Premature Ejaculation

Premature Ejaculation (or PE) is a sexual condition where a man ejaculates very early during sex, on a persistent basis. Typically, 'premature' means within two minutes of penetration commencing.

  1. Premature Ejaculation is a common issue couples face.
  2. 1 in 10 UK men experience it on a recurring basis.
  3. Prescription treatments can help men go for longer.

To buy premature ejaculation treatment online, take our short questionnaire. A doctor will review your answers, and we’ll have your order to you in 24 working hours of approval.

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2 treatment(s) for Premature Ejaculation

Priligy

Priligy

  1. Easy to use tablet
  2. Developed especially for premature ejaculation
  3. Enables you to perform for longer
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Emla

Emla

  1. Simple to use anaesthetic

  2. Prescribed off-label for PE
  3. Gets to work quickly
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Description

Clearly defining the boundaries of premature ejaculation is not easy. After all, no two couples are the same. Sexual tastes vary, and what you expect from your partner or vice versa during intercourse is down to you as individuals.

That said, it is quite common for a man to ejaculate before their female partner during sex. But when the male partner reaches climax within one or two minutes of penetration commencing, this can prove frustrating for both partners. If this occurs on a persistent basis, then this might be defined as a case of premature ejaculation.

Premature ejaculation can be primary (present from an early age) or secondary (encountered at some point in life by those who have no history of PE). The causes for each can vary.

Many doctors believe that how you learn to masturbate and have sex during your early adult life can influence your sexual habits, and that this can be a cause of primary PE. For instance, if, as a teenager, someone becomes used to masturbating and climaxing as quickly as possible to avoid getting caught, then this can encourage the condition.

Secondary premature ejaculation might be caused by emotional distress, such as anxiety. A degree of nervousness is natural if you don’t have sex all that often, or are not as experienced as your partner. But men who are engaging in sex at the start of a new relationship may be insecure or eager to impress their new partner, and this can often be a trigger for premature ejaculation. 

Where the issue is caused by emotional or psychological factors, discussing matters with your partner or with a therapist can help. Similarly, consulting a doctor to address any potential undiagnosed illnesses which might be causing premature ejaculation can help as well.

Men who only experience mild forms of PE (if, for example, you endure for 5 minutes but want to go on for a little longer) will usually be able to train themselves with practice, and without the need for medicine. However, those who repeatedly experience severe instances of the problem (such as those who climax within one to two minutes) may choose to seek treatment.  

It’s important to try and use self-help methods first, as these may help to tackle the problem without the need for treatment.

Some self-help techniques which can help a man to last longer during sex are:

  • wearing an ‘extra safe’, thicker condom (this helps to reduce penile sensitivity during penetration)
  • masturbating a few hours before having sex
  • inhaling a deep breath shortly before the point of climax (to block the reflex which causes a man to ejaculate)
  • having sex with your partner on top, so that they can withdraw when you are close to climax.

The ‘squeeze’ technique is another option, which can help ‘train’ a man to last longer. This involves the partner masturbating the man, until they are about to reach ejaculation, then stopping and lightly squeezing the head of the penis for up to 20 seconds. A 30 second break is observed, then masturbation commences again. This process should be repeated several times, until the man finally ejaculates.

If the above methods are not successful, treatment may be able to help. But even if someone is receiving treatment for premature ejaculation, they should still try to apply the above methods, as they are still likely to be helpful.

Some men who experience premature ejaculation also have difficulties getting or keeping an erection (this is known as erectile dysfunction). If this is the case for you, we recommend that you seek advice and treatment for your erectile dysfunction first, before you take any treatment for premature ejaculation.

The two main types of medicinal drug available, EMLA Cream (prescribed 'off-label' or 'off-license') and Priligy, work in different ways: when applied, EMLA Cream works by desensitising the nerves underneath the skin on the penis; while Priligy contains an ingredient which works in the nervous system, and increases the user’s tolerance to sexual stimuli.

Both of these medicines are available to buy from our trusted pharmacy. To order your prescription treatment online, take our simple 5-minute questionnaire. A practising doctor will review your answers, and we’ll have your treatment at your door within one working day of approval.

Page last reviewed:  26/02/2018
Types of Treatment

Types of Treatment

Types of Treatment

There are numerous approaches couples can take when it comes to lasting longer in bed and delaying ejaculation. These include topical creams such as EMLA Cream, and tablet medications like Priligy.

How do they work?

1. EMLA Cream
Products such as EMLA Cream are primarily used to provide dermal anaesthesia prior to minor procedures involving the skin. This procedure might be an injection, or the removal of a wart. However, it is sometimes prescribed off-label for the treatment of PE. It contains lidocaine and prilocaine, which are anesthetizing agents. When carefully applied to the penis, this product can help to decrease penile sensitivity and allow the user to last longer during penetrative sex.

2. Priligy
This medication comes in the form of a tablet. It contains a substance called Dapoxetine, which is an SSRI, or Selective Serotonin Reuptake Inhibitor. This type of medication is normally issued to treat depression, however it has been found that medicines of this type produce beneficial results in giving the user better control over ejaculation. Priligy is the first pill to be specifically developed for the treatment of premature ejaculation.

What are the side effects?

While many people may experience little or no side effects when using treatment to delay ejaculation, it is important to be aware of the potential for them, so that you can assess the possible risks and respond accordingly should they occur.

EMLA Cream may cause dermal irritation and, as well desensitising the penis, it can also have an unwanted numbing effect on the vagina.

Dapoxetine has been known to cause various side effects including dizziness, nausea and dry mouth.

Can I take them with other medications?

Whether you can use PE treatment safely depends on your medical background, and which other medications you are using. Inform your prescriber of any other treatments you are taking so that they can accurately judge whether you are at increased risk of experiencing adverse effects.

Page last reviewed:  26/02/2018
Question and Answers

What’s the difference between the medications?

EMLA Cream is applied directly to the penis, and produces a numbing effect which enables the user to go on having sex for longer.

Priligy is an oral tablet, which contains a compound called Dapoxetine. This works by increasing the activity of serotonin in a specific part of the nervous system, and this makes it easier for the user to climax later.

Should I take Priligy, or EMLA Cream?

It depends on what you’ve used before, what you’re better suited to, and whether you would prefer to use a tablet medication or a cream. Your medical history may also determine which one is more convenient for you. Consult the relevant product page for more information.

Are there different side effects?

Although many people use medications such as these and experience no ill effects, there is still a possibility that some side effects may occur. With EMLA Cream, the known possible side effects relate more directly to skin irritation in the area of application. Priligy may cause more generalised side effects, such as headaches, dizziness and feelings of nausea, among others.

Is it right for me?

Whether you seek treatment for PE depends on how much you and your partner feel the condition is affecting your sex lives. If you have tried other solutions and these have proved ineffective, or if you feel that premature ejaculation is a persistent problem for you, then medicine may be able to assist you. You should always see your own GP in the first instance.

If you’ve used treatment for premature ejaculation before and want to order your repeat prescription from our pharmacy, take our online consultation. A GMC-registered physician will review your responses. Once approved, they will draw up a prescription for you, which our dispensing pharmacy will fill out. All orders are shipped by next-day delivery, meaning that you can expect to receive your treatment within one working day of successful consultation.

Page last reviewed:  26/02/2018
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