An onset may be determined if a patient complaint of persisting or recurrent pattern of ejaculation occurring during partnered sexual activity within approximately 1 minute following penetration and before they wished it, with symptoms of the criteria for at least 6 months and on almost all or all occasions of sexual activity. Defining the context requires that symptoms caused significant distress, and the sexual dysfunction was not better explained by a nonsexual mental disorder. Relationship distress may be present but it must preexist as a cause, not occur because of the sexual dysfunction. A patient who displays the above epidemiology is diagnosable and most likely a good candidate for treatment. Treatments may include topical numbing creams or sprays, antidepressants such as SSRIs, or Phosphodiesterase-5 inhibitors which are often used with SSRIs, and/or analgesics for pain management. Recommended behavioral techniques include pelvic floor exercises, the pause and squeeze technique, and/or the use of condoms to reduce sensitivity. Psychotherapy and/or sex therapy are also options. Therapy should be combined with medications while the patient learns behavioral techniques to delay ejaculation. They may also work on addressing the relevant psychological and interpersonal issues they're experiencing to assist in regaining confidence and lessening performance anxiety.