Premature Ejaculation

Premature Ejaculation

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Premature Ejaculation

Premature ejaculation is the most common type of sexual problem men experience. It is more common in younger man, and is associated with short-term problems such as stress or performance anxiety, especially when in a new relationship or experiencing relationship problems. Very occasionally it is because of a physical problem, but it usually has emotional and psychological roots. Often this pattern can be broken by speaking to a trained sex therapist or taking CBT (cognitive behavioural therapy) sessions. However, there is also medication in the form of both tablets and cream to help prevent this problem, as sometimes it is purely a case of the penis being oversensitive.

Although it may feel embarrassing to talk about, you should speak to your doctor about your worries and they can help you get the best premature ejaculation treatment. Remember that they were trained professional you will be up to help you best, and the more open and honest you are the quicker they can help you. If talking to a therapist or your partner doesn't help manage your premature ejaculation, pills or an anaesthetic cream may be able to help you. You can buy the treatment online from a UK doctor.

Below are some common medicines often used to treat premature ejaculation. Please note, this is not an exhaustive list and other non-medical, lifestyle changes may be more suitable. If you would like to learn more about these options, then please click here. Before receiving medication you must answer a number of questions to asses your suitability. All questions are reviewed by a GMC registered doctor before a final decision is made. All medication is dispensed via a full regulated and registered UK pharmacy.

D4U Doctor

Our Health Care Team

"Premature ejaculation is the most common form of sexual dysfunction which affects men. Ending on the course, it can be resolved either by using a talking therapy, cognitive behavioural therapy, or medication. You may wish to use a type of anaesthetic cream which numbs the penis, use a thick condom to reduced sensation, or take a medicine such as a SSRI, which can increase the time it takes for you to ejaculate. You can buy Priligy only, which is a type of Dapoxetine, especially designed to help men manage their ejaculation problems."

Premature Ejaculation

What is premature ejaculation?

Premature ejaculation is a condition where men ejaculate either before penetration or less than two minute after penetration during intercourse. It is the most common of the sexual problems men can suffer from, even more common than erectile dysfunction. Other ejaculation problems include:

  • Delayed ejaculation. This is where the man either cannot ejaculate, or takes far longer than he wishes to be able to do so, even though there is nothing wrong with the erection. It is diagnosed by a the sufferer failing to ejaculate at least 30-60 minutes after getting an erection, without choosing to delay it, or the man failing to ejaculate at least half of the time he has sex.
  • Retrograde ejaculation. This is the rarest kind of ejaculation and happens when the semen travels backwards into the bladder instead of through the urethra. The man will still feel the same please of an orgasm, and there are no long term health problems associated with it, but it can affect a man’s fertility. Symptoms include producing no semen after the feeling of ejaculation, and producing cloudy urine after sex.

Everyone has different priorities during sex, and some couples may find way to work around premature ejaculation. A study conducted involving 500 couples across five countries found that the average time it takes for a male to ejaculate is five and a half minutes. There is no definition of how long sex can last, though, and ejaculation problems are only a cause for concern if you are frustrated or distressed by the problem.

Experiencing occasional premature ejaculation is very common and may be a sign of short term problems such as emotional stress, the anxiety associated with a new relationship or drinking too much alcohol. If the problem persists and over the course of several weeks you find yourself ejaculating prematurely, you may want to consider seeing a doctor about your problems.

What causes premature ejaculation?

There are dozens of factors which can cause premature ejaculation, and some of them may disappear on their own. Occasionally, it is a sign of an underlying illness, and if so it is worth speaking to your doctor about. However there are also many solutions and your doctor or GP will be able to advise you on what is best for you. Although you may find it an embarrassing subject to talk about either with your partner or your doctor, remember that premature ejaculation is an incredibly common illness and your doctor will be trained to speak about it with you, and they will be able to help you find the best solution.

Physical problems

Premature ejaculation is often the side effect of an underlying illness or other physical problems. These include, but are not limited to:

  • Problems with the prostate
  • An overactive or underactive thyroid gland. This is a butterfly shaped gland in the neck which helps control metabolism
  • High blood pressure
  • Diabetes
  • Multiple sclerosis
  • Drinking too much alcohol regularly
  • Taking recreational drugs such as cocaine and amphetamines
  • Oversensitivity of the penis. This is one of the most common causes of premature ejaculation and is also one of the easiest to get help with

Psychological problems

Certain emotional or psychological problems may cause you to have complications with premature ejaculation. These may easily be short term and easily resolved, or may be more permanently ingrained if they have been a part of your life for years. The cause of the problem will impact the help you may want to get. Emotional and psychological problems which may cause premature ejaculation include:

  • Depression. This long term health problem can cause your sexual performance to be affected.
  • Stress and anxiety. Men under 35 are more likely to suffer from premature ejaculation than older men, and a lot of this is down to anxiety about sexual performance either for the first time, or in a new relationship. This is sometimes known as performance anxiety.
  • Relationship difficulties. If you are experiencing problems in your relationship or with your sexual partner, you may have difficulty lasting long.

Lifelong problems

There are some psychological problems which may have existed since childhood which might cause problems for you for a long time, and have formed habits which are very hard to break. This is sometimes known as conditioning. It can be caused by deliberately masturbating quickly as a teenager for fear of being caught, and therefore creating a habit which is partly inspired by anxiety which is difficult to break from.

If you were brought up in a family where sex or masturbation was viewed as sinful, this may be another factor which influences your premature ejaculation. Children sexual trauma may also be a source of the problem. This could range from sexual abuse or harassment, to being caught by a parent when masturbating. You may need counselling or therapy from a professional sex therapist to help you overcome this kind of problem.

What treatments are available?

The kind of treatment which will suit you best will depend heavily on the cause of your problems. When you speak to your doctor, be as open and honest as possible about your problems so they can be as helpful as they can. Although it may seem like an embarrassing or uncomfortable topic to talk about in detail, but remember that premature ejaculation is a very common problem, that nothing you say will be shared with anyone else, and that they deal with these kind of problems on a near daily basis. Being as honest as possible will help you get the correct solution as quickly as possible.

Techniques you can try

Some causes of premature ejaculation can be solved by using your own preventative techniques. These include:

  • Masturbating an hour or two before having sex
  • Taking a deep breath just before you think you are about to ejaculate, which temporarily shuts down the reflex which causes ejaculation
  • Have sex with your partner on top, and let them know when you’re about to ejaculate so they can pull away which can help you last longer
  • Distract yourself during sex by thinking about something boring (in case you were wondering, this is NHS endorsed advice)
  • If you think your problems may be due to oversensitivity of the penis, you can try using a thicker condom to reduce the stimulation you feel

Speaking to a therapist

If you believe the cause of your problems is psychological, you may benefit from speaking to a therapist. If relationship problems or performance anxiety are the root of your troubles, then an honest conversation with your partner, or a meeting with a couples therapist, may help you to overcome these issues. If you believe some level of trauma in your childhood or teenage years may have contributed to your struggles, then a trauma therapist may be able to help with your problems, but an open conversation with your partner is always a good place to start. If you believe the problem is down to more generalised (i.e. not sex specific) anxiety, stress or depression, your doctor may recommend a different course of action, or speaking to a counsellor or therapist about your wider worries. If you are found to be suffering from depression, some of the kinds of medications you may be prescribed also delay ejaculation as a side effect

Medicinal cures

Even if you do not have depression, certain medicines which can be taken to ease the mental illness may also help you manage your premature ejaculation. These anti depressants are also known as SSRIs (selective serotonin reuptake inhibitors) will reduce the amount of serotonin (a drug in the brain that makes you happy) that is absorbed, in effect meaning there is more of the serotonin in your brain that can be used. This is how they manage depression. These medications are called paroxetine, sertraline and fluoxetine.

There is also another SSRI which has been licensed for use specifically to help manage premature ejaculation. This is called Dapoxtine, and can be bought from Doctor-4-U under its brand name of Priligy. You don’t need to take dapoxtine every day, and can in effect be used on demand, taking a pill a few hours before sex, much like you would take a Viagra pill a few hours before sex to prevent erectile dysfunction. The fact that you don’t take it constantly can help to reduce the side effects, but you shouldn’t take more than one dose in a day.

Not everyone can take these type of medications, and you should be especially careful if you have a history of mental illness, or liver, kidney or heart problems. SSRIs are very powerful drugs and the side effects can range from nausea and diarrhoea to mood swings that disrupt daily life.

Two of the most common ways to manage erectile dysfunction are by using thicker condoms to reduce sensitivity, and applying a topical anaesthetic to the penis to reduce sensitivity. You can buy this kind of local anaesthetic cream from an online doctor such as Doctor-4-U, and it comes with less side effects that the medications taken to prevent premature ejaculation long term. EMLA Cream is the most popular of these types of creams. You simply apply the cream 5-15 minutes before having sex, and you should experience a numbing feeling on your penis which will delay ejaculation. Make sure you wash your hands thoroughly after application, and leave the set amount of time to allow the skin to absorb the cream so as it is not passed to your sexual partner, too.

There is not one size fits all cure for premature ejaculation, and you should speak to your doctor as openly and honestly as you can to make sure you get the most appropriate help you can. A frank conversation with your partner will help too, and may help you to overcome performance anxiety, which is one of the biggest causes of premature ejaculation. Although it may feel like an embarrassing problem to talk about, it is very common among young men and your doctor or GP will have plenty of experience and understanding in dealing with your kind of problem.

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