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Premature Ejaculation: Causes & Treatments

For many men seeking premature ejaculation (PE) treatment, the internet is the first point of call. Our team understands that seeking help face to face with a GP can be a daunting prospect, and we’ve worked hard to provide a discreet, easy-to-use service that will suit your needs. Below are our answers to some common questions about PE.

What is premature ejaculation?

There's no precise definition of PE, but it is generally defined as a man achieving orgasm too quickly (typically in less than two minutes) during penetrative sex, something which can lead to embarrassment and put stress upon a relationship.

The majority of men suffer from a form of premature ejaculation at some point in their lives and, in many cases, it is not a lasting condition. It is also very easy to seek help and advice for this condition, either from your GP or from a service such as our online clinic.

What types of premature ejaculation are there?

Although PE is hard to define, it is commonly accepted that there are two types: primary, which starts since first becoming sexually active, and secondary, where the condition often occurs later in life and can be caused by both psychological and physical factors. The condition can occur with all partners and situations or only with a specific partner or in a certain situation.

What causes premature ejaculation?

PE is considered to be multifactorial and can be due to a psychological issue, a physical cause or both - often there is no clear cause. It can be caused by anxiety, depression, problems with your sexual partner and stress. It is more likely to happen if you are young and in the early stages of a relationship or if it has been a long time since you last ejaculated. Anxiety about sex during early sexual encounters can contribute towards premature ejaculation, however with increasing sexual experience and age, men often learn to delay orgasm.

Common physical causes of premature ejaculation include prostate disease, an underactive thyroid, recreational drugs and alcohol. It can also be associated with erectile dysfunction.

What are the treatment options for premature ejaculation?

Whatever the causes, there are many different ways of treating PE. The most common treatments are:

  • Prescription tablets, such as Priligy. Priligy is a selective serotonin reuptake inhibitor (SSRI) that is specifically used for treating PE. It has shown to be very effective in delaying ejaculation.
  • Local anaesthetic creams, such as EMLA, that work by desensitising the penis when applied. The cream should be applied at least 15 minutes before intercourse and should be washed off afterwards. These are not licensed treatments for PE, but have been prescribed for many men with success.
  • Condoms that contain a local anaesthetic.
  • Behavioural techniques that help the man to ‘unlearn’ the habit of premature ejaculation. You may need professional advice on how to benefit from these techniques. These are most likely to produced permanent results.
  • Counselling, to alleviate the emotional or psychological causes of your PE.

Our online PE clinic offers both Priligy and EMLA cream, alongside a free online assessment by an NHS accredited doctor, meaning you can seek medical help for your condition from the comfort of your own home. 

What should I do about premature ejaculation?

If you find that your premature ejaculation is making you feel unhappy, unfulfilled or embarrassed, then you should try not to worry. You should also think about talking to your GP or taking our short online assessment. Our doctors will then be able to reassure you and get you the right treatment.