With so many potential causes, treatment for premature ejaculation requires an identified cause as the treatments will vary depending on the actual factor(s) that is/are leading to the premature ejaculation. To identify the cause, the physician will ask a series of questions to try to pin down when it might be occurring more frequently or if there were any significant changes in your life as well as other possible symptoms that could provide more information. It is possible that the physician will also order blood and urine tests to check chemical and hormone levels. Once the cause has been identified, a combination of behavioral techniques, medications, and/or counselling will be prescribed depending on what would be considered effective for each individual case. Potential behavioral techniques that may be recommended include masturbation an hour or two before intercourse to help delay ejaculation when with a partner, or to avoid engaging in intercourse for a bit to allow for more trust and comfort to be built if the partner is newer. Premature ejaculation could also be caused by a weak pelvic floor, so it is possible that the physician will recommend some pelvic floor exercises to strengthen the muscles. Some other possible treatments include medications such as antidepressants, anti-anxiety, or that directly addresses erectile dysfunction, as well as topical cream that can be applied to the penis to decrease sensitivity or hormone balancing therapies.