Treatment Options
Every Maze treatment plan starts with identifying why the problem exists—then addressing it comprehensively.
Step 1: Initial Evaluation
Your first appointment lasts 45–60 minutes and includes a thorough review of your:
- Medical, sexual, and sleep history
- Exercise and nutrition habits
- Bloodwork and hormone levels
This helps us determine whether delayed ejaculation is caused by physical, hormonal, or psychological factors.
Step 2: Medical & Behavioral Therapies
Based on your results, your customized plan may include:
- Medications to boost dopamine, testosterone, or arousal response
- Hormone replacement therapy for Low T
- Targeted use of stimulants, oxytocin, or dopaminergic agents
- Behavioral modification, including changes in stimulation or positioning during sex
- Sensory retraining with desensitizing or re-sensitizing devices (masturbation sleeves, vibrators)
Commonly Used Treatments
| Medication / Therapy | Typical Dose | Timing | Expected Onset |
|---|---|---|---|
| Bupropion (Wellbutrin) | 150–450 mg daily | Once daily | 1–3 months |
| Testosterone Therapy | As prescribed | Ongoing | 3–6 months |
| Stimulants (Adderall/Ritalin) | 10–30 mg | 30–60 min before intimacy | 2–4 doses |
| Buspirone (Buspar) | 20–60 mg | Twice daily | 1 month |
| PT-141 | 1–2 mg SQ | 45–60 min before intimacy | 2–4 doses |
| Cabergoline | 0.5 mg | Twice weekly | Several weeks |
| Oxytocin (nasal) | 6–24 IU | Before intimacy | Within 2–4 doses |
| Yohimbine | 5.4 mg | 3x daily or 1 hr before intimacy | 2–4 doses |