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Premature Ejaculation Treatment

How do I know if I have premature ejaculation?

Premature ejaculation affects many men. It may not be a permanent problem and may come and go at certain times. One question we get asked a lot is, how is premature ejaculation defined? How do I know if I have it or not?

Premature ejaculation occurs when it is impossible for a man to delay ejaculation for longer than one to two minutes. In many cases, ejaculation occurs before or immediately upon vaginal penetration. It becomes impossible for you to control your ejaculation.
This causes embarrassment, frustration and even depression because you cannot enjoy sex with your partner.
According to recent studies, the average time that a man can last is somewhere between three and seven minutes. The same study suggests that women find seven to thirteen minutes desirable with anything over thirteen minutes being defined as lasting too long. Although the report did suggest that some women find ten minutes too long.

What is causing my Premature ejaculation?

If you become overexcited, for example, during foreplay it can cause you to climax too soon. Your early sexual experiences can also be a factor. Your early encounters may lead to premature ejaculation because you didn’t know quite what to expect.
Sometimes you may become too excited early on during sex. Similarly, if your partner overstimulates you during foreplay you may not be able to control your ejaculation.
Other factors include stress, depression and embarrassment.
Rarely, are there any medical factors giving rise to premature ejaculation but the Doctor will explore all possibilities at your consultation.
The Doctor will explore what might be the triggers for your premature ejaculation. Questions may include

Do you climax too soon every time or only at certain times?
Do you climax before you penetrate your partner?
How long have you had this problem?
Is this causing a problem in your relationship
How is your partner helping you overcome this problem?
Do you feel this is affecting your quality of life?

The next step

If premature ejaculation is affecting your quality of life and your personal relationship then act today and get your sex life back on track.
Arrange a private, discreet, consultation with our Doctor and take the first step to controlling your ejaculation.

What can be done to help me?

Thankfully, there are a number of initiatives and treatments that may help you overcome premature ejaculation. The first step is to have a consultation so that we can sit down in complete confidence with one of our Doctors and work out a solution for you. These may include one or more of the following options depending on your personal circumstances.

Topical anaesthetic creams that desensitise the glans ( head ) of the penis
Injections of products such as HA that also contain local anaesthetic
Self-help methods to help educate you how to control your ejaculation
Prescribed medication

Peyronie’s disease surgery Stage Technique

Premature Ejaculation Diagnosis

If you are suffering from premature ejaculation, and it is causing you distress, it’s time to seek advice from a Urologist.

At Moorgate Andrology we see many men with premature ejaculation, and we have a number of treatment initiatives that we can take to help tackle the problem.

There are certain medical conditions that can cause premature ejaculation. These include:

Thyroid disorders
Inflammation of your prostate
Previous sexual experiences
Emotional disorders

Urologist Assessment

At your consultation the Urologist will ask you about your premature ejaculation. He or she will want to know how long you have had the problem for, has this always been a problem, or has the onset been more recently?

The guidelines suggest that if you ejaculate within one minute of penetration, this is classed as premature ejaculation. Of course, you will need to discuss with the Doctor how long it takes you to ejaculate. It maybe that you ejaculate after one minute, but this still leaves you feeling frustrated and unfulfilled. Many men ejaculate with the minimum stimulation and often before penetration.

Your consultation may also include an examination of your genitals to check for any abnormality.

Blood and /or urine tests may be required to rule out any other underlying cause.

Questions will be asked about your erections. Are your erections normal, or do you have difficulty getting or maintaining an erection?

We understand that you may be embarrassed about attending a consultation for such a personal matter. Rest assured, that our Urologists are experts in dealing with premature ejaculation and we see patients every week in our clinics with this problem.

Your consultation will of course be very confidential and in complete privacy with the Urologist and his/her assistant.

premature ejaculation urologist assessment

Treatments Available for Premature Ejaculation

More conservative treatments include:

Delay sprays and creams.

These contain local anaesthetic which are applied to the glans of the penis before sexual intercourse. They numb the glans of the penis and therefore delay ejaculation. They are best applied about 10 to 20 minutes before sexual intercourse. You should be aware that they may cause some numbness to your partners vagina at the same time. This may in turn cause some reduction in sensation for your partner. They are a first line treatment though which could be worth a try.

Delay condoms

Special condoms are available which help delay ejaculation. They also contain local anaesthetic and similar to the delay sprays, they can be very effective for some men.

Try masturbating before you have sex

If you masturbate before you have sexual intercourse this can lead to delayed ejaculation. It does not work for every man, but again it’s a simple exercise worth trying before considering more invasive treatment such as oral medications.

Counselling

Sometimes, it can help to talk things through with a trained Counsellor. At Moorgate Andrology we have access to trained Psychologists who can help with any emotional issues that may be affecting your sexual performance. They work together with our team or Specialist Urologists to create a multi-disciplinary team approach to treatment. Our medical team can advise in other simple techniques that you can learn to help delay your ejaculation. These include:

The squeeze technique
The stop/start technique
The Kegel technique

Not all men benefit from these therapies, but they are worth a try to see if the condition can improve with simple non-invasive actions such as these.

Medication

In some cases, oral medication can help with premature ejaculation. Prescription medication of drugs such as dapoxetine has been proven to help with premature ejaculation. This drug has the brand name of Priligy and is developed for the treatment of premature ejaculation. Most drugs have side effects of course, although not all patients experience them. You should talk about this with the Urologist at your consultation.

If your erections are suffering and you are struggling to get or maintain an erection, oral medications are available to help give them a boost. If you do not like taking medications, then other therapies can help such as shockwave treatment and/or PRP Platelet Rich Plasma treatment. Moorgate Andrology provide shockwave and PRP treatments for early-stage erectile dysfunction.