at home to last longer during sex. Another simple, do-it-yourself technique for preventing premature ejaculation and lasting longer in bed is to masturbate before you plan to have sex. Like foreplay, masturbation can become a healthy part of your sex life if used to moderate the quick finish associated with types of sexual dysfunction like performance anxiety. Although there’s no high-quality research to support the benefits of masturbating prior to sex for increasing ejaculation time, many guys claim that it’s effective.

Other treatment options

The theory behind this technique is that masturbating causes you to enter your refractory period — a post-ejaculation period when you’ll find it more difficult (or, in some cases, impossible) to reach orgasm again until you’re able to recover. While waiting an hour might make having sex easier, it’s important to give your body enough time to recover in order to avoid sexual performance issues, such as erectile dysfunction (ED). It’s also important to keep in mind that you may feel less interested in having sex for a few hours after you masturbate. If you’ve googled, ‘how to last longer in bed naturally home remedies,’ you may have come across Chinese traditional remedies for premature ejaculation. In Chinese medicine, PE is thought to be related to spleen, kidney and blood issues. Brown then completed her Andrology Fellowship at Medical College of Wisconsin, furthering her expertise in male fertility, microsurgery, and sexual function.

Additional information

Another option you may see is benzocaine, the active ingredient in our easy-to-use Clockstopper Climax Delay Wipes. By applying lidocaine around 15 minutes before sex, you can reduce sensitivity in your penis without causing too much numbing. This will let you enjoy the pleasurable side of sex without any need to worry about ejaculating too early. Our guide to lidocaine spray for premature ejaculation goes into more detail about how these anesthetic products work, as well as how you can use them for additional sexual stamina and extra control over ejaculation. You can also weigh whether a lidocaine cream vs.

Try this out

spray for PE is better for you. Selective serotonin reuptake inhibitors, or SSRIs, are prescription medications that are typically used to treat depression and anxiety. Some SSRIs are also used off-label to treat other medical conditions, including premature ejaculation. Currently, two SSRIs are often prescribed as premature ejaculation pills: sertraline (Prozac) and paroxetine (Paxil). These medications can help to delay orgasm, giving you more control over your sensation level and ejaculatory reflex in bed. Her dedication to caring for patients with compassion, understanding, as well as a unique ability to make guys instantly comfortable discussing anything from sex to sperm makes her a renowned clinician.

What could have caused the problem?

Zinc status and serum testosterone levels of healthy adults. Magnesium in human semen: possible role in premature ejaculation. Premature ejaculation: What can I do on my own? Traditional Chinese medicine on treating premature ejaculation. Double-Blind, Randomized Controlled Trial of Topical 4% Benzocaine Wipes for Management of Premature Ejaculation: Interim Analysis. In addition, her passion for innovation in healthcare combined with her business acumen makes her a formidable leader in the field of men’s health.

Find your care

As such, many of the treatments aim to strengthen the kidneys and spleen, promote blood circulation and target other perceived root causes of premature ejaculation. Although some ingredients used in Chinese traditional medicine might improve blood circulation throughout the body, there’s currently no high-quality scientific evidence to suggest that Chinese herbal medicine increases sexual stamina or treats PE. Extended pleasure condoms, or numbing condoms, contain topical anesthetics that numb your penis when worn. During sex, this means you’ll feel a slightly less intense sensation, helping you avoid accidentally orgasming too early. While there’s no direct scientific proof that these condoms can treat premature ejaculation, there is evidence that benzocaine — the active ingredient in most extended pleasure condoms — helps men last longer before ejaculating.

Can lifestyle changes help manage premature ejaculation?

In a 2017 study, men with an average intravaginal ejaculatory latency time (IELT) of two minutes or less experienced an average increase of 231.5 seconds (almost four minutes) after using 4% topical benzocaine wipes for two months. It’s also possible to delay ejaculation by using a thicker condom, which can lower sensation and help you avoid reaching orgasm too early. Condoms aren’t the only vehicle for a numbing agent. One of the most effective ways to treat premature ejaculation is to apply an over-the-counter anesthetic to your penis before sex. Lidocaine, which reduces sensitivity in your penis and gives you more control over orgasm and ejaculation, is available as a topical spray, such as in our over-the-counter Delay Spray for Men. Dr.

Why trust our experts?

While many home remedies offer mild benefits for premature ejaculation, the science is largely inconclusive when it comes to their actual effectiveness. With that in mind, here’s a recap on possible options if it’s how to last longer during sex home remedies you’re after: Natural treatments like healthy eating, dietary supplements and techniques that you can perform during sexual activity may help you to slow down orgasm and ejaculation, especially if you have mild or moderate PE. Natural treatments like healthy eating, dietary supplements and techniques that you can perform during sexual activity may help you to slow down orgasm and ejaculation, especially if you have mild or moderate PE. Exercises that strengthen your pelvic floor muscles, as well as simple techniques like the squeeze technique that you can perform during sex to reduce sensation and delay ejaculation, can help many men. If you have premature ejaculation that’s more severe or persistent, you’ll likely benefit from 20 mg vardenafil using an over-the-counter or prescription treatment.

Diagnosing premature ejaculation

Antidepressants such as paroxetine (the active ingredient in Paxil®) and sertraline (Zoloft®) actually make climax more difficult as a side effect. However, these options will take time and a prescription to help. Topicals like Hims’ lidocaine-based Delay Spray for Men work by reducing the sensitivity level of your penis and helping you avoid reaching orgasm too quickly. We offer a range of premature ejaculation treatments online, including evidence-based products, such as sprays, wipes and prescription medications. You can also learn more about treating premature ejaculation and improving your sexual health in our full guide to stopping premature ejaculation for good. Brown is an avid adventurer; summiting Mount Kilimanjaro in Tanzania (twice!) and hiking the incredible Torres del Paine Trek in Patagonia, Chile.

• Start therapy early with a healthcare provider.
• Learn about psychological factors affecting performance.
• Use behavioral techniques to increase endurance.
• Consider antidepressants like SSRIs under medical supervision.
• Explore natural supplements such as L-arginine or herbal remedies.
• Practice mindfulness and stress reduction strategies.
• Avoid performance anxiety through relaxation exercises.
• Maintain a balanced diet to support sexual health.
• Limit distractions and focus on intimate connection.
• Track triggers or patterns that lead to early ejaculation.
• Use lubricants to decrease sensation and prolong intimacy.
• Seek support from sex education resources.