Premature Ejaculation Treatment

What is premature ejaculation?

Premature ejaculation is when you climax too soon during sex—sometimes before penetration, or shortly after starting. It’s one of the most common male sexual concerns, affecting 1 in 3 men at some point. Occasional episodes are perfectly normal, but if PE happens frequently it can affect your confidence and relationships. Understanding that it’s a medical condition and can be treated — is the first step towards improvement.

What causes premature ejaculation?

PE can have both psychological and physical causes:

Psychological factors:

• Anxiety, stress, or performance pressure

• Low self-esteem

• Depression or relationship difficulties

• Past sexual trauma or negative experiences

Physical factors:

• Hormonal imbalances (e.g., low serotonin levels)

• Prostate issues

• Thyroid problems

• Side effects from certain medications

• Genetic predisposition

Sometimes, PE is linked to temporary factors like new relationships, infrequent sex, or excessive excitement. In other cases, it can persist for years without treatment.

Common symptoms of premature ejaculation

You may have PE if you:

• Regularly ejaculate within 1–2 minutes of penetration
• Struggle to delay ejaculation during sex or foreplay
• Feel distressed or frustrated about finishing too quickly
• Notice reduced sexual satisfaction for yourself or your partner

There are two types of PE:

• Primary (lifelong): Always present from your first sexual experiences.

• Secondary (acquired): Develops later, often due to stress or medical conditions.

How is premature ejaculation diagnosed?

PE is typically diagnosed through a discussion with a doctor or online prescriber. There’s no specific test, but your healthcare provider may ask about:

• How often PE happens and when it started

• Relationship factors

• Your sexual history, health conditions, medications, or surgeries

• Psychological factors like anxiety or stress levels

A physical exam may be recommended if an underlying medical condition is suspected.

How do treatments work?

• Priligy (Dapoxetine): A short-acting selective serotonin reuptake inhibitor (SSRI) that boosts serotonin, helping you delay ejaculation.

• EMLA Cream/STUD 100 Spray: These numb the sensitive nerve endings in the penis, giving you more control.

Our online consultation helps you choose the best option for your needs.

How long should sex last on average?

Studies show the average time from penetration to ejaculation is about 5 minutes. Lasting less than 2 minutes most of the time may indicate PE. But remember: there’s no “normal” duration — if you or your partner are dissatisfied, help is available.

Can premature ejaculation be prevented?

While PE can’t always be prevented, these tips can help:

• Practice relaxation and deep breathing during sex
• Masturbate 1–2 hours before sex to reduce excitement
• Use thicker condoms to reduce sensitivity
• Avoid alcohol and recreational drugs that can worsen PE
• Maintain open communication with your partner

FAQs about premature ejaculation

How quickly do PE treatments work?

Oral medications like Priligy work within 1–3 hours. Numbing creams take effect in about 10 minutes.

Are PE treatments safe?

Yes, when prescribed by a healthcare professional. Side effects are usually mild and include nausea, dizziness, or mild skin irritation with topicals.

Will PE go away on its own?

It might improve with reduced stress or better sexual communication, but many men benefit from treatment.

Helpful external resources

For more support on premature ejaculation, check out:

• NHS Premature Ejaculation Guide – for expert NHS advice on PE
• Men’s Health Forum – for information on men’s sexual health and wellbeing