Curbing early orgasm

There are currently no drugs approved for treating premature ejaculation, the most common form of sexual dysfunction in men. But some doctors do prescribe antidepressants such as fluoxetine (Prozac and generic), paroxetine (Paxil and generic), and sertraline (Zoloft and generic) for premature ejaculation, since one of their common side effects is to inhibit orgasm.

Unfortunately, they probably have to be taken daily, not just before sex, and can cause a number of side effects. Some other doctors prescribe topical anesthetics, such as lidocaine, but the evidence for such use is sparse. So it's generally best to try nondrug steps first.

What to do: You may be able to ease the anxiety and overexcitement that often underlie premature ejaculation by having sex more often, prolonging foreplay, and trying not to worry during or after sex, regardless of the outcome. Or talk with a sex therapist about other approaches that may train men to gain physical control over ejaculation.