Premature Ejaculation

Premature ejaculation happens when a man ejaculates more quickly than his partner would like. It is a common condition. The cause is not known but there are tablets which can help regulate the ejaculation.

  • Most common sexual dysfunction affecting men
  • Medication can help you last up to 3 times longer

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Premature Ejaculation

2 treatment(s) for Premature Ejaculation

  • Increases the control over ejaculation
  • It works very fast
  • Take the tablet 1-3 hours before sex
EMLA Cream (5%)
  • It is an anaesthetic cream
  • Apply 10-15 minutes before sex
  • Helps delay ejaculation
DescriptionCausesTypes of treatmentQuestions and answers

Premature ejaculation is defined as uncontrolled ejaculation. It happens either before or shortly after sexual intercourse. In simple words, you achieve orgasm within a few minutes of initial penetration. At times, this happens even before you put your penis inside your partner. This may result in unsatisfactory sex for both the partners. This may increase the anxiety in men leading to sexual dysfunction.

Usually, men choose not to discuss this with anyone or seek medical help. They find it embarrassing. Maybe due to this the clear causes and statistics of how common this problem is, remain unknown. However, it is very important for you to realise that it is not an uncommon problem. Certain studies reveal that 1 out of 3 men experiences this at some point in their lives.

Usually, premature ejaculation can be divided into two types: Primary and Secondary. The first type indicates that this condition prevails from the time a man begins to have sex. The latter specifies that premature ejaculation develops after you have had some sexual encounters with no problems.

Choosing to simply ignore this condition will result in further problems and complications. There is no harm in asking for help. Take expert advice before it is too late. Premature ejaculation is a treatable condition. Medication, therapies, and counselling can help improve the condition. This can ultimately improve your sex life.

To learn more about premature ejaculation, see the comprehensive patient information leaflet

According to doctors, there are a few symptoms which indicate that a person suffers from premature ejaculation. If you:

  • always ejaculate within minutes of sexual penetration
  • are unable to delay the ejaculation
  • try to avoid sex as it frustrates you causing stress

The causes of premature ejaculation are not clearly known. Both biological and psychological factors can play a role in premature ejaculation. Medication and many other factors can be very helpful in such cases.

Biological Causes

  • Abnormal hormone levels
  • Inflammation and infection of the urethra
  • Abnormal levels of brain chemicals
  • Inherited characteristics

Psychological Causes

  • Depression
  • Early sexual experiences
  • Poor body image
  • Worrying about the condition
  • Guilty feeling (it increases your tendency to rush through sexual intercourses)
  • Anxiety
  • stress
  • Erectile dysfunction
  • Relationship problems

Experts also mention that premature ejaculation can be triggered by some physical problems linked to serotonin signals in the brain which control ejaculation. Some of these can be:

  • You are more likely to experience premature ejaculation if you are young and in early stages of your relationship. In such cases, it often gets better with time
  • Anxiety towards your first sexual intercourse can make things worse
  • Drugs such as amphetamine and cocaine can interfere with your body’s natural functionality and in some cases cause premature ejaculation
  • A regularly infected prostate gland can be associated with premature ejaculation
  • Certain medicines such as cabergoline (treatment for Parkinson disease) can potentially cause premature ejaculation
  • Nervous system diseases such as peripheral neuropathy and multiple sclerosis can also be a factor causing premature ejaculation

Premature Ejaculation treatment completely depends on its causes. Including medication, you may also need some therapies. The aim of any course of treatment is to restore control over ejaculation. Thus, bring back the excitement and pleasure of active and healthy sexual life. There are a few different approaches you can take to achieve this such as:

Behavioural Methods

Therapies for premature ejaculation might involve one or more simple steps. This is usually advised by experts. You might be asked to stop stimulation as you are on the verge of getting the climax. This will allow arousal to deplete. You can also try squeezing the tip of the penis before ejaculation. This decreases the arousal suddenly. You can also masturbate an hour or two before the intercourse. This will delay ejaculation during sex. Your doctor may also ask you to avoid sex for some time and focus on foreplay. This will reduce anxiety and stress.


Pelvic floor exercise help strengthen the pelvic muscles. This can result in delayed ejaculation. Understand your pelvic floor muscles. For this, tighten your muscles that keep you from passing gas or urine. This process uses your pelvic floor muscles. Now that you know about them, tighten your muscles and hold for three seconds. Then relax for three seconds. Repeat it for a few number of times. Aim to at least work on this exercise ten times a day. This will strengthen your pelvic floor muscles.


Climax Control condoms are available over the counter. They decrease penis sensitivity and delay ejaculation. The Climax Control condoms contain numbing substances such as benzocaine, lidocaine, or thick latex. These substances help in delay ejaculation.


Anesthetic creams and sprays contain numbing substances such as benzocaine, lidocaine, or prilocaine. Application of these on the penis for 10-15 minutes before sex can help delay ejaculation. Although these products are effective, they show some side effects such as decreased interest in sex and temporary loss of sensitivity.

Medicines can be helpful to treat premature ejaculation. Some of them are antidepressants, analgesics, and phosphodiesterase-5 inhibitors. These medicines are not approved (to treat Premature Ejaculation) by the Food and Drug Administration Department but are in use.


There are some psychological factors involved in premature ejaculation. Counselling or talking to experts can help reduce these factors and improve your sex life. Many times, counselling will be accompanied by some medications. This completely depends on individual conditions.

If you are looking for some expert help, book an ONLINE consultation with our GMC Registered Clinicians at

Patient discretion and confidentiality top the priority list at!

Is Premature Ejaculation the same as Erectile Dysfunction?

NO. Erectile Dysfunction refers to a condition where a man cannot gain an erection. While Premature Ejaculation is a condition where a man experiences an erection but ejaculates too early.

How common is Premature Ejaculation?

As a lot of men refrain themselves from discussing this condition, a clear statistical analysis is not available. However, according to some surveys, 1 out of 3 men are likely to suffer premature ejaculation.

Can premature ejaculation be prevented?

YES. A healthy mind and body will definitely help reduce the chances of premature ejaculation. However, some severe medical history might cause this condition which would be unavoidable.

Can I prevent premature ejaculation without medication?

YES. Natural remedies such as therapies, sexual techniques, exercise, and counselling sessions can help prevent premature ejaculation.

If you are looking for some expert help, book an ONLINE consultation with our GMC Registered Clinicians at

Patient discretion and confidentiality top the priority list at!