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Premature Ejaculation is a common sexual dysfunction where ejaculation occurs sooner than desired, often causing psychological distress and relationship challenges. Treatment options include topical anaesthetics like EMLA Cream and oral medications such as Priligy (Dapoxetine).
Premature Ejaculation is a common sexual dysfunction characterised by the rapid onset of ejaculation during sexual activity, often occurring before the individual or their partner desires. This condition can lead to significant psychological distress, relationship difficulties, and reduced sexual satisfaction.
While occasional instances of Premature Ejaculation are not uncommon, persistent cases may benefit from a range of treatments. These can include behavioural techniques, topical anaesthetics, and pharmacological interventions such as Selective Serotonin Reuptake Inhibitors (SSRIs) or Phosphodiesterase Type 5 (PDE5) inhibitors.
Effective management often requires a comprehensive approach, including addressing both physical and psychological factors, and consulting with a healthcare professional can help in determining the most appropriate treatment strategy.
Premature Ejaculation occurs when a male ejaculates sooner than desired during sexual intercourse, which can be frustrating for both him and his partner.
Premature Ejaculation can in some cases occur before penetration, and nearly always occurs within two minutes of penetration. For reference, the average time taken to ejaculate during intercourse is around five and a half minutes. There is no universal standard for how long sex should last; it is ultimately up to each couple to decide if they are satisfied with the duration.
It is estimated that Premature Ejaculation affects 1-3% of men. However, some studies suggest the prevalence may be as high as 30%, given that many men do not seek help or feel comfortable discussing the issue.
Occasional episodes of Premature Ejaculation are common and are typically not a cause for concern. If, however, around half or more attempts at sex result in Premature Ejaculation, it may be beneficial to get treatment.
Premature Ejaculation can lead to significant personal challenges, including psychological distress, frustration, avoidance of sexual intimacy, and relationship problems.
Men experiencing Premature Ejaculation should not feel embarrassed about discussing it with a healthcare professional, as various effective treatments are available to address the issue.
The exact causes of Premature Ejaculation are not fully understood, although both physical and psychological factors have been linked with the condition.
Physical Factors
Psychological Factors
General Advice & Self-Help Techniques
There are a number of self-help techniques that can be tried before considering pharmacological therapy.
Some measures that can help with Premature Ejaculation include:
Pharmacological Treatment
Reviews indicate that pharmacological therapy is often the most effective treatment, particularly for lifelong Premature Ejaculation.
Dapoxetine (Priligy) is a short-acting Selective Serotonin Reuptake Inhibitor (SSRI) that has been specifically developed for treating Premature Ejaculation. It works much faster than other SSRIs and is therefore used when needed rather than taken daily. Dapoxetine is usually taken 1-3 hours before sexual activity. Dapoxetine is not recommended for men over 65 and in individuals with certain heart, kidney, or liver problems.
SSRI Antidepressants such as Paroxetine, Citalopram, Escitalopram, Fluoxetine, and Sertraline are often used “off-label” for Premature Ejaculation. These need to be taken on a continuous daily basis and can take up to two weeks to be fully effective. The Serotonin-Noradrenaline Reuptake Inhibitor (SNRI) Duloxetine is another treatment choice. On-demand treatment with a Tricyclic Antidepressant (TCA) known as Clomipramine has also proven to be effective.
Local anaesthetic creams and sprays, such as Lidocaine or Prilocaine, can help to reduce the sensitivity of the penis. These can be a good option for those that prefer not to take tablets. Thick condoms may also be effective at decreasing sensitivity and are particularly beneficial when used in conjunction with a local anaesthetic.
Phosphodiesterase Type 5 (PDE5) inhibitors such as Sildenafil (Viagra) are a class of medicines used to treat Erectile Dysfunction. Research suggests that they may also help with Premature Ejaculation when used in combination with an SSRI, although the evidence supporting this is limited.
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Once your request has been approved by our prescriber and payment has been received, your treatment is then dispensed, packaged, and posted by our regulated pharmacy partner. Your order will arrive as quickly as the next day depending on your selected delivery option.
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Our fully accredited and qualified UK prescriber then screens your completed medical questionnaire and assesses your suitability for treatment. If the prescriber has any additional questions or concerns, they will contact you directly for clarification.
Provided that the prescriber is satisfied that the treatment is appropriate, the repeat request will be approved, and a supply price provided. In the event that your request is refused, you will be informed of the reason and given referral advice.
Once your order has been approved by our prescriber, your treatment is then dispensed, packaged, and posted by our regulated pharmacy partner. Your order will arrive as quickly as the next day depending on your selected delivery option.
You can be confident that your treatment will be 100% genuine, safe, and effective as we only use medications procured from licensed manufacturers and trusted UK wholesalers.
Rest assured that your treatment will be delivered in plain packaging for complete discretion.
A straightforward medical questionnaire acts as a replacement to the conventional face-to-face appointment. This type of consultation process is quick and should only take around five minutes to complete.
The questionnaire consists of simple questions regarding your general health and the specific condition selected. Questions are easy to understand and similar to those that you would be asked during a GP appointment.
The online assessment is completely private and confidential and is conducted with the same professionalism and safety standards as you would expect from a regular appointment but without the need for an awkward or embarrassing face-to-face consultation.
When the questionnaire has been completed, you can add your chosen treatment to your basket and complete our secure checkout process.
Our fully accredited and qualified UK prescriber then screens your completed medical questionnaire and assesses your suitability for treatment. If the prescriber has any additional questions or concerns, they will contact you directly for clarification.
Provided that the prescriber is satisfied that the treatment is appropriate, the order will be approved, and a free private prescription issued for dispensing. In the event that your order is refused, you will be informed of the reason and given referral advice.
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