Premature Ejaculation

Premature Ejaculation on Prescriptsy

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Understanding Premature Ejaculation — Your GP's Guide

Premature ejaculation (PE) is when ejaculation happens sooner than a man or his partner would like. It is the most common male sexual problem and usually responds well to treatment.

Premature Ejaculation Treatment Guide

A Doctor's Approach to Managing Premature Ejaculation

What is premature ejaculation?

PE can be lifelong or acquired later. Causes include anxiety, relationship factors, prostate issues and sensitive penile skin. Many men have both PE and erectile dysfunction.

When to seek medical advice

See a GP or online prescriber if PE is affecting your confidence or relationship. It is a treatable medical issue, not something to endure quietly.

Available treatments

Dapoxetine (Priligy) is the main licensed oral treatment. Topical anaesthetic sprays like EMLA and Fortacin reduce sensitivity. SSRIs such as sertraline are used off-licence. Behavioural techniques like stop-start and squeeze also help.

What to expect

Dapoxetine is taken 1 to 3 hours before sex and works for most men. Sprays are applied 5 to 10 minutes before sex. Finding the right approach may take some trial.

Self-care

Reduce performance anxiety, consider relationship counselling, practise pelvic floor exercises and avoid rushing intimacy.