There are medications that can help a lot with premature ejaculation problem.
There is a class of drugs specifically an antidepressant known as the SSRI – selective serotonin reuptake inhibitors. They are classically used for depression, but they have this bizarre side-effect in delaying or retarding ejaculation substantially.
So these are medicines such as Paxil, Zoloft, Anafranil or Prozac. They can sometimes be used on a continuous basis or sometimes just used situationally. They really can help quite a bit. Side effects though can be decreased sex drive, sleepiness, insomnia times, mild nausea, yawning, dry mouth.
Personal, perhaps a little bit embarrassing anecdote. I am not a depressed person at all but during the winter I have a bit of seasonal affective disorder, and I decided one day to try one antidepressant pill. So I took a very small dose of Zoloft. It didn’t really affect me, but I understand that you need to take it on a more chronic basis. But in any case as far as sexual function, all I can say is that one evening that evening about 45 minutes into the act my wife was begging for me to get off her, screaming uncle “take my sister, do anything” that was the kind of profound effect that this had on the ability to ejaculate.
So these are very real possibilities in terms of improving ejaculation.
There is a medication in the pipeline that is not yet approved by the FDA that is a short-acting SSRI called Priligy, also known as the dapoxetine, and it has been available for years in Scandinavian, Northern Europe. It works well. I believe it is available in nine countries but just not yet in the United States.
Also in the future, there is going to be a metered dose aerosol spray of the light lidocaine-prilocaine cream. In the initial study, it improved the ejaculatory latency from 30 seconds to 2.6 minutes.
Finally sexual counseling. This can be psychological in issue there are times that it might be beneficial to seek the aid of a therapist who can help manage the problem with psychological counseling.