Ultimate PE Guide
All the below comes from 10+ years of trial and error, everything below I have personally tried and tested.What causes PE?The exact cause is unknown, but it’s a mixture of low serotonin levels in your mind/body (as evidenced by the prolonging effects of SSRIs like dapoxetine, MDMA, Kanna etc), higher levels of anxiety, higher penis sensitivity, lack of muscle control, and finally a lack of control over your sympathetic nervous system (which causesfaster breathing, heart rate etc - triggering the fight or flight response, and also your ejaculation response).What counts as PE?Standard Medical Threshold: Generally set at roughly 1 minute or less following penetration.
Severe PE: Occurs before penetration or within 15 seconds of vaginal penetration.
Moderate PE: Occurs between 15 and 30 seconds after penetration.
Mild PE: Occurs between 30 and 60 seconds after penetration.
Summary / Best Stack
I split the different products and remedies into 3 categories:
1) Serotonin effectors - these increase the serotonin levels in your nuerosytem, usually through inhibiting the reuptake of serotonin in your brain. The net effect of these is to give you more control during sex, essentially you reach a state where you can enjoy sex but it takes longer for the ejaculation reflex to kick in AND it gives you a lot more control over the ejaculation relfex. Includes products like Dapoxetine (strong effect and control, but needs to be taken 2 hours in advance and can have side effects) and Kanna (not as strong, but can be taken 30 minutes before).
2) Desensitising sprays - these numb the sensation in your penis, allowing you to not reach the ejaculation reflex as quickly. Various types exist including lidocaine, gambir based produts, clove based products, and more. These are listed below.
3) Natural techniques you can try - including breathing techniques, doing multiple rounds, kegels. There are also various natural guides you can try, listed below. For me personally the natural techniques are add-ons to try in addition to either of the two below. These natural guides and techniques may work for you, they may not - r/prematurejaculation has people giving feedback on this to varying degrees of success.
Best stack:
My first point of action is Dapoxetine. Dapoxetine is a serotonin inhibitor, but unlike other SSRIs, Dapoxetine is for one time use, and is specifically used for premature ejaculation. This will likely fix your issues, but has side effects like head aches, that depending on the strength of the dapoxetine and your serotonin sensitivity, can last into the following day. Needs to be taken 2hrs before, so needs planning ahead. Note - Dapoxetine is not suitable for those currently on a SSRI (or similar), or those unable to take SSRIs due to other medications or conditions. For those with severe PE, or want a longer session, Dapoxetine paired with a desensitising spray can give you a longer time, though prior trial and error is recommended and as too much desensitising spray with dapoxetine could lead you to struggle to perform.
For those with moderate PE, or need something more spontaneous, a desensitising spray on its own should get you to 2-5 minutes. Many exist - lidocaine, gambir-based, clove-based and more, I list them below. I prefer lidocaine sprays due to the short time it takes to take effect (10 mins), but a lot of the others work well too. Clove based sprays like PYT take longer to take effect (30 mins), but can give the same effect but as lidocaine but slightly more feeling.
For a weaker serotonin affecting alternative to dapoxetine (for those unable to take dapoxetine, can’t wait two hours, or don’t like dapoxetine’s side effects) Kanna paired with a desensitising spray can work well - though I’m currently testing out the various different products and strengths that are available for Kanna (there are many - easily more than 50+) - to try and find an optimal usage stack.
Serotonin Products
Dapoxetine
Not to be used by those -
(summarised from my notes) - just subheading these.
Some works morning after if taken in the evening, for me it didn’t.
30mg vs 60mg
Would recommend to pair with a separate tablet of Sildenafil (brand name- Viagra) or Taladafil (brand name Cialis) for best results.
Generics that are mixed with sidefinil/taladafil (often indian brands) -
Other people review toggle (taken randomly from the internet)
Not available in the US - some people recommend Paroxetine for one time, use. I personally haven’t tried - would reocmmend you do your own research on Paroxetine’s effectiveness and side effects.
Some take Sertraline - but I wouldn’t recommend it. Sertraline in the longer term can lead to Post-SSRI sexual dysfunction (PSSD) - a condition where sexual side effects - such as genital numbness, low libido, and erectile dysfunction—persist long after stopping selective serotonin reuptake inhibitors (SSRIs).
Kanna
Desenzitising Sprays
Lidocaine
Lidocaine sprays I usually cover whole penis and wait 10 minutes, then wash off.
EMLA depsite being 5% lidocaine (vs 10% lidocaine for sprays), is a lot more concentrated for me and so have to use a small amount. Less than a pea size. Wash off after 10 minutes. With a condom on I get about 3-4 minutes with it. Can't apply too much or you'll struggle to get hard, I once applied 3 coatings of lidocaine spray, couldn't feel anything lol, the poor girl didn't have a good time. Really it's trial and error.
Personally I need to pair it with a seratonin lifter like dapoxetine or kanna to really get above 3 minutes.
Products:
- EMLA cream
- Promescent Spray
Clove Based
(PYT, EjaGuard)
Gambir / Gambir Sarawak
(based products (alphaherb, arlo)
Others / Other herbal
stud100 but I’ve found to be rubbish
- Roman / Numan wipes - Benzocaine. Numbs your fingers too. Says partner didn't feel numb. Says wears off after 30 minutes. Promescent uses lidocaine and lasts for an hour. Roman discrete though and portable, could try it out. Though promescent has a small travel size. https://www.peterspeblog.com/roman-swipes-review/
Natural remedies and Protocols/guides - Kegels, breathing, therapy etc
breathing
kegels
mutliple rounds, distracting yuor mind
fleshlight train (a budget version of MDG below)
Tactical intimacy
Male Defintive Guide
TI Method and MDG on Kegels:
PE causes and science
paste notes and then edit
Made with Bullet