Premature Ejaculation

A precise definition for premature ejaculation can vary from each individual, and can relate to personal preference, but medical professionals have established that the sexual condition causes a man to achieve orgasm too quickly (between 1 and 2 minutes) during sexual intercourse.

Although not usually classed as a chronic condition, with most men experiencing PE for relatively short periods of their lives, it is possible for it to become a long-term issue.

How does it differ from erectile dysfunction (impotence)?

Although premature ejaculation and erectile dysfunction are both penile conditions, and often stem from similar psychological or physical problems, they produce very different effects.

Erectile dysfunction is a condition where a man cannot achieve or sustain a full erection before or during sex. Impotence, like premature ejaculation, is a multifactorial condition and can manifest itself physically, psychologically or due to lifestyle choices. In comparison, premature ejaculation has nothing to do with a man's ability to achieve an erection, but the speed in which a man will ejaculate, although the causes of the condition can be similar to those of impotence. Certain physical factors (vascular conditions, neurological problems and certain medications) and psychological factors (sexual anxiety, stress and low mood) can trigger and exacerbate premature ejaculation.

The cause of PE is generally considered to be multifactorial, meaning it can be a combination of psychological and physical elements. This means there is often no clear cause for the occurrence of premature ejaculation. It can be caused by various psychological problems such as anxiety, depression, stress, or problems of intimacy with your partner. It is more likely to occur if you are young, sexually inexperienced, in the beginnings of a relationship or if it has been a long time since you last ejaculated.

Physical causes for premature ejaculation do exist, and include prostate disease, an underactive thyroid, recreational drugs and alcohol. It may also be associated with erectile dysfunction.

The primary symptom of PE is the inability to delay ejaculation for more than one to two minutes after penetration. However, the problem can occur in other sexual situations, such as oral sex and masturbation. Premature ejaculation can be classified as both a lifelong or as a temporary condition. 'Lifelong PE' is typically defined when the condition occurs all or nearly all of the time, beginning with your first sexual experiences.

• Problems delaying ejaculation during vaginal, anal, and oral sex
• The occurrence of ejaculation with minimal sexual stimulation
• Difficulty achieving physical intimacy with your partner
• Feelings of shame, guilt, and embarrassment

As well as a physical condition, this can cause psychological issues associated with intimacy and satisfaction within relationships and marriages.

Premature ejaculation treatments are available to help manage the condition. Through the use of medication, coping techniques, or counselling, you can seek to understand why and how premature ejaculation occurs during intercourse to help you last longer in bed.

Prescription medication for premature ejaculation

Priligy is the only prescription treatment for premature ejaculation that can improve the duration of sexual intercourse by as much as 300% according to trial results. A selective serotonin reuptake inhibitor (SSRI), Priligy is a tablet containing dapoxetine, which delays the chemical reactions that cause ejaculation by increasing the levels of serotonin in the brain. The recommended dosage is usually 30mg or 60mg depending on your medical history.

Counselling and therapy

Efforts to understand the triggers for PE through counselling and relationship therapy may be beneficial in a variety of ways, such as helping you to come to terms with premature ejaculation, relieving stress in the relationship caused by PE and developing techniques for delaying ejaculation. This is not a short-term solution to the problem, and you are likely to receive benefits only after a significant course of treatment.

Alternative treatments to prevent premature ejaculation

Korean Ginseng is regarded by some as an effective natural remedy to overcome premature ejaculation. Although not proven, Korean Ginseng is thought to increase sexual appetite and libido, thereby enhancing self-esteem, sexual performance and overall sexual satisfaction.

The squeeze technique

The "squeeze technique" is often used to treat PE. This involves firmly squeezing the area between the shaft and glands of the penis for approximately 30 seconds, significantly reducing the size of the erection and thus preventing ejaculation. This technique can be quite painful and requires a great deal of patience from both sexual partners, however you can practise this in the privacy of your own home when masturbating as well.

There are a number of methods that can be used to help prevent the occurrence of premature ejaculation in men of all ages. These include:

• Thicker condoms can help reduce sensitivity to the penis, reducing arousal and the likelihood of PE.
• The "start-stop" technique that relies on stimulating the penis until ejaculation is about to occur and then stopping, waiting for a matter of seconds, and then resuming stimulation.
• Take a deep breath before ejaculation; this can help prevent PE by slowing ejaculation and reducing stimulation.
• Think about something else. This is perhaps the most well-known treatment for premature ejaculation, and involves self-distraction through focusing on something which is not arousing to delay orgasm.

Premature ejaculation is a common condition that can be treated effectively. There are prevention techniques and treatments that have been proven to work for the vast majority of men, and a combination can work just as successfully as opting for one option alone. In fact, self-help techniques and proven medication could provide a noticeable difference to your overall confidence. At OnlineClinic, we offer Priligy tablets to effectively treat and prevent premature ejaculation. To order any medication in the UK, you must first complete a consultation to be issued as a prescription, which is provided here at OnlineClinic. After completing a medical survey, your consultation is reviewed by one of our dedicated team of doctors before prescribing the correct treatment and dosage for you. All Priligy medication is discreetly packaged, allowing you to get treatment delivered anywhere with confidentiality.