How to Hold Ejaculation?

⚠ Important Note:
This content is based on clinical guidelines (AUA/EAU) for educational use. It does not replace a professional medical consultation. Please consult a specialized doctor before starting any treatment mentioned.
Hold ejaculation is an important issue because Premature ejaculation is the most common sexual problem in men


Holding ejaculation is an important issue because premature ejaculation is the most common sexual problem in men, and many studies show that 10% to 30% of men suffer from this phenomenon at some point in their lives.

What is premature ejaculation?

Premature ejaculation occurs when a man ejaculates faster than he or his partner would like during intercourse. Most men who experience premature ejaculation are completely normal, and the problem is that they cannot hold ejaculation for more than 2 minutes.


Premature ejaculation is a misconception for many men: the time it takes to naturally hold ejaculation should be 5 minutes or less than 10 minutes. The real understanding of premature ejaculation is different from the misunderstanding that some people report.

How long can you hold an ejaculation?

The normal time for ejaculation is 2 to 7 minutes after the onset of intercourse. In other words, premature ejaculation occurs when a man is unable to hold ejaculation for 2 minutes.

How to hold ejaculation?

There are several methods to hold ejaculation, including the following:

1- Masturbate before intercourse:

This is done to lengthen the time until the next flow, and directing the sexual energy of the relationship to different non-intercourse sex toys can ease the tension that comes with intercourse.

2- Pressure technology:

When you feel an erection and orgasm approaching, gently press the penis for 20 seconds, as if you're holding in urine, and repeat when you feel close. The orgasm holds ejaculation in men and prevents the recurrence of premature ejaculation.

3- Use a condom:

Use a thick condom or an anesthetic condom to reduce sensation and hold ejaculation.

4- Thinking change:

During intercourse, think about something other than intercourse.

5- Kegel exercises:

Strengthen your pelvic floor muscles by doing pelvic floor exercises or Kegel exercises.

6- Antidepressant drugs:

Delayed ejaculation is a common side effect of antidepressant (selective serotonin reuptake inhibitor) drugs, so using another antidepressant may hold ejaculation.


Fluoxetine, sertraline, and paroxetine are used to treat severe premature ejaculation, but their regular use without medical advice is not recommended. Side effects may include drowsiness, loss of libido, and nausea.


Dapoxetine, a fast-acting antidepressant, is prescribed to hold ejaculation after consulting a doctor, and its side effects include nausea, headache, dizziness, and diarrhea.

7- Anesthetic cream or spray:

Anesthetic cream or spray, such as lignocaine, is used 30 minutes before sexual intercourse and may hold ejaculation. Side effects of ointments are reduced sexual pleasure and sometimes local sensitivity, so the cream or spray should be washed off the genitals so that the partner does not lose sensitivity or cause loss of erection and numbness of the penis.

8- Tramadol:

Tramadol can help hold ejaculation, but this drug is not recommended for premature ejaculation due to the risk of addiction. However, it is not recommended to use it intermittently without consulting a doctor.

9- PDEI-5 (Viagra, Cialis, Levitra):

PDEI-5 (phosphodiesterase-5 enzyme inhibitors) can hold ejaculation. These drugs include sildenafil, vardenafil, and tadalafil. These drugs can be used alone or in combination with selective serotonin reuptake inhibitors. However, it is not recommended to use it intermittently without consulting a doctor.

10. Psychotherapy:

This treatment can ease performance anxiety and reduce the stress that contributes so much to premature ejaculation because dealing with this problem often requires a lot of openness and willingness on both sides.

This article was written and reviewed by Dr. Hassan Ali - Urologist

Medical References :

Content curated according to international clinical guidelines:

  • American Urological Association (AUA).
  • European Association of Urology (EAU).
  • Campbell-Walsh Urology Textbook.

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