Educational

Preventing PE: Strategies for Long-term Control

By Dr. Samuel Omondi, Preventive Medicine
August 19, 2025
Premature Ejaculation

Evidence-based strategies for preventing PE and maintaining long-term ejaculatory control through lifestyle and health management.

While PE can develop at any time, certain strategies can help prevent it or reduce its severity. This guide provides evidence-based prevention methods for Kenyan men.

Primary Prevention

For men who haven't experienced PE:

Healthy Sexual Development

  • Proper sex education
  • Realistic expectations about sex
  • Open communication with partners
  • Avoiding rushed sexual experiences

General Health Maintenance

  • Regular exercise
  • Stress management
  • Adequate sleep
  • Balanced diet
  • Limited alcohol and tobacco

Risk Factor Management

Physical Health

  • Maintain healthy weight
  • Control diabetes if present
  • Manage blood pressure
  • Regular prostate check-ups
  • Address hormonal imbalances

Mental Health

  • Treat anxiety and depression
  • Develop stress coping mechanisms
  • Build self-esteem
  • Address relationship issues early

Lifestyle Modifications

Exercise for Sexual Health

  • Kegel exercises daily
  • Core strengthening
  • Cardiovascular fitness
  • Yoga for flexibility and control

Dietary Considerations

  • Zinc-rich foods for sexual health
  • Omega-3 fatty acids
  • Antioxidant-rich fruits
  • Limit processed foods

Sexual Practices for Prevention

  • Regular sexual activity
  • Masturbation with control practice
  • Varying sexual positions
  • Extended foreplay
  • Focus on mutual pleasure

Avoiding PE Triggers

Substances to Limit

  • Excessive alcohol
  • Miraa (khat) use
  • Recreational drugs
  • Excessive caffeine

Situations to Manage

  • Performance pressure
  • Rushed sexual encounters
  • Lack of privacy
  • Relationship conflicts

Early Intervention

Address PE early when:

  • Occasional episodes occur
  • Anxiety about sex develops
  • Partner expresses concerns
  • Changes in ejaculation timing noticed

Long-term Maintenance

For men who've treated PE successfully:

  • Continue exercises and techniques
  • Maintain healthy lifestyle
  • Regular check-ups
  • Open communication with partner
  • Address new stressors promptly

Age-Specific Prevention

Young Men (18-30)

  • Develop healthy sexual habits
  • Learn control techniques early
  • Avoid performance pressure

Middle Age (30-50)

  • Manage work-life stress
  • Maintain physical fitness
  • Address relationship issues

Older Men (50+)

  • Monitor prostate health
  • Manage chronic conditions
  • Adjust expectations appropriately