Dr Colin Tidy, MRCGP

Premature ejaculation cannot always be cured, but it can be treated.

How it works

There is no single cause of premature ejaculation. Instead, it’s usually a combination of factors. It’s commonly caused by psychological issues, but physical causes are also possible. over-excitability of the glans, foreskin, or frenulum a strict upbringing, including beliefs related to sex The main treatments for premature ejaculation are: topical creams to numb the penis, reducing its sensitivity, and delaying ejaculation antidepressants, which can be taken to delay ejaculation At Superdrug Online Doctor, vardenafil 5 mg we can prescribe EMLA cream or Priligy tablets. EMLA cream is a topical premature ejaculation treatment which is prescribed “off-licence”.

Key Takeaways

It contains 2 anaesthetics as its active ingredients: 25mg of lidocaine and 25mg of prilocaine. Together, when applied to the penis, they work by numbing the area to reduce its sensitivity and delay ejaculation. Some research suggests that it can help you last 6 times longer in bed and should be applied 20 minutes before you intend to have sex for the best results. Priligy is a branded antidepressant, specifically a selective serotonin reuptake inhibitor (SSRI) that is licensed to treat premature ejaculation. It contains the active ingredient dapoxetine and works by binding to the serotonin receptors in the brain to block the reuptake of serotonin and delay ejaculation. Lifelong PE is not usually curable, whereas acquired PE, which often occurs later in life, may be cured by addressing the underlying cause, such as stress, lifestyle, or relationship issues.

Product	Dosage	Quantity + Bonus	Price
Cialis Generic	5mg	60 + 4 Pills	86.02€ 81.92€	Buy
Cialis Generic	60mg	120 + 8 Pills	240.18€ 228.74€	Buy
Viagra Generic	25mg	90 + 6 Pills	105.03€ 100.03€	Buy
Levitra Original	20mg	120 + 8 Pills	528.19€ 503.04€	Buy
Viagra Generic	200mg	60 + 4 Pills	125.19€ 119.23€	Buy
Kamagra	100mg	12 Pills	55.64€ 52.99€	Buy
Cialis Generic	20mg	60 + 6 Pills	117.76€ 112.15€	Buy
Kamagra Gold	50 mg	180 + 6 Pills	371.27€ 353.59€	Buy
Levitra Professional	20mg	30 Pills	119.12€ 113.45€	Buy
Cialis Professional	40mg	120 + 4 Pills	436.68€ 415.89€	Buy
Kamagra Oral Jelly	100 mg	220 + 18 Sachets	662.24€ 630.70€	Buy
Viagra Generic	100mg	60 + 4 Pills	96.36€ 91.77€	Buy
Kamagra Oral Jelly	100mg	10 Sachets	54.55€ 51.95€	Buy
Kamagra Soft Tabs	100mg	60 + 4 Pills	180.59€ 171.99€	Buy
Kamagra Soft Tabs	100mg	180 + 8 Pills	425.45€ 405.19€	Buy
Viagra Super Active	100mg	90 + 10 Pills	165.61€ 157.72€	Buy
Levitra Generic	60mg	10 Pills	47.42€ 45.16€	Buy

Most men last between 5 and 7 minutes in bed.

Behavioral Techniques

Kegel – this involves doing pelvic floor exercises to strengthen your ejaculatory muscles Making some simple lifestyle changes can help manage premature ejaculation. losing weight, if excess weight is reducing your confidence or causing health conditions that are affecting your symptoms talking to your partner about any anxieties, relationship issues, or concerns Premature ejaculation treatment is not suitable for everyone. Some medical conditions and medications can interact with PE treatments, making them ineffective or potentially unsafe. are allergic to dapoxetine or any other ingredients in Priligy have ever had mania or severe depression You should also avoid Priligy if you are taking any of the following medications: EMLA cream is not suitable if you are allergic to lidocaine, prilocaine, or other similar anaesthetics. If you are not sure if a premature ejaculation treatment is suitable for you, you should speak to your doctor or pharmacist for advice. That is the time to reach orgasm and ejaculate.

Supplement / Remedy	Possible Benefit	Notes
Ginseng	May improve sexual stamina	Consult physician before use
Zinc Supplements	Supports testosterone levels	Dosage as per guidelines
Ashwagandha	Reduces stress, enhances stamina	Not scientifically conclusive
Kegel Exercises	Strengthen pelvic floor muscles	Daily routine

However, this can vary from individual to individual.

27. Do I have a sex addiction if I ejaculate 2 times a day?

Premature ejaculation (PE) is relatively common, with estimates suggesting around 30% of people are affected, but it could be as high as 75%. PE is defined as ejaculation happening sooner than you or your partner would like during sex. PE can be caused by psychological and physical factors, including prostate issues, taking recreational drugs, and even stress. However, there are treatments available that can help you feel more in control and make you last longer in bed. At Superdrug Online Doctor, we can prescribe treatments without the need for a face-to-face consultation, which means you can still access treatment even if you do not feel comfortable discussing it with a doctor.

Lifelong premature ejaculation

Instead, you’ll just need to complete an online health questionnaire for one of our doctors to review and approve your medication. We will then send you medication in discreet packaging to your home address, or you can choose to collect it from your local Superdrug Pharmacy. Please check your spelling or try another treatment name. Premature ejaculation is the most common male sexual disorder, and is when ejaculation happens too quickly before or during sex, usually within 1 minute. Occasional episodes of PE are common and not usually a cause for concern, but if they happen more often than you’d like, you may need to access treatment or rule out possible underlying causes. If you are regularly ejaculating in less than 1 minute, this could indicate premature ejaculation.

Partner's Perspective	Common Concerns	Emotional Responses	Support Strategies
Frustration	Feeling of rejection or inadequacy	Anxiety, sadness	Open communication
Desire for reassurance	Need for emotional connection	Increased intimacy	Counseling if needed
Sense of loss	Reduced satisfaction	Depression, anger	Partner-inclusive therapy

Viagra is not licensed for premature ejaculation, but some research suggests that PDE-5 inhibitors can improve confidence, sexual satisfaction, and ejaculatory control. No, masturbation does not cause premature ejaculation. Controlled masturbation techniques can help you manage premature ejaculation.

• Explore prescription medications like Dapoxetine.
• Practice gradual exposure therapy techniques.
• Engage in cognitive-behavioral therapy to reduce anxiety.
• Use herbal supplements with caution and medical approval.
• Implement lifestyle changes to improve overall health.
• Avoid illicit drugs that impair sexual function.
• Incorporate regular exercise into your routine.
• Prioritize stress relief activities daily.
• Use timed masturbation to increase control.
• Restrict or delay alcohol consumption before sex.
• Focus on emotional intimacy, not just performance.
• Maintain patience and realistic expectations.

PE is usually caused by underlying factors, like stress, anxiety, or depression.

Approach Considerations

The usual dose is one tablet 1 to 3 hours before you have sex, and research shows it can help 69% of people delay ejaculation by 1 minute and 44% last 2 minutes longer in bed. Premature ejaculation treatments work by either delaying ejaculation through changing the brain chemistry or reducing the sensitivity of the penis. Several treatment options are available, depending on your individual needs and circumstances. Some of the common treatments and how they work are: SSRIs – SSRIs like Priligy work by blocking the reuptake of serotonin, a neurotransmitter that’s associated with ejaculation. By blocking its reuptake in the brain, SSRIs like Priligy can delay ejaculation, making you last longer in bed.

Topical products for premature ejaculation

Topical anaesthetics – Topical anaesthetic agents like lidocaine and prilocaine found in EMLA cream reduce the sensitivity of the penis, delaying ejaculation. Phosphodiesterase type-5 (PDE-5) inhibitors – PDE-5 inhibitors like Viagra are usually prescribed for erectile dysfunction, but they are sometimes prescribed off-label for PE. They can be effective if your PE is caused by ED, by reducing performance anxiety and increasing confidence, which can delay ejaculation. Most Priligy side effects are mild and can be managed by: getting some rest until you feel better lying down until the dizziness passes, and avoiding driving or operating machinery drinking plenty of fluids to stay hydrated mild burning, itching, or warmth at the application site Most EMLA side effects are short-lasting, mild, and will go away on their own. If they do not or are severe, wash the cream off straight away. Yes, Kegel exercises can help manage premature ejaculation.

Rights and permissions

Premature ejaculation might make it difficult for your partner to conceive (fall pregnant) if ejaculation does not happen inside the vagina. Speak to your doctor if you are worried about premature ejaculation. You can also call the healthdirect helpline on 1800 022 222 (known as NURSE-ON-CALL in Victoria). A registered nurse is available to speak with 24 hours a day, 7 days a week. Learn more here about the development and quality assurance of healthdirect content.

Medication Options to Reduce Sensitivity and Improve Control

Premature ejaculation (PE) treatments allow you to delay ejaculation and last longer in bed. PE does not need to rule your sex life, take control with our range of effective treatments. Available in oral tablets or a topical cream. Works in as little as 15 minutes. Discreet online consultation, no need for a face-to-face appointment. Research shows that 82.5% of people who completed a 12-week pelvic floor exercise program increased their time to ejaculation from less than 60 seconds to 146 seconds.

• Consider professional counseling for psychological causes.
• Use behavioral exercises like stop-start method.
• Take prescribed SSRIs to delay ejaculation.
• Practice pelvic floor relaxation techniques.
• Maintain a healthy, balanced diet.
• Limit exposure to performance pressure.
• Engage in shared sexual experiences with partner.
• Use condoms with numbing agents if suitable.
• Track progress to stay motivated.
• Incorporate relaxation techniques before intimacy.
• Avoid rushing; focus on quality over speed.
• Seek group or couple therapy if needed.

Yes, some STIs can cause premature ejaculation, especially those that cause chronic prostatitis, like chlamydia. If you think you may be affected, you can order an at-home chlamydia test.

• Use the start-stop technique during sex to control ejaculation.
• Practice the squeeze method to delay climax.
• Incorporate Kegel exercises to strengthen pelvic muscles.
• Try desensitizing condoms or sprays to reduce sensation.
• Engage in breathing exercises to relax and extend arousal.
• Limit alcohol intake, as it can impair sexual stamina.
• Communicate openly with your partner about concerns.
• Use topical anesthetics cautiously to avoid loss of pleasure.
• Focus on foreplay to enhance arousal control.
• Consider counseling or sex therapy for underlying issues.
• Maintain a healthy lifestyle for overall sexual health.
• Explore medication options prescribed by a doctor.

Yes, lifestyle changes like increasing exercise can help you effectively manage premature ejaculation. One study found that yoga, running, and high-intensity interval training (HIIT) could effectively manage premature ejaculation similarly to medication.

What to do about premature ejaculation

All medications can cause side effects, although not everyone will get them. You can find a full list of potential side effects in the patient information leaflet that comes with your medication. If you get any side effects that are concerning or difficult to manage, contact your doctor for more advice. Premature ejaculation is usually diagnosed by a healthcare professional following an in-depth discussion about your medical and sexual history, which may include: underlying health conditions, medications, or recreational drug use Some of the key symptoms of premature ejaculation are: regularly ejaculating within 1 minute of penetration or stimulation feeling like you have no control over when you ejaculate feelings of frustration, distress, or it negatively impacting your sex life or relationship There is not a single diagnostic test available for premature ejaculation, but if your doctor suspects an underlying condition may be causing your PE, they may carry out further tests, including: blood tests to check your kidney and liver function, cholesterol levels, and to rule out conditions such as anaemia or diabetes urine tests to see if your pee contains sugar, which could indicate that you have diabetes hormone tests to measure testosterone, prolactin, follicle-stimulating hormone (FSH), luteinising hormone (LH), and thyroid hormone levels As well as medication, there are other ways you can treat or manage premature ejaculation, including counselling, physical techniques, and lifestyle changes. By making small changes to your lifestyle or accessing counselling services for relationship issues, low confidence, or anxiety, you may be able to better control your sex life.

Side effects of premature ejaculation treatment

Also known as psychosexual therapy, counselling can help you deal with sex-related issues. If you have a partner, counselling can also help both of you discuss these issues safely and openly. For example, they can encourage you to explore any potential relationship issues and help you resolve them, or they can show you techniques to help you slow down the time it takes to ejaculate. Behavioural techniques like the “stop-start” or “squeeze” techniques can be effective ways to vidalista 20mg uk delay ejaculation. Here are some of the most common and effective techniques: stop-start – this is where you stop and withdraw stimulation to the penis just before orgasm squeeze – this technique involves applying pressure to the penis by squeezing the head of the penis just before orgasm, to delay ejaculation.