Premature Ejaculation Medications

What is premature ejaculation?

The release of semen from the body is known as ejaculation. Premature ejaculation (PE) means reaching orgasm quickly with little or no touching. This might happen too soon after starting to have sex, or even before penetration.

Occasional PE, also known as rapid/early ejaculation or premature climax, is usually nothing to worry about. The cause can be something as simple as performance anxiety or even too little sex!

While it is rarely due to anything serious, PE can upset sufferers and their partners. This can lead to men avoiding sex because they are embarrassed, even though occasional PE is common.

PE can hurt sufferers mentally in a lot of ways. Men who have experienced it for a long time can take a while to fully enjoy sex even once the physical issue is solved. This is because the mind has fallen into a habit of sex being ‘one level’. If you are used to reaching orgasm quickly, your sexual stamina also needs time to grow. Once you start treatment, it may take time and practice to get the sex life you want.

What causes premature ejaculation

The causes of PE vary. Due to this, it is often hard to find a single cause. The most common causes are:

• Mental issues: examples include anxiety, obsessive-compulsive disorders, low self-esteem and past sexual abuse.

• Medical issues: low thyroid function, prostate problems, diabetes and high blood pressure can all put men at higher risk of PE.

• Sexual inexperience and high stress: these can cause high levels of the stress hormone cortisol. This has been directly linked to PE. Usually, this improves with experience or lower stress, but not in all cases.

• Genetics: a study in Finland showed that some men may be genetically prone to PE. This is good to know, as it means new treatments might become possible for these men.

Remember that there is no rule about how long sex should last. Research shows that the average time between penetration and climax is about 5 ½ minutes. Often, though, it can be less. If you and your partner are happy with how long you last, there is no need to look for treatment. It is only worth seeking help if you are not satisfied with your sexual performance, or if about half of your attempts to have sex over time end in PE.

What treatment options are available for premature ejaculation?

If you have PE, you might need one or more treatments. Whatever the cause, there are plenty of approved and tested treatments available, so you can find one that suits you.

For short-term solutions, two very common treatments are EMLA cream, which you put on the skin, and Dapoxetine tablets, known under the brand name Priligy.

Common treatment options for PE include:

• Medication

• Behavioural apps

• Anaesthetics you apply to your body, including creams and gels

• Therapy

How does premature ejaculation treatment work?

Dapoxetine is a short-acting selective serotonin re-uptake inhibitor, or SSRI, created to treat PE. It delays orgasm by partly stopping the transport of serotonin.

This treatment works physically and mentally. Some studies suggest that low serotonin can make it hard to enjoy sex and thus cause PE. Dapoxetine increases serotonin levels in the brain, delaying the chemical reactions that lead to orgasm. Trials show that it can increase the time between erection and orgasm in 8 out of 10 patients.

EMLA cream is applied to the penis. It is made to numb the nerve endings and delay orgasm. By reducing feeling in the head of the penis during sex, it decreases the time between erection and climax by a lot.

If you would like to know more about our PE products, call or email us now. Our experts are on hand to answer any questions you may have.

What are the symptoms of premature ejaculation?

PE often happens due to over-excitement or increased penis sensitivity. This means reaching climax faster than desired. It is quite common, and most men experience it at least once.

There are two types of PE, primary and secondary.

Primary PE is a lifelong condition. Various factors can cause it, including:

• Genetics

• Biology

• Psychological conditioning

• Upbringing

• Past sexual experiences

Secondary PE happens in men with no history of abnormal sexual experiences. Like primary PE, it can be due to physical and mental factors.

Physical causes include prostate disease, high blood pressure, diabetes, thyroid problems, drinking too much alcohol and using recreational drugs. Mental causes include stress, depression, anxiety or worries about sex and unresolved sexual issues or conflicts.

How is premature ejaculation diagnosed?

In most cases, men with PE report feelings of dissatisfaction with their sexual lives. Many seek help because their sexual partners are unhappy with their performance. In such cases, prompt action is vital. While PE is often self-diagnosed, you should see your primary doctor before starting treatment to make sure there are no underlying health conditions.

Your doctor may ask you about:

• Your sexual health

• Your emotional health

• Your lifestyle, diet and exercise

• How much alcohol you drink

• Whether you take any recreational drugs

• Your medical history (in case there is an underlying medical cause)

• Any pelvic injuries you have had

• Any surgeries you have had around your pelvis

Your doctor may also advise you to seek mental health support, as PE is often linked to mental health. Experts can offer therapy to help you get better.

Can I prevent premature ejaculation?

Health experts suggest various self-help techniques to prevent PE. While these are ways to avoid it before it happens, you can use them during treatment:                

• Masturbate or pleasure yourself an hour before sex

• Use a thicker or numbing condom

• Breathe more during sex and don’t hold your breath

• Let your partner go on top during sex so they can pull away when you are close to orgasm

You can use these techniques with any physical or mental treatment.

How long should a man last in bed on average?

On average, a man lasts about 4 to 11 minutes. However, with age, this can drop by a lot. Health, lifestyle and preference also play a role. Doctors say lasting less than 2 minutes from penetration to climax indicates premature ejaculation.