Premature Ejaculation

Premature Ejaculation Treatment

What is Premature Ejaculation?

Many men are unsure of how long ‘normal’ sexual intercourse should last before ejaculation. Although it is generally up to the individual and his partner to decide whether or not they are satisfied with the time it takes for him to achieve orgasm, however most men present with Premature Ejaculation (PE) regularly ejaculate before or within one minute of penetration.

The inability to control and delay ejaculation for as long as both partners desire, in more than 50% of the sexual activities, is usually regarded as a severe disruption to quality of life and therefore requires professional intervention. PE can be very distressing and confidence-destroying. It can create extreme performance anxiety during sexual activity and therefore more frequent occurrences of PE in return.

Many men find it extremely difficult to come out of this vicious cycle alone without any professional help, medication are sometimes necessary to break the cycle and to give back control of their sex lives. If left untreated, PE can cause feeling of shame, frustration, and lack of self-esteem. It may lead to a man avoiding sexual intimacy all together. Primary premature ejaculation affects around 1 in 50 men in England.

A number of recent studies suggest biology may play a role in some cases of primary premature ejaculation, with the nerve supply to the penis being extra sensitive, and therefore it takes much less stimulation to climax. Secondary premature ejaculation (where acquired PE develops in a man who has previously had a history of normal ejaculation) can be caused by psychological and physical factors. Secondary PE is far more common than primary PE, although it could be temporary, in some cases it becomes life-long.

Common physical causes of PE include:

  • Diabetes mellitus
  • Prostate disease
  • High blood pressure
  • Hypothyroidism (under active thyroid hormone)
  • Use of recreational drugs (i.e. cocaine, ecstasy)
  • Alcohol in excess

Common psychological causes of PE include:

  • Stress
  • Erectile dysfunction (i.e. being anxious to lose erection causing the man to ‘rush’ the intercourse)
  • Performance anxiety (i.e. start of a new sexual relationship, or when a man has had previous problems with PE or ED)
  • Depression
  • Unresolved problems, conflicts or issues within a sexual and emotional relationship
  • Strict upbringing where sexual activity is only considered appropriate in marriage and for procreation purpose only. One may find it difficult to relax during sex or be unable to let go of the belief that sex for pleasure is wrong or sinful.
  • Early sexual experience where a teenager conditions himself to ejaculate quickly to avoid being caught masturbating may later find it difficult to break the habit
  • Previous traumatic sexual experiences

At Harley Street MD, we have years of experience in treating PE successfully. We understand the extent of distress you are in, and we can assure you of the utmost empathetic, confidential and professional consultation. We will give you a solution and a plan. We will discuss in detail the various sexual techniques, topical and oral medical treatments that are available to you.

Book an appointment today with one of our experienced doctors.

Treatment price

Consultation up to 30 minutes
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