About 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”.

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.

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.

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.

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 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.

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.

• 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.