Premature Ejaculation
Premature ejaculation (PE) can be a frustrating, yet common, sexual problem experienced by men. It is the name given when men feel they have ejaculated too quickly during sexual intercourse. Although there is no standard definition for how long it should take to reach ejaculation, it can cause both embarrassment and dissatisfaction for both partners if it occurs during intercourse. There are a variety of ways you can treat ejaculation problems, this includes medication and preventative measures that can be taken to delay ejaculation. Browse the treatment options we have available at our online pharmacy below.

Premature Ejaculation

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  1. Medicine Direct EMLA Cream for Premature Ejaculation - UK Online Pharmacy
    Emla Cream
    From As low as £8.99
    • Used to treat Premature Ejaculation
    • Reduces sensitivity in the penis and delays ejaculation
    • Helps Men to enjoy sexual intercourse for a longer period of time
  2. Medicine Direct Premature Ejaculation Treatment Priligy - UK Online Pharmacy
    Priligy
    From As low as £25.99
    • Effective treatment for Premature Ejaculation in Men
    • Helps me to last up to three times longer during sex
    • Increases serotonin which promotes a delayed ejaculation

What is Premature Ejaculation?

This problem is commonly experienced by men during sexual intercourse. It is when a man ejaculates much faster than he would like to during sexual activity.

Studies across five different countries have shown that the average time to ejaculate during sex is around 5.5 minutes. However, there is no set definition for how long sex should last; this is down to individual couples to decide how long they wish it to last.

It is quite common for a man to suffer occasional episodes of premature ejaculation (PE), and if this happens from time to time it is no cause for concern. However, if you ejaculate prematurely more than half of the times you have sexual intercourse, you may require treatment.

Premature Ejaculation symptoms

The main symptom of PE is not being able to delay ejaculation for longer than one or two minutes after penetration. However, the problem can happen in all sexual activity, including masturbation.

Men may suffer from either:

  • Lifelong (primary): This occurs all or almost all of the time, starting from when you first begin sexual activity or intercourse.
  • Acquired (secondary): This develops after having previous sexual experiences without any problems with ejaculation.

Causes of Premature Ejaculation

The causes of premature ejaculation are both physical and psychological. Although men can suffer with ejaculation problems from the start of their sexual experiences, it usually begins suddenly. Men who have always experienced premature ejaculation could be suffering from it as a result of biological problems or a childhood trauma.

Physical causes of premature ejaculation include:

  • Problems with the prostate
  • Problems with the thyroid
  • The use of drugs
  • Erectile dysfunction

Psychological causes of premature ejaculation include:

  • Relationship difficulties
  • Anxiety or stress
  • Performance anxiety
  • Guilt

Premature Ejaculation diagnosis

Men often think they have symptoms of premature ejaculation, but they do not meet the diagnostic criteria for it to be a case of premature ejaculation. These cases could be natural variable premature ejaculation, which includes periods of rapid ejaculation alongside periods of normal ejaculation.

When you visit a doctor, they will ask you about your health history and your sex life. They may also carry out a physical examination. The might also order blood tests if you have trouble gaining an erection and ejaculating prematurely; this will check your testosterone levels.

Additionally, they may refer you to a urologist or mental health professional who can offer advice on sexual dysfunction.

Premature Ejaculation Treatment

How does premature ejaculation treatment work?

You can be prescribed premature ejaculation pills in the UK. Priligy is the best-known medicine for ejaculation problems. It can noticeably increase the time taken for a man to ejaculate.

Like some other treatments, it works by boosting the levels of serotonin in your body, which causes a delayed reaction in areas of the brain that cause ejaculation. This treatment contains the active ingredient dapoxetine, which is a serotonin reuptake inhibitor (SSRI).

The medicine is a quick treatment for premature ejaculation problems as it can be used between one to three hours before sex. It should not be taken more than once every 24 hours.

You can order Priligy online at Medicine Direct. We offer free consultations with our doctors to ensure it is safe for you to use. Once prescribed, you will be able to order it from our online pharmacy.

Behavioural techniques

Treatment options for premature ejaculation can vary, and some people find that certain steps, such as masturbating an hour or two before intercourse, can help to delay ejaculation during sex. Your doctor may suggest you do not have sex for a period of time and focus on foreplay; this will remove pressure from having penetrative sex.

Therapy

Another form of premature ejaculation treatment that some men find help their condition is to see a therapist. Speaking about your past sexual encounters and the reasons why you may suffer from this problem may help to reduce your feelings of anxiety and increase your confidence, which can help a lot of men to perform for longer during sex.

Frequently Asked Questions

What is the best way to prevent premature ejaculation?


Changes to sexual habits or introducing new behavioural techniques will help most men delay ejaculation. There are ways of conditioning yourself to break out of the psychological habit of ejaculating too early. Couples therapists recommend using techniques such as ‘the squeeze’ or the stop-go method.

The ‘stop-go’ method works by stimulating the penis until the man feels like he is about to ejaculate. The arousal should stop for 30 seconds until the feeling of orgasm passes. Repeat this 3-4 times before allowing ejaculation. Another way to last longer in bed is to masturbate before having intercourse. Using breathing techniques or a thicker condom to dull sensation can also help. Finally, you could also try using prescription pills to slow down ejaculation.

How is premature ejaculation treated?


In many cases, premature ejaculation will resolve itself over time, without the need for medical treatments. Relaxation techniques and distraction methods prove to be effective treatments for many men's problem. Cutting down on their use of alcohol, recreational drugs and smoking can also help some men. Some men find that having sex more often may be able to address the issue, while some find wearing a condom can reduce the penis's sensitivity, allowing them to last for longer. Certain techniques, such as your partner masturbating you gently, then firmly but gently squeezing the head when are about to orgasm, then repeating the process several times, can help some people.

You are less likely to ejaculate prematurely if your partner is on top of you while you have sex. Topical treatments, such as Emla cream, can help to prevent premature ejaculation. Emla cream is a local anaesthetic which works by reducing the sensation when applied before having sex. This allows you to perform for longer, although one of the side effects of using a local anaesthetic is that it inhibits the pleasurable feelings you will normally get during sex.

In some cases, it can also affect your partner's pleasure. If you read the treatment's instructions thoroughly, this can be avoided. Tablet treatments like Priligy have been proven to prevent premature ejaculation. They can prolong your time to orgasm by up to 200-300%. It is effective in up to 80% of men who take it.

How can I tell if I suffer from premature ejaculation?


You may suffer with premature ejaculation if you experience any of the following on a regular basis:

  • You always or almost always ejaculate within one minute of penetration
  • You feel frustrated or anxious about having sex, and as a result, try to avoid having sex
  • You cannot delay ejaculation during intercourse all the time or almost all the time

Most men will have occasion episodes where they ejaculate prematurely, but to be diagnosed with this condition, it must happen on more than half the occasions you have sexual activity.

Why do I have premature ejaculation?


There are various factors that can cause or contribute to ejaculation problems. Some men have abnormally sensitive penises, which can cause them to ejaculate prematurely. Many causes of ejaculation problems are psychological, such as depression, stress or a history of traumatic sexual experiences.

Anxiety is also a large factor for many men; feeling anxious can make them rush sexual activity as a result of fear that they may ejaculate too soon. Certain medical conditions can cause side effects like accelerated ejaculation.

Is premature ejaculation common?


Premature ejaculation is the most common sexual problem for men, affecting one in three males according to studies. However, this figure is likely to be higher in reality due to many men being embarrassed to admit to having this problem.

What is the best way to delay ejaculation?


You may be able to delay ejaculation. Using the 'stop/start' technique, which is the ability to train yourself to recognise when you are just about to ejaculate. This technique involves stimulating the penis gradually, until you think you are about to ejaculate, then stop the stimulation until you no longer feel the need to ejaculate. This will normally take between 30 and 60 seconds. Do this again until you reach the same point, then rest for another 60 seconds.

When you have repeated this several times, you should allow yourself to ejaculate. Doing this a few times a week should allow you to control ejaculation during sex. Getting your partner to squeeze your penis's shaft just below the glands or the head just before you ejaculate should take away the need to do so. Like the first technique, the 'squeeze' technique should be repeated a few times before you let yourself ejaculate.

Are ‘delay sprays’ effective?


A delay spray is a local anaesthetic that reduces your penis's sensitivity. If you have a lifelong problem with premature ejaculation, this treatment can make you last for up to six times longer. You can get this type of treatment on prescription from a doctor. While there are no major side effects, this spray can reduce your feeling to the point where you don't feel yourself ejaculating at all.

The anaesthetic can also be passed onto your partner, which decreases their sensitivity too. You can avoid this by using a condom so they do not come into contact with the spray.

Are antidepressants effective?


Some antidepressants have proven effective in delaying ejaculation. However, most of them are not approved in the UK for treating this condition. Selective serotonin-reuptake inhibitors (SSRIs) are the most common form of antidepressant treatment prescribed for premature ejaculation. They come with a risk of side effects like drowsiness, blurred vision and dry mouth, so you should only take these pills at night and not drive or operate machinery the following day.

You will likely be instructed to take one pill each night for a month. Erection problems can occur if SSRIs interact with any other treatments you are currently using. Make sure your doctor is aware of all prescription and non-prescription medicines you are already taking.

What can I do to improve my endurance?


Various techniques can help to improve endurance for a man. You should be honest about your problem with your partner; many endurance problems are a result of feeling pressure or anxiety in performing satisfactorily. Talking about the problem with your partner could alleviate some of the stress. Masturbating more frequently can help some people, as they find that they can last longer if they ejaculate more often. Using condoms or anaesthetic sprays to reduce your penis's sensitivity can also help.

What other factors contribute to premature ejaculation?


If you are suffering from anxiety or stress, this can prevent you from concentrating when you have sex, which can cause you to ejaculate prematurely. Stress associated with ejaculating too early does not necessarily need to come from sexual problems. Medical conditions can also cause this issue.

Will treatment for premature ejaculation affect my erectile dysfunction medication?


If you take Dapoxetine, it can cause complications when used alongside a treatment for erectile dysfunction. Combining the two medicines can decrease blood pressure, make you feel light headed and can make you feel faint. You should not combine these medicines without telling your doctor. If you feel faint, only combine the medicines when you are somewhere you can lie down if necessary. If you take Viagra or Levitra, you need to wait for a full 24 hours between taking Dapoxetine and ED medicines. If taking Cialis, you will need to wait for 48 hours.

Doctor Notes

Medicine Direct have an experienced clinical team of doctors, pharmacists and dispensers, all of whom are based in the UK. All are fully trained and qualified to provide appropriate and considered care across all areas of treatment we have available at our online pharmacy.

This means that no matter which member of our team is assigned to your case, you can rest assured that you are in the hands of a highly skilled medical professional, who possesses the compassion and clinical expertise to properly advise you on the best course of treatment.

We are fully regulated

All of our doctors and pharmacists are fully registered with both the General Medical Council (GMC), MHRA and the General Pharmaceutical Council (GPhC). Each member of our team has also worked in various clinic settings in the past, such as community pharmacies and NHS hospitals.

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Hussain Abdeh
MPharm: 2211840


Superintendent Pharmacist

This content has been written by James Nuttall and has been medically reviewed by our Superintendent Pharmacist Hussain Abdeh. Hussain has been the Superintendent Pharmacist of Medicine Direct since 2018.

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