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Premature Ejaculation

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What is Premature Ejaculation?

Premature ejaculation refers to ejaculating too early during sexual activity. “Too early” is highly subjective, but usually refers to when the man ejaculates before he wants to. In some men, premature ejaculation has been present all their lives, while others might start experiencing it later on.

Premature ejaculation is very common and is usually not a threat to your health. However, you may find it frustrating and some men find that it knocks their confidence in relationships.

What causes ejaculating too early?

Premature ejaculation can have a range of underlying causes. The condition is treatable and there are several things and techniques you can try yourself at home. It is important however to consult your GP if you notice any other symptoms that may be related to other health conditions or diseases.

Premature ejaculation may be caused by:

Stress or psychological illness such as depression

Stress and/or anxiety is a common cause, particularly for younger men.

Prostate problems

Having prostate problems may affect the time it takes to ejaculate. Always consult your GP before trying any other treatment if you believe you may have prostate problems.

Neurological disorders, such as sclerosis

As ejaculation is a reflex that is controlled at spine level, neurological disorders such as sclerosis can present with premature ejaculation.

Erectile dysfunction

Erectile dysfunction, meaning difficulties to maintain an erection for sex, may also cause ejaculating early.

How is Premature Ejaculation diagnosed?

Premature ejaculation may refer to ejaculating within one minute after penetration. However, unless there are underlying health conditions causing premature ejaculation, ejaculating early is usually not a threat to your health, and only a problem if it affects your or your relationship.

To diagnose Premature Ejaculation, your doctor will ask you a number of questions to get an understanding of your situation, these may include:

  • Is the condition lifelong (primary) or occasional?
  • Do you have any other health conditions, such as depression, anxiety, thyroid problems or prostate problems?
  • What is your relationship like? Is it a new relationship?

How do I avoid Premature Ejaculation?

Premature ejaculation is treatable through several different methods. To start with, there are a number of techniques you can use to delay ejaculation and increase control. Many of these you can try yourself at home. With regular practice you are likely to see an improvement within weeks.

There are also medicines available to stop premature ejaculation. These are usually prescribed when other techniques have not proved successful. You will find more information on medicines and treatments further down in this article.

Is there a cure for Premature Ejaculation?

Yes, most cases can be treated and improved significantly. It is important however that you find what works for you. What works for someone else is not necessarily the best option for you.

If you suffer with lifelong premature ejaculation, you should consult your doctor or GP before using any medicines. This way, your doctor will be able to help you avoid any potential side effects and interactions. The doctor will also provide you with instructions so you can get the best results from your treatment.

What are the treatment options for Premature Ejaculation?

We will cover 2 main treatment methods in this article: delay techniques and prescription medication. You are advised to try various different techniques before requesting any medication.

Techniques to delay ejaculation

When you start practicing delay techniques, it’s a good idea to have patience in mind. You may need to practice for a while before you reach the results you want. The main aim for these techniques is to increase the control of ejaculation, and only allowing yourself to ejaculate when you wish to do so.

The most common technique is called the stop-go technique. This may be done together with your partner, or on your own. The stop-go technique involves stopping or pausing stimulation just before ejaculating. Pause long enough to regain control before continuing.

Once you master the basics of the stop-go technique, you can advance to practice this technique in a warm shower or by using a lubricant. Aim to last for 3 minutes.

When you feel confident enough, advance by avoiding stopping the stimulation completely. Instead, slow down the stimulation until you regain control.

Medicines to delay ejaculation

If methods such as the stop-go technique has not worked for you, a doctor may choose to prescribe you a medicine to help with premature ejaculation. Medicines are primarily prescribed to patients who regularly ejaculate within 2 minutes of penetration.

There are mainly two types of medicines that are used: SSRIs (selective serotonin reuptake inhibitors, a type of medicine used to treat depression) such as Priligy and treatments providing topical, localised anaesthesia to the penis, such as Fortacin.

Fortacin Premature Ejaculation Spray

Fortacin is a cutaneous spray that works by providing topical anesthesia to the glans penis. By blocking nerve impulses Fortacin can increase time to ejaculation by up to 5 fold. The ease of use and short onset of action tend to appeals to many users.

Priligy Premature Ejaculation Tablets

Priligy is a tablet treatment used used in adult men who suffer from premature ejaculation. It works by increasing the action of serotonin. The tablet can be taken 1 to 3 hours prior to intercourse or sexual activity.

Can Premature Ejaculation be treated without medicines?

Yes, many cases can be improved without the use of medication. For some patients, medicines may not be suitable for other health reasons. Certain health conditions and medicines can affect the suitability of medicines such as Fortacin and Priligy. If you are unsure whether these medicines are right for you, always consult your GP or nearest clinic before use.

Please see above for alternative techniques and methods.

Is treatment for Premature Ejaculation safe to order online?

It may be safe to order premature ejaculation treatments online, however, it depends on the source or website. You should always do your own research before order any medicines online.

There are a few things you can do to verify whether a website is operating legally:

  • Ensure the website is authorised by the Medicines and Healthcare products Regulatory Agency (MHRA). This must be accompanied by displaying the MHRA logo on the website.
  • Verify that the dispensing pharmacy is registered with the General Pharmaceutical Council (GPhC) and displays the Registered Pharmacy logo on the website.
  • If possible, also look for reviews and social evidence before placing your order or requesting your prescription.

What will the doctor need to know?

What background and medical information the doctor needs to know depends on the medicine you are requesting. Some medicines may be more likely than others to interact with other medicines.

It is important that you take your time and don’t rush while filling in the medical questionnaire. Answer the questions thoroughly and include all information you think may be relevant. If you are unsure, it is always best to include too much information and let the doctor determine whether it is relevant or not.

Additional information and resources about Premature Ejaculation:

NHS Choices - Ejaculation Problems

The Order Process

1.      Choose your treatment

2.      Answer Our Doctor's Questions

3.      Prescription is issued

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