Many men ejaculate before they want, sometimes after just a few seconds or within about a minute. If this happens most of the time and is causing distress, the diagnosis is premature ejaculation (PE).
How common is it?
PE is surprisingly common, with one in five men suffering, and nearly half having had it at some time in their lives. Most men do not seek treatment. They may not know there is treatment available, or be too embarrassed to ask for it. Some treatments require tablets, but others involve talking and simple self-help techniques.
With a condition such as PE, which may be related to anxiety and stress and can affect relationships, the first thing to do is to talk. Support from an understanding partner may go a long way to reducing anxiety. This on its own might resolve the problem.
Men should also talk to their doctors. Doctors are trained in sexual health and will not be judgemental or dismissive. There are self-help techniques which can be taught and medications to delay ejaculation.
Priligy (dapoxetine) is a prescription medicine which is taken 30 to 60 minutes before intercourse. It has the effect of delaying ejaculation by a few minutes, or longer. Priligy comes in two strengths, 30mg and 60mg tablets. Men should try the lower strength first, only switching to the higher strength if needed.
Most men who take Priligy (dapoxetine) do not have significant side effects, although a drop in blood pressure can occur and even dizziness and fainting. Other significant Priligy side effects include fits and mood swings. Men experiencing marked side effects should not take further doses without discussion with a doctor or pharmacist. See the manufacturer’s patient information leaflet for further details.
Priligy could interact with other prescription medicines and with recreational and non-prescription drugs. Some men with pre-existing medical conditions should not take Priligy. It is important men who take Priligy know it is suitable. Checks are carried out in online consultations from a number of UK regulated websites.
Fake generic Priligy
Websites advertising cheap generic Priligy are selling illegal fakes. In the UK Priligy is a licensed medication and generic Priligy is not yet legally available.
Techniques to delay ejaculation
- ‘Stop-start’ technique: Involves stimulating the penis until the urge to ejaculate, and then allowing the sensation to fall away. This can be repeated a few times.
- ‘Squeeze’ technique: Involves stimulating the penis, then stopping and squeezing the head of the penis until the sensation subside.
- Breathing control: Involves slow, sensual movements while breathing deeply and slowly to help to reduce levels of arousal and excitement. The goal is to keep the level of arousal, while maintaining an erection.
- Masturbating before sex: This can be used to increase the amount of time it takes to ejaculate, but may not be a long term solution. Masturbating immediately before sex desensitises the penis, delaying ejaculation during sex.
- Wearing thick condoms: Makes the penis less sensitive and therefore delays ejaculation.
Priligy is the only tablet licensed for the treatment of PE. Men who cannot take Priligy or who experience side effects may prefer a non-tablet treatment instead. Prescription anaesthetic creams, which are not licensed to treat PE, are sometimes applied to the head of the penis. These creams desensitise the skin and have the effect of delaying ejaculation.
Premature ejaculation and erectile dysfunction
Men who ejaculate early are also likely to lose erections quickly. They may have anxiety about both. Anxiety in itself can worsen both problems and a vicious cycle can develop.
Talking and discussion with a supportive partner are key. The understanding of a partner will relieve some of the pressure. Once anxiety reduces, the condition itself may well go on its own.
If a pattern develops, premature ejaculation can become a lifelong problem.
Some men take a combination of Priligy for premature ejaculation and one of the well known erectile dysfunction tablets at the same time – both available from Dr Fox.