Relax for a couple of minutes, then start the process again. This is a variation of the Masters and Johnson method. You or your partner squeezes the tip or base of your penis just before orgasm. This reduces blood flow in your penis and softens your erection.
You can use the squeeze technique alone or along with the Masters and Johnson method.
However, it can affect the ability to father a child. Retrograde ejaculation happens when the neck of the bladder does not close and semen passes into the bladder. Usually when you ejaculate, semen is pushed out of your urethra. It is prevented from entering your bladder by the muscles around the neck of the bladder, which close tightly at the moment of orgasm. However, damage to the surrounding muscles or nerves can stop the bladder neck closing, causing the semen to move into the bladder rather than up through the urethra.
Causes of retrograde ejaculation include prostate gland surgery, bladder surgery, diabetes, multiple sclerosis, and a class of medicines known as alpha blockers, which are often used to treat high blood pressure (hypertension). Most men do not need treatment for retrograde ejaculation because they are still able to enjoy a healthy sex life and the condition does not have adverse effects on their health. But if treatment is required (usually because of wanting to father a child), there are options to try. For example, pseudoephedrine (commonly used as a decongestant) has proved effective in treating retrograde ejaculation caused by diabetes or surgery. If retrograde ejaculation is caused by using a certain medicine, then normal ejaculation will usually return once medicine is stopped. Over-the-counter gels, creams, and sprays may help decrease sensation so you can last longer. But these topicals may make intercourse less pleasurable. Topicals can also transfer to your partner during sex and decrease their sensations as well. Some medications can delay or slow down orgasms: Antidepressants such as selective serotonin reuptake inhibitors (SSRIs) or tricyclic antidepressants (TCAs) Antidepressants such as selective serotonin reuptake inhibitors (SSRIs) or tricyclic antidepressants (TCAs) Viagra® or Cialis® for men diagnosed with both premature ejaculation and erectile dysfunction Viagra® or Cialis® for men diagnosed with both premature ejaculation and erectile dysfunction Condoms may stimulate your penis less during sex.
| Product | Dosage | Quantity + Bonus | Price | |
|---|---|---|---|---|
| Viagra Soft Tabs | 100mg | 180 + 10 Pills | 314.95€ 299.95€ | |
| Kamagra Polo | 100mg | 60 + 4 Pills | 189.39€ 180.37€ | |
| Kamagra Gold | 50 mg | 360 + 6 Pills | 713.95€ 679.95€ | |
| Levitra Generic | 10mg | 30 + 4 Pills | 62.39€ 59.42€ | |
| Super Kamagra | 160 mg | 60 + 4 Pills | 342.71€ 326.39€ | |
| Kamagra 100 mg | 100 mg | 360 + 6 Pills | 839.95€ 799.95€ | |
| Kamagra Gold | 100 mg | 84 + 6 Pills | 264.44€ 251.85€ | |
| Levitra Generic | 40mg | 120 + 8 Pills | 302.37€ 287.97€ | |
| Levitra Generic | 60mg | 120 + 8 Pills | 372.33€ 354.60€ | |
| Cialis Original | 20mg | 4 Pills | 41.99€ 39.99€ | |
| Kamagra Oral Jelly | 100 mg | 63 + 7 Sachets | 224.18€ 213.50€ | |
| Levitra Soft Tabs | 20mg | 360 + 20 Pills | 682.21€ 649.72€ | |
| Cialis Generic | 20mg | 180 + 10 Pills | 254.09€ 241.99€ |
You might use more than one condom along with gels, creams, or sprays that desensitize feeling in your penis. You may even try condoms pre-treated with desensitization agents. You might research other ways to treat premature ejaculation that don’t work. Be careful with your research and consult your urologist before self-treating. There is little evidence that the following treatments work: The way we treat delayed ejaculation can vary widely based on the underlying cause. Consult with a urologist if you have never ejaculated with any stimulation. A urologist can evaluate whether there are underlying physical causes. You may find that other treatments work for you: Switching or stopping certain kinds of medications Switching or stopping certain kinds of medications You may experience several problems over time if you don't treat your delayed ejaculation or inability to ejaculate: You don’t always need to treat retrograde ejaculation. We will usually only treat your condition if you’re trying to conceive or don’t like the way retrograde ejaculation feels. There are several ways to treat this condition: Stopping medications that may cause retrograde ejaculation Stopping medications that may cause retrograde ejaculation Taking medicines such as pseudoephedrine or imipramine if surgery or diabetes has caused the condition Taking medicines such as pseudoephedrine or imipramine if surgery or diabetes has caused the condition Removing semen from your bladder to use in assisted reproductive procedures such as in vitro fertilization Removing semen from your bladder to use in assisted reproductive procedures such as in vitro fertilization Sometimes a spinal cord injury can cause an ejaculatory disorder. There are three ways to treat an ejaculatory disorder if you have a spinal cord injury: Vibratory stimulation: We will apply a vibratory device to the base of your penis to make you ejaculate.
Speak to your GP before stopping any prescribed medicine. However, if the retrograde ejaculation has been caused by significant muscle or nerve damage, treatment may not be possible. Men who want to have children can have sperm taken from their urine or testicles for use in intrauterine insemination or in-vitro fertilisation (IVF). If you're having problems with your sex life and are seeking treatment, it is usually recommended you involve your partner as much as possible. Communicating your concerns can often go a long way to helping to resolve them.
And, in some cases, your partner may also have their own problems that are contributing towards problems with your sex life. For example, some women are unable to reach climax during "normal" intercourse and require manual or oral stimulation. Finding blood in your semen can be alarming. However, in most cases it's not serious and will pass within a few days. It can be caused by an infection of your urethra (urethritis) or prostate (prostatitis). We will perform this during a clinic visit.
| Tool Name | Description | Administered By | Usefulness |
|---|---|---|---|
| IELT (Intravaginal Ejaculation Latency Time) | Measures time to ejaculation in seconds | Self-reported or partner-assisted | Objective assessment of ejaculatory control |
| Premature Ejaculation Profile (PEP) | Questionnaire to assess severity | Clinician-administered | Guides treatment planning |
| Sexual Satisfaction Scale | Measures satisfaction levels in intimacy | Self-report | Evaluates emotional impact |
This is so we can observe blood pressure in case you develop autonomic dysreflexia. You can get autonomic dysreflexia when too much stimulation raises your blood pressure to a dangerous level.
See your GP if you have blood in your semen. They can check if you need further tests or treatment. Read more about blood in the semen. Page last reviewed: 09 February 2023 Next review due: 09 February 2026 Our urologists have the expertise to diagnose and treat the root cause of your ejaculation disorder. Anything from psychological barriers to nerve damage may lead to ejaculation issues.
We offer treatments for a range of causes, including the following: Several psychological, behavioral, and physical therapies can treat premature ejaculation. This treatment helps you learn to identify or regain control over your point of climax. We recommend practicing this technique by yourself or with a caring partner. You follow several steps to practice the Masters and Johnson technique: Start by stimulating your penis without penetration, such as masturbation or oral sex. Start by stimulating your penis without penetration, such as masturbation or oral sex. You will need to ejaculate more than once to produce high-quality sperm. Electro ejaculation: We will put you to sleep with general anesthesia. Then we will insert a probe into your rectum to stimulate your nerves and make you ejaculate.
| Strategy | Description | Sessions Needed | Success Rate |
|---|---|---|---|
| Cognitive Behavioral Therapy | Addressing anxiety and negative thoughts | 8-12 sessions | 60-75% |
| Mindfulness Meditation | Focusing on present sensations to reduce anxiety | Continuous | 50-65% |
| Sensate Focus Exercises | Gradual intimacy without emphasis on ejaculation | 6-10 weeks | 55-70% |
| Relaxation Techniques | Deep breathing and progressive muscle relaxation | Ongoing | 55-70% |
Surgical treatment: The third alternative is more invasive and requires one trip to the operating room.
Activities may also be recommended for you to try at home while you're having sex with your partner (you should never be asked to take part in any sexual activities during a session with the therapist). erotic fantasies and "sex games" to make your lovemaking more exciting using sexual aids, such as vibrators, to increase pleasure Read more information about what a sex therapist can do. There are a number of medicines that can be used if it's thought SSRIs are responsible for causing delayed ejaculation. amantadine – originally designed to treat viral infections bupropion – usually prescribed to help people quit smoking yohimbine – originally designed to treat erectile dysfunction These help block some of the chemical effects of SSRIs that may contribute towards delayed ejaculation. Alcohol misuse and recreational drug use can be separate underlying causes of delayed ejaculation, so addressing these problems may help.
Read more about getting help with alcohol-use disorder and drug use. Pseudoephedrine tablets may be tried, but these will need to be prescribed "off-label". This means the medicine shows promise in treating delayed ejaculation but it has not been licensed for this particular use (pseudoephedrine is normally used as a decongestant). It happens when semen travels backwards into the bladder instead of through the urethra (the tube that urine passes through). The main symptoms of retrograde ejaculation include: producing no semen, or only a small amount, during ejaculation producing cloudy urine (because of the semen in it) when you first go to the toilet after having sex Men with retrograde ejaculation still experience the feeling of an orgasm and the condition does not pose a danger to health. Here, the surgeon will perform either testicular sperm extraction (TESE) or microsurgical testicular sperm extraction (microTESE) to get sperm.
Allow yourself to gradually reach the point just before you ejaculate. Allow yourself to cheap super p force tablets partially lose your erection and relax. Bring yourself closer and closer to orgasm each time until you can’t hold back. Lie on your back and ask your partner to be on top when you are ready to try intercourse. Ask your partner to stop as soon as you are about to climax. We provide you with the quality care and support to help you reach your best sexual health.
| Resource Type | Examples | Accessibility | Benefits |
|---|---|---|---|
| Books | "The Premature Ejaculation Cure" | Online, bookstores | Self-education, empowerment |
| Webinars | International Men's Health Conferences | Online, live or recorded | Expert advice, latest developments |
| Support Groups | Local or online PE support forums | Free | Emotional support, shared experiences |
We understand that ejaculatory disorders can be uncomfortable to talk about. We treat you with sensitivity, compassion, and dignity every step of the way.
We are the Mountain West’s only academic medical center. Our cutting-edge research often gives us early access to new and promising therapies. Our urologists use the latest treatments designed to promote the best outcomes. Call to schedule an appointment with one of our expert urologists.
We can evaluate your condition and offer the best treatment for your ejaculation disorder. Nighttime bathroom trips or subtle urinary changes may seem minor—but they can signal bigger issues. Discover why annual urology visits are key to catching problems early and safeguarding men’s health. Male infertility is more common than many people realize—and it often has treatable causes.