Premature Ejaculation (PE)


Premature Ejaculation

The American Urological Association defines ejaculation as ‘premature’ if it occurs sooner than desired while the American Psychiatric Association defines PE as having ejaculation within 1 minute of entering your partner.  It is estimated that 30-40% of men experience PE at some point in their life.  To put matters in perspective, the average time for ejaculation after starting sexual intercourse is around 5-8 minutes.

PE can be caused by both psychological (such as anxiety) and physical factors (such as having too much alcohol).  Most of the time, PE is not a serious issue but if the short ejaculation time causes you or your partner relationship distress, then it’s time to seek help.

Click to view TheStar video on DrG Treatment of PE

Treatment of PE

1. Counselling with a sex therapist

Any relationship issues can be discussed with a therapist.  In addition, relaxation therapy can also help prolong your sexual activity and delay ejaculation. 

Click to view Lisa Thomas video on PE cure

2. Behavioural Therapy

Behavioral therapy involves using the following methods to delay your ejaculation.

  • Start and stop technique:  Stimulate your penis close to the point of orgasm then stop for 30-60 seconds.  Repeat this stimulation exercise a few times before allowing yourself to ejaculate.  Gradually, your time to ejaculation should increase   
  • Squeeze therapy:  Stimulate your penis close to the point of orgasm then gently squeeze the head of your penis for about 30-60 seconds so that you begin to lose your erection. Repeat this technique a few times before allowing yourself to ejaculate.  Gradually, your time to ejaculation should increase

Click to view Howcast video on Medication for PE

3. Medication and Creams

  • Selective Serotonin Re-uptake Inhibitors (also known as SSRI) such as Dapoxetine (Priligy), Paroxetine (Paxil), Sertraline (Zoloft) or Fluoxetine (Prozac) can be prescribed for PE.  This needs to be taken 1-3 hours before sexual intercourse.  You may need to take it for 1 or 2 weeks before getting the desired effects.  Side effects include feeling faint or nausea
  • Anaesthetic creams or sprays (such as Lignocaine or Prilocaine) can help by making your penis less sensitive to stimulation thereby delaying ejaculation.  Using an anaesthetic cream with a condom increases the effectivity


Before taking any medication for PE, discuss with your pharmacist or doctor about any health conditions which you have and the medication you are taking.  You should NOT take PE medication if you have the following health conditions;

  • Coronary heart disease or heart failure
  • Epilepsy
  • Bleeding or clotting disorder
  • Liver or kidney disease
  • Treatment for depression or other mental health conditions

Talk to your Pharmacist or Doctor to discuss your treatment options

Disclaimer. TELEME blog posts contains general information about health conditions and treatments. It is not intended to be a substitute for professional medical advice, diagnosis or treatment. The information is not advice and should not be treated as such. 

If you think you may be suffering from any medical condition, you should seek immediate medical attention from your doctor or other professional healthcare providers. You should never delay seeking medical advice, disregard medical advice, or discontinue medical treatment because of information on this website.

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