Premature Ejaculation

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Treatment for Premature Ejaculation

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Before you start a diagnosis, please read all of the information below.

Premature ejaculation is where the male ejaculates too quickly during sex. It affects 1 in 5 men and can occur in men of all ages. The exact cause of it is unknown. Men with premature ejaculation are more likely to experience less satisfaction in their sexual relationships, less frequent intercourse and anxiety during intercourse. It can also affect self-esteem, relationships, and moods.  

Occasional premature ejaculation is common and nothing to worry about. If it occurs over half of the time, then it may be worthwhile getting help. 


Common Symptoms

Possible symptoms experienced include:

  • ejaculation occurring within two minutes of penetration
  • feeling that ejaculation cannot be delayed
  • finding sex frustrating or distressing
  • reduced frequency of sex
  • relationship difficulties
  • low self-esteem
  • embarrassment
  • anxiety or depression
Common Treatments

Possible treatment we may be able to prescribe if clinically appropriate:

Priligy 30mg taken a few hours before sex - Only 1 dose in 24 hours

  • 3 Tablets (£14.71*)
  • 6 Tablets (£26.48*)

*Prices shown are cost price of the medication, taken from the British National Formulary 2018, and are given as a guideline. Pharmacies will add a dispensing fee to this which will vary considerably, so it is worthwhile phoning around to compare prices. The medication is paid for at your chosen pharmacy. 

Please click on the medication above to read the Patient Information Leaflet for important information about Priligy. 

Alternative treatment options

Sometimes premature ejaculation is temporary and it gets better on its own.

  • Increasing the frequency of sex may help. 
  • Some men find that masturbating before sex can delay their ejaculation. 
  • Using a condom may help to delay ejaculation as it reduces the sensation.
  • Try the Squeeze Technique
  • Use the Start-Stop Technique
  • Psychological therapies or couples counseling may help
  • Local anaesthetic creams or sprays: speak to your pharmacist for more advice.

You can also see your GP or attend your local sexual health clinic to discuss your options further. 

The Squeeze Technique

This is will require practice and involves squeezing the head of the penis for up to 20 seconds during stimulation or intercourse. This reduces an erection and delays the ejaculation. It must be repeated three times before an orgasm.

The Start-Stop Technique

This also needs practice and involves stopping intercourse or stimulation just before ejaculation. Once the erection has reduced a little then intercourse can be continued. This should be repeated three times before an orgasm.

 

Information about Priligy

Priligy should only be taken by men who have been diagnosed with premature ejaculation as it's safety has not been established in men without premature ejaculation.

Priligy (Dapoxetine) is a short-acting Selective Serotonin Reuptake Inhibitor (SSRI), specifically for the treatment of premature ejaculation. It works by increasing the level of the chemical serotonin in the nervous system which may lead to an increase in the time to ejaculation.

Priligy increases the time taken to ejaculate and can improve overall control of it. It is taken as and when needed one to three hours before sex. Some men notice an improvement straight away. However, others may need to take it a few times before they notice any changes.

Do not increase your dose unless advised by your doctor. The maximum dose is 60mg. Overuse of Priligy should be avoided as it can increase the risks of side effects.

Before you start the treatment, please read the manufacturers leaflet contained with the medication. This has further information and lists all the potential side effects.

How to take Priligy

Do not take more than one tablet in 24 hours. It should not be taken daily. It can be taken with or without food and should be taken with a full glass of water. The starting dose is 30mg. Take it one to three hours before you anticipate to have sex. 

Priligy and alcohol

Do not drink alcohol with Priligy as it can increase your risk of fainting and increase the sedative effects.

Priligy and recreational drugs

Do NOT take recreational drugs with Priligy as it may lead to serious reactions.

Priligy and driving or using machinery

If Priligy causes you to feel faint or dizzy, then do not drive or operate machinery. 

Never give your medication to other people even if their condition appears to be the same as yours.

Who should not take Priligy

Priligy should not be used by the following groups of men:

  • under the age of 18
  • age 65 and over
  • those with an allergy to dapoxetine or any other ingredients in Priligy
  • men using medication for erectile dysfunction
  • those with a heart condition
  • those with a tendency to faint
  • those with bipolar disorder, severe depression or schizophrenia
  • those with a bleeding or clotting disorder
  • those who have problems with how their liver works
  • those who have problems with the way their kidneys work
  • those with uncontrolled epilepsy
  • those with glaucoma
  • those with rare hereditary problems of galactose intolerance, the Lapp lactase deficiency or glucose−galactose malabsorption

Priligy should not be used by men taking the following medications:

  • Anti-depressants or mood stabilisers
  • Alpha-blockers
  • Nitrates
  • Tramadol used for pain
  • Triptans used for migraines
  • St John's Wort
  • Antifungal tablets
  • Anti-virals used for HIV treatment
  • Erectile dysfunction treatment including sildenafil, tadalafil
  • L−tryptophan used for sleep
  • Certain antibiotics including erythromycin and clarithromycin
  • Thioridazine used for schizophrenia
Possible side effects to Priligy

Most types of medicines can cause potential side effects. However, not everyone will experience them. The side effects often improve as your body adjusts to the new medicine, but if any of them continue or become troublesome then speak with your doctor or pharmacist.

Common side effects include:

  • dizziness or feeling light-headed
  • nausea
  • feeling sweaty
  • feeling confused
  • a headache

Take care whilst taking Priligy as it can cause dizziness, lightheadedness, and fainting. It is important to be aware of this to reduce the likelihood of serious injury associated with a fall. Ensure you stay well hydrated with water whilst taking Priligy and avoid alcohol. 

If you develop any distressing thoughts or feeling whilst taking Priligy then you should stop the treatment and speak to your GP or call NHS 111 for further advice.

How to manage dizziness caused by Priligy

Priligy can cause a postural drop in your blood pressure. When you get up after lying down or sitting then do so slowly, to reduce the risk of fainting.

If you experience any dizziness with Priligy then you should either lie down with your head lower than the rest of your body or sit down with your head between your knees. This should be done until the symptoms pass. 

Signs to be aware of that warn you fainting may occur include feeling sick, sweaty, confused, dizziness, light-headed, or an abnormal heartbeat.

Allergic reactions to medication

An itchy rash, swollen face or mouth, or difficulty in breathing, may be signs that you are allergic to the medication. 

Please note that i-GP DOES NOT TREAT Medical Emergencies. 

If you develop a sudden onset of any of the symptoms below then you must STOP the medication immediately and seek urgent medical advice. This could be from your GP, Out of Hours Service, Urgent Care Centre or NHS 111. Call an ambulance or go to A&E if the symptoms are severe.

  • Wheeze
  • Difficulty in Breathing
  • Swelling of the eyelids, face or lips
  • A rash particularly if affecting your entire body
When to seek further medical advice

If you develop any of the symptoms listed below whilst taking Priligy, then you must seek urgent medical advice (from your GP, Out of Hours Service, Urgent care centre, NHS 111). Call an ambulance or go to A&E if the symptoms are severe.

  • fits or seizures
  • lightheadedness when you stand up
  • mood changes
  • thoughts of suicide or harming yourself
More information about premature ejaculation

The following websites can give you more advice about how to manage premature ejaculation:

Do you suffer from premature ejaculation?


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