One physical strategy for delaying climax involves squeezing the shaft of the penis right before ejaculation. "It creates a mild discomfort and keeps the event from happening," says Irwin Goldstein, MD, director of San Diego Sexual Medicine and the editor in chief of The Journal of Sexual Medicine.
Some people find mental distraction helpful for delaying things. The idea is to think of something completely unrelated to your partnerand distinctly nonsexual. Some guys imagine they are at a football game or do math problems in their heads.
Topical creams containing lidocaine or a similar numbing agent will reduce sensitivity, although they are not FDA-approved for this function. Or try a lubricant that's formulated with desensitizing ingredients designed to help prolong the sexual experience. Dr. Goldstein has a warning about these, though: "If you are going to use a numbing agent, you should wear a condom or its numbing effects will transfer to your partner." It is recommended, as well, that one wipe off the numbing agent before beginning intercourse.
Some oral medications designed to treat other conditions have also been effective in treating PE because of their (unintentional and otherwise unwanted) sexual side effects. For example, selective serotonin-reuptake inhibitors (SSRIs), widely used as antidepressants, can also be used to delay climax. "SSRIs raise serotonin levels, which is an inhibitor to sexual activity," explains Dr. Goldstein. "One of the side effects is difficulty ejaculating." SSRIs work best for men who take them every day, however; they don't work if you take them immediately before sex. Also, SSRIs typically have another unintended side effectthe loss of libidoso it's important to weigh the pros and cons of this option with your doctor.