Following the diagnostic part of the appointment the male will be involved in designing a treatment plan. The treatment plan will include several methods for helping the male to regain control over his ejaculation. There may be referrals to other professionals including a urologist, a sex therapist or a psychiatrist - depending on what was discovered during the appointment as possible factors in the condition.

If erectile dysfunction is part of the diagnosis than there are several treatment options available that should be explored first as having an erection is necessary when working on the other methods of gaining control over the ejaculation.

Usually the couple is asked to abstain from having intercourse until methods can be used to help the male gain control over his ejaculations. Oral sex, manual stimulation of the female may be used until the control factor is achieved and intercourse resumed.

Performance pressure issues will be addressed during counseling sessions. These sessions will likely include both the female partner and the male partner.

There are two types of premature ejaculation - primary and secondary. Primary is when the man has never experienced coitus without having premature ejaculation and secondary is when the man has had previous successful ejaculations that were controlled before experiencing premature ejaculation. The prognosis is more guarded and the path more difficult when the symptoms are those involving premature ejaculation that are primary in nature.

Several sexual therapy methods will be prescribed for the couple including the "stop-start" and the "squeeze-pause" methods. This is an important part of the treatment and should involve both male and female sex partners.

Masters and Johnson made the therapy methods “stop-start” and “squeeze-pause” techniques popular.

Another way the male has of gaining control over ejaculation is the use of desensitizing cream for the male sex organ.

If the male is young and can achieve a second erection after the premature ejaculation, he can usually have better control the second time; so it is suggested that he masturbate prior to intercourse. This will unfortunately not work with older men who may have difficulty achieving a second erection.

Medications are used only after therapy has been used and there has not been success. Medications can have side effects and possible addiction so they are used only after the other methods are tried.

The most effective medication found is a drug from the selective serotonin reuptake inhibitors (SSRIs) class. These drugs which are used normally as antidepressants in the clinical setting for individuals whom are depressed have been found to have a delaying ejaculation reaction in the males.

Some tricyclic antidepressants with SSRI-like activity may also be used because they can achieve the same result. Drugs must be used one at a time and at the lowest dosage possible.

The couple must realize that these drugs work by delaying orgasms so they must be prepared for this to happen.

There are no surgical treatments that can be recommended for premature ejaculation.

The medical doctor may make referrals to a urologist, sex therapist, a psychologist, or to a psychiatrist. Different methods of behavioral therapy, psychological issues will be explored and treatment plans will be made by each of these referrals. The male will have input as to what methods and techniques to explore with each of the referrals.

Any therapist or doctor who is treating the male should explain the options and answer any questions before treatment begins. The male will have a voice in treatments and participation of the female sexual partner may be necessary and in some cases mandatory. It is imperative that the male and female be open and honest with how the methods are progressing.

Treatment options are available for males experiencing premature ejaculation so that they can find hope and relief for the condition. They can once again experience a satisfying sexual experience and restore the intimacy to their relationship.