What is Premature Ejaculation?

Most medical professionals define Premature Ejaculation as the occurrence of ejaculation prior to the wishes of both sexual partners. This broad definition avoids specifying a precise time for what is considered “premature”.

How do I know if I have Premature Ejaculation?

Premature Ejaculation is a common sexual complaint. As many as 39% of men say they have it at some time in their life. You might be diagnosed with Premature Ejaculation if you:

  • Always or nearly always ejaculate within 1 to 3 minutes of penetration.
  • Are not able to delay ejaculation during sex all or nearly all the time.
  • Feel distressed and frustrated and tend to avoid sexual intimacy as a result.

What are the most common therapies for Premature Ejaculation?

SSRIs (Antidepressants)

Selective Serotonin Reuptake Inhibitors (SSRIs) like dapoxitine, sertraline, fluoxetine, and paroxetine are sometimes prescribed off-label for PE because they can delay ejaculation. However, these drugs were developed for depression, not sexual health.

  • Daily Use Required – SSRIs must be taken consistently for weeks before showing any effect, making them an inconvenient long-term commitment.

  • Sexual Side Effects – Ironically, while they may delay ejaculation, they often reduce libido, cause erectile dysfunction, and impair overall sexual satisfaction.

  • Withdrawal Risks – Stopping SSRIs suddenly can lead to withdrawal symptoms, including mood swings, irritability, and fatigue.

PDE-5 Inhibitors (Viagra, Cialis, etc.)

Drugs like sildenafil (Viagra) and tadalafil (Cialis) were developed to treat erectile dysfunction (ED), not PE.

  • No Direct Effect on Ejaculation – These medications improve blood flow and help maintain erections but do little to delay ejaculation.

  • Potential Side Effects – Common issues include headaches, nasal congestion, and flushing. Some men also experience vision disturbances and an increased heart rate.

  • Not a Standalone Solution – PDE-5 inhibitors may help if premature ejaculation is linked to performance anxiety, but they do not address the neurological factors responsible for ejaculation control.

Topical Creams & Sprays

Many over-the-counter PE treatments contain local anesthetics like lidocaine or benzocaine, designed to numb the penis and reduce sensitivity.

  • Loss of Pleasure – While desensitizing the penis can delay ejaculation, it often reduces sexual pleasure for both partners.

  • Erectile Issues – Overuse can lead to difficulty achieving or maintaining an erection.

  • Transfer to Partner – The numbing agents can spread to a partner, leading to discomfort or reduced sensation.

Kegel Exercises

Kegel exercises are sometimes promoted as a natural way to improve ejaculatory control by strengthening the pelvic floor muscles.

  • Limited Scientific Support – While Kegels may improve bladder control, there is little solid evidence that they provide a significant benefit for PE.

  • Inconsistent Results – Some men report better control, while others notice no improvement at all.

  • Requires Long-Term Commitment – Unlike medication, which has a direct pharmacological effect, Kegel exercises require months of consistent effort with no guarantee of success.

A Smarter Approach to Overcoming PE

Unlike these outdated methods, Ristenza® was designed exclusively for premature ejaculation. Its patented formulation targets the 8 neurotransmitter receptors responsible for ejaculation control while also containing sildenafil to enhance erection quality. It provides on-demand results in as little as 30 minutes, without the side effects associated with daily medications or numbing treatments.

When should I talk to a doctor? 

  • Speak with a healthcare provider if you frequently ejaculate sooner than desired during sexual activity. While discussing sexual health can feel uncomfortable, premature ejaculation is a common and treatable condition—don’t let embarrassment prevent you from seeking help.

  • A conversation with a provider can ease concerns. Many men experience premature ejaculation occasionally, and the average time from penetration to ejaculation is about five minutes. Understanding this can help put things into perspective.

  • When you order Ristenza®, you’ll consult with a licensed U.S. physician experienced in treating PE. This is your opportunity to ask any questions and receive expert guidance. Your physician will assess whether Ristenza® is the right solution for you.

  • You’re not alone. Premature ejaculation affects most men at some point, and in many cases, it’s highly treatable. Seeking help is a step toward greater confidence and control.

“In the end, it’s not the years in your life that count. It’s the life in your years.”

“In the end, it’s not the years in your life that count. It’s the life in your years.”

-Abraham Lincoln