Identify and treat underlying causes such as anxiety, depression, erectile dysfunction, prostatitis, thyroid problems, or medication side effects
See a urologist or sexual health specialist for a proper evaluation and diagnosis
Use behavioral techniques such as the stop-start method
Use behavioral techniques such as the squeeze technique
Practice pelvic floor muscle exercises regularly
Reduce performance anxiety with stress management, relaxation, or counseling
Try sex therapy or cognitive behavioral therapy if psychological factors are involved
Use topical desensitizing treatments if recommended by a clinician
Use prescription medications only under medical supervision when appropriate
Treat erectile dysfunction if it is contributing to premature ejaculation
Improve general health with regular exercise, adequate sleep, and a balanced diet
Limit alcohol and avoid recreational drugs
Communicate openly with a partner to reduce pressure and improve control
Avoid rushing sexual activity and allow more time for arousal control
Follow the treatment plan consistently over time
Reassess with a clinician if symptoms persist or worsen