Finishing too quickly during sex is a common issue, often referred to as premature ejaculation (PE). Many men experience this occasionally, but if it happens frequently and causes stress, frustration, or dissatisfaction, it may be worth addressing.

Common Causes of Finishing Too Quickly

1. Unhealthy lifestyle habits

This is something that deserves attention. If you have a habit of frequent masturbation or your daily lifestyle is not very healthy, it may affect your sexual performance. Improving your lifestyle, maintaining a regular sleep schedule, exercising, and developing healthier habits can be important for improving sexual health.

2. Lack of ejaculation control skills

Ejaculation is partly a learned response. If your body has become accustomed to reaching orgasm quickly (for example, rushing during masturbation), it may develop the same rapid response during sexual activity.

3. Anxiety or stress

Emotional tension and psychological pressure can play a major role. During sex, excessive anxiety or nervousness may overstimulate the sympathetic nervous system, speeding up the body’s response.

Typical symptoms may include:

• Increased heart rate

• Feeling mentally blank

• Difficulty controlling ejaculation

• Ejaculating sooner than intended

4. Excessive excitement

If arousal rises to a very high level too quickly, the body may reach the “point of no return” before you have time to slow down or regain control.

5. Relationship or emotional factors

Stress, nervousness, lack of communication, or excitement with a new partner can all contribute to premature ejaculation.

6. Physical or medical factors

Sometimes premature ejaculation may be related to:

• Hormonal changes

• Prostate inflammation

• Erectile dysfunction

• Certain medications

• Stress or depression

7. Phimosis or excessive foreskin coverage

This can be a physical sensitivity issue. If the glans (head of the penis) remains covered by the foreskin for a long time, sensitivity may increase, which can make ejaculation happen more quickly during sex.

In some cases, men may consider consulting a doctor about whether circumcision or other treatments may help.

Natural Ways to Last Longer During Sex

Practice the Stop–Start Technique

• During sexual activity, when you feel close to ejaculation, slow down or temporarily stop.

• Wait until the urge to ejaculate decreases, then continue.

Try the Squeeze Technique

• When you feel close to climax, gently squeeze the area where the shaft meets the glans (near the coronal ridge).

• Hold for a few seconds to reduce stimulation and delay ejaculation.

Strengthen Pelvic Floor Muscles

Kegel exercises can help improve ejaculation control:

• Tighten the muscles used to stop urination.

• Hold the contraction for 3–5 seconds.

• Relax and repeat regularly.

Reduce Stimulation Intensity

Changing your pace, taking short breaks, focusing on your partner’s pleasure, and trying different sexual positions may help reduce stimulation and improve control.

Reduce Performance Pressure

Sex is not a competition. Focusing too much on “how long you can last” may actually increase anxiety and make the problem worse.

Possible Treatment Options

Depending on the underlying cause, treatment options may include:

• Behavioral therapy (training ejaculation control)

• Using condoms, especially thicker condoms, to reduce sensitivity

• Topical anesthetic products (such as properly used lidocaine sprays or creams)

• Prescription treatments available in some countries, including specific medications for premature ejaculation

If you usually ejaculate within about 1 minute after penetration, cannot delay ejaculation, and it causes distress, you should consult a doctor or sexual health professional to determine the most suitable treatment.

Medication Treatment (Systemic Therapy)

Dapoxetine Hydrochloride (Priligy)

Positioning:
Currently, dapoxetine is the only medication specifically approved in many countries for the treatment of premature ejaculation.

How to use:

• Take it 1–3 hours before sexual activity.

• The usual starting dose is 30 mg once per day as needed.

• If the effect is insufficient, the dose may be increased to 60 mg under medical guidance.

Important notes:

• Take the medication with at least a full glass of water to help reduce discomfort such as dizziness.

• After the first dose, observe how your body reacts before driving or operating machinery.

Common side effects:

• Nausea

• Dizziness

• Headache

These side effects are usually mild and temporary.