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Our mission: to make access to sexual healthcare simple and inclusive. You are supported by a team of expert pharmacists who combine professionalism with a warm, stigma-free approach.
Premature ejaculation: Understanding and regaining control
Demystifying a common sexual issue
Premature ejaculation is the difficulty in controlling or delaying ejaculation during sexual intercourse. It is the most common sexual disorder among men, affecting people of all ages.
It is important to know that this is neither a personal failing nor a sign of "poor performance." It is a medical condition for which concrete and effective strategies and solutions exist. Talking about it is the first step to regaining control.
Understanding the causes: A mix of factors
The causes of premature ejaculation are often a complex mix of physical and psychological factors. It's not "just in your head."
- Physiological factors: Penile hypersensitivity, neurobiological factors (related to serotonin levels in the brain), or medical conditions like an inflamed prostate can play a role.
- Psychological factors: Performance anxiety, stress, or early, rushed sexual experiences can contribute to the problem.
Solutions and management strategies: The pharmacist's approach
Several approaches can be used, often in combination, to improve ejaculatory control.
Behavioral exercises (first steps)
Techniques like the "Stop-Start" method (pausing stimulation before the point of no return) or the "Squeeze" technique (squeezing the tip of the penis) can be tried. These are "classic" exercises that can help to become more aware of one's sensations. While they can be useful for some, their effectiveness alone is limited, and they are often best used as a supplement to other approaches.
Desensitizing topical products
Available at the pharmacy, these products help to reduce penile sensitivity. Desensitizing condoms or topical creams containing lidocaine/benzocaine are accessible and effective options.
Prescription treatments (the most effective approach)
For more persistent cases, oral medications are the most high-performance option. Certain antidepressants (SSRIs), taken either daily or on-demand, are very effective at delaying ejaculation. This is a well-established pharmacological solution that you can discuss with your doctor or pharmacist.
The comprehensive approach: The key to success
The best strategy is often to combine several approaches: for example, using behavioral techniques at the same time as a medical treatment. Open communication with one's partner is also fundamental to reduce anxiety and work as a team. Therapy with a sexologist can also be of great help.
Trusted resources
- Sex & U by the SOGC: The Canadian medical reference on the subject, with clear explanations.
- Ordre professionnel des sexologues du Québec: To find a qualified sexologist near you (FR only).
- Canadian Urological Association: Offers reference medical information.
