Premature Ejaculation (PE) Treatment Online

What is premature ejaculation (PE)?

Premature ejaculation (PE) is a common sexual health condition characterized by a man ejaculating sooner during sexual activity than he or his partner would like. It is a prevalent form of sexual dysfunction that can affect a man’s quality of life and his relationships.

The timing can vary, but if ejaculation occurs within a minute of penetration and before the individual wishes it, it can be considered premature.

Premature ejaculation can be classified into two types: lifelong (primary) and acquired (secondary). Lifelong PE occurs all or nearly all of the time beginning with a man’s first sexual experiences. Acquired PE develops after previous experiences of normal ejaculation, often due to psychological or physical changes.

Treatment options, including medication, counseling, and lifestyle changes, are available and can be tailored to each individual’s circumstances to improve control over ejaculation and reduce the stress related to sexual performance.

Symptoms of premature ejaculation

The primary symptom of premature ejaculation (PE) is the inability to delay ejaculation during sexual intercourse consistently, which happens sooner than the individual desires.

Here are some detailed symptoms that characterize this condition:

• Ejaculation that consistently occurs within one minute of penetration: This is one of the most common indicators of PE.
• Inability to delay ejaculation during almost all vaginal penetrations: This symptom is particularly distressing and can lead to avoidance of sexual intimacy.
• Negative personal consequences: These include distress, frustration, and/or the avoidance of sexual intimacy due to rapid ejaculation.
• Interpersonal difficulty: This might include issues within the relationship directly related to premature ejaculation. Partners may feel unsatisfied with the sexual relationship, which can lead to tension and strain.

These symptoms must be persistent or recurrent to qualify as PE. Additionally, they often cause significant personal distress or interpersonal difficulties, which prompts individuals to seek treatment.

Treatment can significantly improve both the symptoms of early ejaculation and the associated emotional or relationship distress.

What causes premature ejaculation?

Premature ejaculation (PE) can be influenced by a variety of factors, and these can be either psychological or biological. Understanding these causes can help in effectively managing or treating PE.

Here are some of the common causes:

Psychological causes:

• Performance anxiety: Concerns about sexual performance and fears of not being able to satisfy a partner can increase stress and result in PE.
• Stress: General stress—whether related to work, personal relationships, or other life situations—can interfere with sexual performance.
• Relationship issues: Emotional distress within a relationship can affect sexual function, possibly leading to PE.
• Psychological trauma or conditioning: Early sexual experiences that establish a pattern of quick ejaculation, or traumatic sexual experiences, can also play a role.

Biological causes:

• Neurological conditions: Problems with the nervous system can hasten ejaculation.
• Hormonal imbalances: Abnormal levels of certain hormones, such as serotonin, can affect ejaculation timing.
• Inflammation or infection of the prostate or urethra: These can cause symptoms similar to PE and affect sexual function.
• Genetic predisposition: Some men may have a hereditary predisposition to PE.
• Abnormal reflex activity of the ejaculatory system: Some men may have inherent dysfunction in the mechanisms that control ejaculation.

How is premature ejaculation treated?

Various treatment options are available, and they often include a combination of psychological, behavioral, and medical strategies. The choice of treatment typically depends on the underlying cause of PE, whether it is psychological, biological, or a combination of both.

Here’s an overview of the main approaches to treating PE:

Behavioral techniques

Behavioral methods are among the first-line treatments for PE. These techniques help an individual increase the duration of intercourse before ejaculation. Some commonly used methods include:

• Pause-squeeze technique: This involves sexual stimulation until the man feels he is almost ready to ejaculate. At this point, the stimulation is paused, and pressure is applied to the shaft of the penis to decrease sexual tension.
• Stop-start technique: Similar to the pause-squeeze technique, this method involves sexual stimulation until ejaculation feels imminent. Then, stimulation is stopped for several seconds before starting again. This can help train the body to hold off ejaculation.

Psychological counseling

Counseling or psychotherapy can help address any emotional or psychological factors contributing to PE. This treatment can be particularly effective if the PE is related to issues like anxiety, stress, or depression.

• Cognitive behavioral therapy (CBT): CBT helps in changing the negative patterns of thinking and behaviors that contribute to the stress, anxiety, or fear of sexual failure.
• Couples therapy: Since PE can affect both partners, therapy that involves both members of the couple can be beneficial. Couples therapy helps address relationship issues and improves sexual communication.

Medication

A variety of medications can be used to treat PE. These are discussed in detail in the section on premature ejaculation medication.

Lifestyle and home remedies

Simple changes in lifestyle can help improve the symptoms of PE. This includes:

• Exercise: Regular physical activity can strengthen the cardiovascular system, improve blood flow, and enhance overall sexual performance.
• Diet: A balanced diet rich in vitamins and minerals can also help improve overall sexual health.

Medical devices

In some cases, medical devices such as the penile clamp can help manage ejaculation. These devices are usually recommended under the guidance of a healthcare professional.

Premature ejaculation medication

Medication is a core component of treatment for many individuals suffering from PE. These medications can delay ejaculation times, improve control over ejaculation, and reduce distress over how fast ejaculation occurs.

Here is an outline of the most commonly prescribed medications for PE:

Selective serotonin reuptake inhibitors (SSRIs)

SSRIs are typically used to treat depression, but they can also delay ejaculation when taken in smaller doses. Common SSRIs prescribed for PE include:

• Paroxetine (Paxil): Often considered the most effective SSRI for PE.
• Sertraline (Zoloft): Can be used to treat PE when taken daily or on an as-needed basis.
• Fluoxetine (Prozac): Similar to sertraline, it can be effective when taken continuously or before intercourse.

Tramadol

Tramadol is a pain reliever that can be used for PE as it has a side effect of delaying ejaculation. It is typically prescribed when SSRIs are not suitable.

Topical anesthetics

Creams and sprays that numb the penis can be applied before intercourse to reduce sensation and help delay ejaculation. Examples include:

• Lidocaine or prilocaine cream (EMLA): Applied directly to the penis before intercourse.
• Benzocaine wipes: These can be used to desensitize the penis and are convenient for use.

PDE5 inhibitors

Although primarily used to treat erectile dysfunction, drugs like sildenafil (Viagra) and tadalafil (Cialis) have been found to help delay ejaculation in some cases.

How can DrHouse help?

DrHouse is a comprehensive telehealth platform available 24/7, designed to provide convenient access to healthcare professionals from the comfort of your home.

With our user-friendly app, you can connect with licensed online doctors quickly and easily, ensuring that you receive the medical advice and treatment you need without the hassle of traditional office visits.

Whether you have concerns about premature ejaculation or any other health issue, DrHouse offers personalized care tailored to your needs, making it simpler than ever to prioritize your well-being.

Here is how DrHouse can help with premature ejaculation treatment:

• Virtual consultations: Our online doctors can assess your symptoms and medical history, discuss potential causes of premature ejaculation, and recommend appropriate treatment options.
• Prescriptions: If necessary, our doctors can prescribe medication for premature ejaculation that you can conveniently pick up at your local pharmacy or have delivered to your home.
• Privacy and discretion: We understand that discussing sexual health can be uncomfortable for some, which is why we provide a safe and confidential platform to seek medical advice.
• Follow-up care: With ongoing virtual appointments, our doctors can monitor your progress and make any necessary adjustments to your treatment plan.

So don’t hesitate to reach out to DrHouse for effective and discreet treatment of premature ejaculation. Download our app today and take the first step towards a healthier, happier you.

Frequently asked questions (FAQs)

Can premature ejaculation be treated online?

Yes, premature ejaculation can be effectively treated through virtual consultations with licensed healthcare professionals. DrHouse offers convenient and confidential online appointments to address this issue.

Our doctors can assess your symptoms, discuss potential causes, and recommend appropriate treatment options, including medication.

Can I get a prescription for premature ejaculation medication online from DrHouse?

Yes, our licensed doctors can prescribe medication for premature ejaculation through virtual consultations. You will receive a digital prescription that you can conveniently pick up at your local pharmacy.