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Premature Ejaculation Treatment

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Premature Ejaculation

Before we can issue a treatment, you’ll need to answer a short assessment. This assessment will help us recommend the right treatment for you.

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Premature Ejaculation treatment options

Prescription treatment assessed by our clinicians to help you last longer. Read about the treatment, or start your assessment now.

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How to get premature ejaculation treatment

Our clinician-led process for accessing premature ejaculation treatment safely and discreetly.

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Answer a few confidential questions about your symptoms and health.

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A UK-registered prescriber carefully reviews your assessment to ensure treatment is safe and suitable for you.

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About premature ejaculation

Premature ejaculation (PE) is a common sexual dysfunction where ejaculation occurs regularly within two minutes of sexual activity.

Order Premature Ejaculation Treatments Online

You can request premature ejaculation treatments online after completing our Online Doctor consultation, which assesses the appropriateness for treatment. The treatment is for men who find they often ejaculate too soon after penetration (within two minutes). There are a number of treatments available for delaying ejaculation including Priligy, Emla and natural techniques.

Our pharmacy is registered and regulated in the UK so you can be sure all medicines are genuine medicines. We check our prices regularly to ensure you pay the best price for all your treatments online. We charge no prescription fees for any orders and do not charge delivery on orders over £45.

What is Premature Ejaculation?

Premature ejaculation (PE) is a common sexual dysfunction where ejaculation occurs regularly within two minutes of sexual activity. There is not a correct length to sex, it will vary from person to person quite significantly.  It may be better described as the occurrence of ejaculation earlier than both sexual partners wish. Regular premature ejaculation leading to feelings of anxiety, shame or embarrassment should be addressed as soon as possible.

According to the American Urological Association, 30-40% of men will experience PE during their life. Failing to talk about the condition often delays treatment

What causes Premature Ejaculation?

PE sufferers can be split into two major groups, life-long and acquired PE. Those with life-long PE tend to have physical causes while those with acquired PE tend to have more psychological causes. Both types may be managed effectively with therapy and medicinal treatments.

Physical causes of PE

  • Natural sensitivity - some men will have a higher number of nerves in the penis.
  • Erectile dysfunction often results in PE due to fear of losing an erection during sex.
  • Medical conditions - prostate and thyroid problems can both affect ejaculation including the quality of ejaculate and time to ejaculation.
  • Alcohol - large consumption of alcohol can lead to many sexual dysfunctions including PE.
  • Medicines - changes to chemical or hormone balance from medicines like steroids and antidepressants.
  • illicit drugs - they modify the body’s response and ejaculatory reflex.

Psychological causes of PE

  • Stress & Anxiety typically performance anxiety, particularly with new partners as fear of rejection, past traumatic sexual experiences, and fear of losing an erection are most apparent. 
  • Depression - often leads to poor confidence and rushed sexual experiences.

Symptoms?

While many men may feel they suffer from PE, having variation in the time taken to ejaculate is normal. Premature ejaculation is diagnosed when ejaculation occurs either before or up to one minute into sexual intercourse, usually with minimal stimulation. The diagnosis is more likely if this occurs frequently.

Premature ejaculation may be accompanied by psychological symptoms because it can cause stress and anxiety for men who experience it frequently.

Treatments?

Treatments for premature ejaculation can be a combination of therapy, medicines, and lifestyle changes and technique. It’s best to discuss the condition with a health professional to find the best way of treating your premature ejaculation.

Premature Ejaculation Treatment Comparison

Priligy
EMLA Cream
Active Ingredient
Dapoxetine
Local Anaesthethics; lidocaine and prilocaine
Dosage
ONE tablet 1-2 hours before sexual activity
Applied 15-20 minutes before sexual activity, and wash off before sexual activity.
Side Effects
Most common; dizziness, nausea, headaches
Most common: swelling / redness, tingling

Premature ejaculation pills - Priligy

Priligy (Dapoxetine) is from a group of medicines known as selective serotonin reuptake inhibitors (SSRIs). While SSRIs are mainly used to treat depression, Priligy is specifically used for PE.

It works by altering the actions of chemicals in the brain that result in ejaculation. It should be taken between 1-3 hours before intercourse and can last for up to 12 hours after. 

Priligy is licensed for men between the ages of 18-64 who have had PE for at least 6 months. Priligy is the only licensed premature ejaculation pill for men, although other similar medicines (SSRIs) are sometimes prescribed. 

Priligy works for around 8 out of 10 men (80%). Generally, the time taken to ejaculate should double or triple. However, it should be noted that this is not a premature ejaculation cure. It will only work when you take it, and any underlying causes of PE should be addressed.

Topical Anaesthetics

Other premature ejaculation products contain anaesthetic ingredients like lidocaine. These are applied to the penis and help to delay orgasms by making the penis less sensitive. Examples of these products are the numbing cream EMLA cream and Stud 100 Spray. 

These products should be used with a condom or wiped away after being absorbed. This is to avoid causing the side effect of numbness for your partner.

Natural treatments for Premature ejaculation

There are some men who prefer to treat PE naturally. There are a number of ways to achieve this, although if PE persists it is best to have a discussion with your doctor about other treatments.

The Squeeze technique

Once you become close to ejaculating, withdraw and gently squeeze the penis just below the head between the index finger and thumb for 10-20 seconds. This will generally make the desire to ejaculate pass and you can return to sex.

The stop-start technique

Once you become close to ejaculating stop or slow movement until the feeling goes away, then continue.

Sex therapy

Seeing a sex therapist can help men who are experiencing performance anxiety or men affected by sexual trauma. Working through the underlying causes may permanently cure premature ejaculation or successfully manage it, improving your sex life.

Masturbation

A build-up of sexual anticipation can result in becoming too aroused, leading to PE. Masturbating a few hours before sex can help relieve over-arousal. Do not masturbate too close to sex as it can result in the temporary inability to gain an erection.

Kegel exercises

Strengthening the pelvic floor muscles around the penis can allow men to have much more control over when they ejaculate. Specific exercises exist that can target these muscle groups.

Understanding side effects

Most people tolerate treatment well. With Priligy the most common side effects are dizziness, nausea and headaches.

Nausea

"Will Priligy make me feel sick?"

Reality: Nausea is the most common side effect of Priligy (dapoxetine). It is usually mild, more likely at the 60mg dose, and passes within a few hours as the medicine wears off.

Dizziness

"Could I faint?"

Reality: Dizziness or light-headedness can occur, especially when standing up quickly. Fainting is rare but possible, which is why Priligy is taken with water and not with alcohol.

Headache

"Will it give me a headache every time?"

Reality: Headaches are common with dapoxetine and usually mild and short-lived. They often ease once your body is used to the medicine.

Why choose Simple Online Pharmacy

We provide clinician-led care with clear guidance at every step. Our team reviews each consultation individually to ensure your treatment is safe and suitable.

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We believe you should be in control of your treatment, not locked into something that doesn't work for you.

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Order when you need to, not when we tell you to. You're always in control of your next order.

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When you're ready for your next order, reordering takes seconds. Your details are saved, and our clinicians review every order to make sure it's still right for you.

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You can message our clinical team if side effects are hard to manage or you're unsure about your treatment. No pressure, no upselling.

Premature ejaculation FAQs

Answers to the questions we are asked most about premature ejaculation. Content Reviewed: 02/06/2021

What is premature ejaculation?

Premature ejaculation is a common problem where men ejaculate too quickly during sex. PE is sometimes defined as ejaculating within 2 minutes of sexual intercourse. But it may be better described as the occurrence of ejaculation earlier than both sexual partners wish. 

It can be a distressing problem for some men and their partners. It can cause stress and feelings of anxiety around sex if it happens regularly.

How to stop premature ejaculation?

A number of treatment options are available to help men with premature ejaculation. This includes premature ejaculation medication such as Priligy or EMLA cream. Other options include seeing a couples therapist, and self-help tips such as masturbating prior to sex.

What causes premature ejaculation?

Causes of premature ejaculation include both physical and psychological factors. Physical causes include an underactive or overactive thyroid, prostate problems, and recreational drug use.

Psychological causes may include depression, relationship problems, worry about sexual performance, and stress.

How to cure premature ejaculation?

Premature ejaculation tablets such as Priligy can be helpful in the treatment of premature ejaculation. Couples therapy may be effective at improving premature ejaculation and a therapist may recommend techniques to help. This includes the ‘squeeze technique’ and the ‘stop-go technique’. See the NHS page on ejaculation problems for further information about both techniques.

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    Who wrote this

    Written and reviewed by our team

    Authored by

    Karim Nassar - UK Pharmacist, Co Founder

    Pharmacist

    MPharm · Strathclyde UniversityGPhC 2064752 · verifyFounding member since 2015

    Karim is a registered pharmacist with the General Pharmaceutical Council (GPhC) and was a founding member of Simple Online Healthcare in 2015. With a Master of Pharmacy degree from Strathclyde University, Karim brings a strong foundation in pharmaceutical care and a passion for leveraging digital solutions to improve patient access to healthcare.

    Read Karim’s profile

    Medically reviewed by

    Aamina Rafiq, Superintendent Pharmacist

    Superintendent Pharmacist

    MPharm · University of StrathclydeGPhC 2216332 · verifyWith Simple since 2018

    Aamina is our Superintendent Pharmacist, with overall responsibility for clinical governance. She works closely with teams across the business to ensure we provide a safe, effective service for our patients, and brings senior oversight of our pharmacy operations and clinical standards.

    Read Aamina’s profile

    Published

    Last medically reviewed

    Sources cited

    See references

    This page is written from the Priligy patient information leaflet, NHS guidance and peer-reviewed sources, and is medically reviewed by a GPhC-registered pharmacist before publication. It is general information and does not replace advice from your prescriber.

    Sources

    References

    We write from regulator-approved product information, manufacturer documentation and peer-reviewed or academic sources. Every clinical claim on this page traces back to one of the 3 sources listed here.

    Sources checked

    At last medical review,

    Reviewed by

    Aamina Rafiq, Superintendent Pharmacist · GPhC 2216332

    1. Dapoxetine for premature ejaculation – efficacy data (cited for ‘8 out of 10 men’)

      PubMed Central (NIH) · Journal article · No date verified

      Peer-reviewed research
    2. Kegel exercises for men

      UCLA Health · Patient information

      Academic health publisher
    3. Ejaculation problems

      NHS · Health information page

      NHS

    Links open on the publisher’s own site. If you spot something out of date, tell our content team and a pharmacist will re-check the page.