How can i cure my pre mature ejac as a 20 year old boy because of masturbate my timing was 1 minute only i was afraid to make a girlfriend
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Here is a thorough, honest answer based on medical textbooks (Campbell-Walsh Urology, Goldman-Cecil Medicine, Harrison's Principles) and current evidence:
Premature Ejaculation (PE) at Age 20 - What You Need to Know
First, reassure yourself: PE is the most common male sexual dysfunction, affecting 25-30% of men. A 1-minute timing does NOT mean you are broken or abnormal - it is very common at your age and extremely treatable.
Your situation sounds like lifelong PE - meaning it has been present from your first sexual experiences. This type often has a neurobiological basis (the brain's ejaculation "trigger" is set a bit lower) and is strongly influenced by masturbation habits. The good news: it responds very well to training and simple techniques.
Step-by-Step Treatment Plan (Start Here)
1. Change How You Masturbate (Most Important)
Your current masturbation habit has trained your body to rush. Reverse that conditioning:
- Masturbate slowly and deliberately, aiming to last 10-15 minutes
- When you feel you are close (about 80% aroused), stop completely for 30-60 seconds, let the urge pass, then continue
- Do this 3-4 times per session before allowing ejaculation
- Practice this every day or every other day for 4-6 weeks - you will notice your timing improving
2. The Stop-Start Technique (Masters & Johnson)
This is the gold-standard behavioral technique backed by clinical evidence:
- During masturbation or with a partner, stimulate yourself until you reach about 7-8/10 arousal
- Stop completely until the urge subsides (20-30 seconds)
- Restart stimulation, repeat the cycle 3-4 times before ejaculating
- Over weeks, your body learns to tolerate higher arousal without reflexively ejaculating
3. The Squeeze Technique
- When you are close to ejaculating, squeeze firmly just below the head of the penis (the glans) for 10-20 seconds
- This reduces the urge and delays ejaculation
- Can be combined with stop-start for better effect
4. Pelvic Floor (Kegel) Exercises
- Strong pelvic floor muscles give you more control over ejaculation
- Tighten the muscles you would use to stop urination, hold for 5 seconds, release
- Do 10-15 reps, 3 times daily
- Improvement is seen after 4-8 weeks of consistent practice
5. Address Anxiety (Big Factor at Your Age)
As noted in Campbell-Walsh Urology, men with PE experience "general negative affect associated with sexual situations, embarrassment/guilt, worry/tension, and fear of failure." This anxiety itself makes PE worse - it is a feedback loop.
- Practice slow, focused breathing during sexual activity (box breathing: inhale 4 sec, hold 4, exhale 4)
- Focus on sensation rather than performance or timing
- The anxiety about having a girlfriend is understandable, but PE is rarely a dealbreaker when addressed openly
Medical Options (If Behavioral Techniques Are Not Enough)
Per Goldman-Cecil Medicine and Campbell-Walsh Urology, these are clinically proven:
| Option | How It Works | Notes |
|---|---|---|
| SSRIs (e.g., paroxetine 20 mg daily, sertraline 50 mg daily) | Delays ejaculation as a side effect | First-line medical treatment; takes 1-2 weeks to work |
| Dapoxetine 60 mg (on-demand) | Taken 1-3 hours before sex | Specifically designed for PE; fast-acting |
| Topical anesthetics (lidocaine/prilocaine cream or spray) | Reduces penile sensitivity | Applied 20-30 min before sex; works quickly |
| Clomipramine 15-25 mg on-demand | Taken 3-6 hours before sex | Effective but older medication |
Important note from Campbell-Walsh Urology: SSRIs should be used with caution in young men under 18, but are generally safe for 20-year-olds. They are not FDA-approved specifically for PE (used off-label) but have strong evidence. Always consult a doctor before starting any medication.
What You Can Expect
- Behavioral techniques alone can improve ejaculation time by 2-8 minutes in most men within 4-8 weeks of daily practice
- Combined approach (behavioral + medication) works better than either alone
- 95%+ of cases at your age are fully manageable without surgery or permanent treatment
When to See a Doctor
See a urologist or a sexual health doctor if:
- Behavioral techniques after 8 weeks show no improvement
- You have difficulty getting or keeping an erection (could be a separate issue)
- You feel significant anxiety or depression related to this
The Girlfriend Fear
Many men with PE successfully have relationships. Partners generally respond better than men expect, especially when PE is being actively addressed. PE rarely ends a relationship - but avoiding relationships because of fear of PE often causes more harm to self-confidence in the long run. The behavioral techniques above work just as well with a partner as alone, and many couples practice stop-start together.
Bottom line: Start with the masturbation retraining and stop-start technique today. Be consistent for 6-8 weeks. Most 20-year-olds with PE see significant improvement with behavioral methods alone, before needing any medication.
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