What can I do for premature ejaculation? Is there any type of medicine that could help?

Premature ejaculation is a common problem. We have seen that ssri drugs such as prozac, zoloft, (sertraline) etc have benefit.

. If used for depression, patients may find delay in ejaculation to be a unpleasant side effect. The same action can be useful when used "off lable" to treat premature ejaculation. The drug acts to reduce the sensitivity to sexual excitement.

To address this start with barrier contraceptive (condom), topical anesthetics (both decrease sensation), then johnson and johnson behavioral techniques, and then medication (antidepressants), finally there are surgical procedures that should be reserved as a last resort.

Cryo destruction of the dorsal penile nerve or surgical division - these are irreversible and have side effects like numbness.