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Premature ejaculation

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What you should know about premature ejaculation treatments

Premature ejaculation (PE) is a common sexual dysfunction in men where ejaculation occurs sooner than desired during sexual activity, often within one to two minutes of penetration. It can cause distress and impact sexual satisfaction for both the man and his partner.

PE can be caused by a combination of physical and psychological factors. Physical causes include hormonal imbalances, thyroid problems, or prostate issues, while psychological causes may involve anxiety, stress, depression, or unresolved sexual or emotional conflicts.

Primary PE is a lifelong condition that begins with a man’s first sexual experiences, often linked to genetic, biological, or psychological factors. Secondary PE develops later in life after a period of normal sexual function and is typically triggered by physical health issues, psychological stress, or lifestyle factors.

Yes, PE can be treated with a variety of approaches. These include behavioral techniques, topical anesthetics, oral medications like Dapoxetine (Priligy), and psychological counseling. Treatment often depends on the underlying cause and the severity of the condition.

Yes, several self-help techniques can help manage PE, such as masturbating before sex, using thicker condoms, practicing deep breathing, and taking breaks during sex. These techniques aim to reduce arousal levels and extend the duration of intercourse.

Lifestyle changes like reducing alcohol consumption, avoiding recreational drugs, managing stress, and maintaining a healthy diet and exercise routine can help improve sexual health and reduce the occurrence of PE.

Yes, PE is very common. Studies suggest that up to 40% of men will experience premature ejaculation at some point in their lives. It most commonly affects men in their teenage years and 20s but can occur at any age.

If PE is causing distress, affecting your relationship, or if it’s accompanied by other symptoms like pain or discomfort, it’s important to seek medical advice. A healthcare provider can help determine the underlying cause and recommend appropriate treatment options.

Additional information

What is Premature Ejaculation?

Premature ejaculation (PE) is a common sexual condition where a man ejaculates sooner than he or his partner would like, often with minimal stimulation. This condition can cause frustration, embarrassment, and reduced sexual satisfaction for both partners. While occasional early ejaculation is normal, frequent episodes may be classified as a medical issue, affecting roughly one in three men at some point.

What Causes Premature Ejaculation?

PE has a range of causes involving both psychological and biological factors. Psychological triggers include performance anxiety, stress, depression, and relationship issues. On the physical side, factors such as high blood pressure, excessive alcohol consumption, recreational drug use, diabetes, prostate problems, hormonal imbalances, abnormal neurotransmitter levels, infections, and thyroid issues may contribute.

Primary and Secondary Premature Ejaculation

  • Primary Premature Ejaculation:
    This lifelong condition begins with a man’s first sexual experiences and is often linked to genetic, biological, or early psychological factors. Men with primary PE typically ejaculate within one to two minutes in nearly all sexual encounters.

  • Secondary Premature Ejaculation:
    This form develops later in life after a period of normal sexual performance. It is usually triggered by physical health problems, psychological factors such as stress or depression, or lifestyle changes like increased alcohol or drug use.

What Are the Symptoms of Premature Ejaculation?

The main symptom of PE is the inability to delay ejaculation beyond one to two minutes during sexual activity, whether before or after penetration. Additional symptoms include:

  • Reduced sexual satisfaction for both partners
  • Emotional distress, including feelings of embarrassment, guilt, or frustration
  • Avoidance of intimacy due to fear of repeated early ejaculation

How to Treat Premature Ejaculation

Treatment for PE often involves a combination of approaches:

  • Behavioral Techniques:
    Methods like the stop-start or squeeze techniques can help improve control over ejaculation.

  • Counseling and Therapy:
    Sex therapy or psychological counseling may be effective, particularly when anxiety or relationship issues contribute to the condition.

  • Medications:

    • Topical Anesthetics: Creams or sprays containing numbing agents such as lidocaine or prilocaine reduce sensitivity and help delay ejaculation.
    • Oral Medications: Certain antidepressants, especially selective serotonin reuptake inhibitors (SSRIs), are commonly prescribed to delay ejaculation.
    • PDE5 Inhibitors: Medications like sildenafil (Viagra) may be used when erectile dysfunction is also present.

How to Prevent Premature Ejaculation

While prevention isn’t always possible, several strategies can help reduce the risk:

  • Manage stress and anxiety through relaxation techniques such as meditation and deep breathing
  • Strengthen pelvic floor muscles with regular Kegel exercises
  • Communicate openly with your partner to reduce performance pressure
  • Maintain a healthy lifestyle with regular exercise, a balanced diet, and proper sleep

When to Seek Medical Advice

If premature ejaculation is causing significant distress or affecting your relationship, it is important to seek medical advice. Consult a healthcare provider if the condition is frequent and persistent, if you experience other issues like erectile dysfunction or decreased sexual desire, or if over-the-counter treatments and behavioral techniques are not effective. A professional can help determine the underlying cause and recommend suitable treatment options.

Buy Online from Courierpharmacy

At courierpharmacy.co.uk, we offer a range of effective treatments for premature ejaculation, including topical anesthetics and oral medications. Our UK-registered prescribers ensure that you receive expert advice through a brief online consultation, and your treatment is delivered discreetly and quickly to your door. Take control of your sexual health today with tailored treatment options from courierpharmacy.

Written By
Shazlee Ahsan
BSc Pharmacy, Independent Prescriber, PgDip Endocrinology, MSc Endocrinology, PgDip Infectious Diseases

Superintendant Pharmacist, Independent Prescriber


Checked By
Tahir Amin
BSc Pharmacy

Compounding Pharmacist


August 21, 2024
August 21, 2026

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