Therapies against premature ejaculation available

Premature ejaculation, also known as Ejaculatio praecox, is a sexual dysfunction that affects many men. It is characterized by the inability to control or delay ejaculation, resulting in an early or rapid climax during sexual activity.

Premature ejaculation is a common problem, with some studies suggesting that up to 1 in 3 men may experience it at some point in their lives. It can cause embarrassment, frustration, and anxiety for both the affected person and their sexual partner.

The causes of premature ejaculation are not fully understood. It may be related to psychological factors such as anxiety or stress, or physical factors such as hormonal imbalances or inflammation of the prostate. Certain medications or recreational drugs can also contribute to premature ejaculation.

Fortunately, there are treatment options for premature ejaculation. Counseling and therapy can be helpful for men experiencing premature ejaculation due to psychological factors. Techniques for stress management, communication skills, and relaxation techniques can be learned.

For men with physical causes of premature ejaculation, medication may be recommended. Antidepressants such as selective serotonin reuptake inhibitors (SSRIs) are sometimes prescribed as they can delay ejaculation. Other medications such as topical anesthetics may also be effective in delaying ejaculation.

There are also behaviors that can help delay ejaculation. This includes the squeeze technique, where pressure is applied to the penis to delay ejaculation, and the start-stop technique, where sexual activity is paused to delay ejaculation.

It is important to note that premature ejaculation is a treatable condition, and men should not be ashamed or embarrassed to seek help. A healthcare provider can help determine the underlying cause of premature ejaculation and recommend an appropriate treatment plan.

Overall, premature ejaculation can be a distressing and frustrating condition, but there are effective treatments. With the right approach, men can overcome premature ejaculation and enjoy a healthy and fulfilling sex life.

What treatment options are available to me?

If you suspect that you are suffering from premature ejaculation or have already been diagnosed by your doctor, the various treatment approaches will depend on your individual situation. Approaches are available from a medicinal, psychotherapeutic, and mechanical perspective. However, your doctor will often suggest a combination of several therapy options.

Medicinal Treatment

Medicinal treatment can be administered in the form of tablets or in the form of creams, lotions, or gels. These can be divided into an oral and a local therapy approach.

Oral therapy 

In oral therapy (tablets), the active ingredient Dapoxetine is mainly used to prevent premature ejaculation. It affects the ejaculation reflex in the brain, thus delaying the body's natural response. Dapoxetine is an active ingredient found in the prescription medication Priligy. It is a selective serotonin reuptake inhibitor with a short duration of action. Men who take Priligy often report better control over their ejaculation and the ability to last longer. Patients take the medication in tablet form about 1-3 hours before sexual activity, with Priligy available in doses of 30 mg and 60 mg of dapoxetine.

Topical/local therapy 

In addition to oral therapy, men who suffer from premature ejaculation also have the option of applying gels, lotions, sprays, and creams with a numbing effect on the glans of the penis. This reduces the sensation and arousal of the man. The preparations are applied to the glans 5 to 20 minutes before sex. This can extend the time until ejaculation by about 3 to 6 minutes.

An example of local therapy is EMLA cream. It has a numbing effect and is applied to the penis before planned sexual activity. Due to reduced sensitivity, ejaculation can be delayed. However, it is important to always follow the doctor's instructions and read the package insert carefully when using any medication.

Lotions and sprays 

Lotions and sprays are also used in the treatment of premature ejaculation. Fortacin spray is a medication used for local anesthesia, similar to EMLA, that can help men delay their ejaculation. Fortacin contains a combination of active ingredients, lidocaine and prilocaine, and can be applied up to three times a day.

How directdoc can help you 

Premature ejaculation is one of the most common sexual dysfunctions. Accurate numbers are not available due to underreporting, but it is estimated that between 20-40% of men of all ages are affected by it, with many experiencing it since their first sexual intercourse. In others, premature ejaculation develops over time due to urological and psychological disorders. The discreet online service offered by directdoc allows you to easily order prescription medication for treatment. To do so, simply click on the corresponding product page and click "Start order", fill out the questionnaire, and have your answers evaluated by one of the treating physicians. They will then issue a prescription, if the medical indication is present.