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PrematureEjaculation
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Premature ejaculation is when you ejaculate too early during sex. It can happen to anyone for a range of reasons, but if it happens a lot it can cause stress and put strain on your relationship.

Talk to us to get helpful, tailored advice, and we’ll show you what treatments are available so you can choose what’s right for you.

Here’s what's included in the price:
Consultation
Answer a few questions about your health so we can get to know you better.
Free 24h delivery
Your treatment delivered in secure packaging, the very next day.
Aftercare
We’ll check in with you regularly to see how your treatment is going.
This page was medically reviewed by Dr Daniel Atkinson, GP Clinical Lead on August 02, 2022. Next review due on August 01, 2024.
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    Premature Ejaculation: Here's what we've got.
    Dash of cream

    EMLA Cream

    Prilocaine + Lidocaine

    Topical numbing cream, applied to the penis, to help you last longer in bed.

    • Starting from £18.00
    Bottle of Fortacin Spray

    Fortacin Spray

    Prilocaine + Lidocaine

    Desensitising spray that helps you last longer in bed.

    • Starting from £89.00
    Blister strip of Priligy Tablets

    Priligy

    Dapoxetine

    A pill for PE. You take it before sex to increase the time you take to reach orgasm.

    • Starting from £35.00
    White handheld spray bottle with a gold cap

    Stud 100

    Lidocaine

    A branded desensitising spray applied topically to the penis before you have sex.

    • Starting from £24.00
    Blister of Seroxat tablets

    Seroxat

    Paroxetine

    An off label tablet taken in advance to help delay climax during sex.

    • Starting from £37.00
    Blister of Lustral tablets

    Lustral

    Sertraline

    Increases the time it takes to climax during sex. An off label tablet treatment.

    • Starting from £42.00
    Cipralex-blister

    Cipralex

    Escitalopram

    A newer version of Cipramil. A pill taken a few hours before sex to help delay ejaculation.

    • Starting from £35.00

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    Further reading

    All the info related to premature ejaculation you could ever need.
    Take a look at our health guides.

    How to last longer in bed: PE help

    How to last longer in bed: PE help

    There are several reasons why you might not be lasting as long as you’d like to. Scientists aren’t sure of exact causes, but a mix of biological and psychological triggers could result in finishing quickly.

    Read more  

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    Disclaimer: The information provided on this page is not a substitute for professional medical advice, diagnosis, or treatment. If you have any questions or concerns about your health, please talk to a doctor.

    Reference Popover #ref1

    What is premature ejaculation?

    In short: ‘coming’ earlier than you’d like during sex. This can vary from person to person, and is really down to you and your partner to decide what you’re happy with. But the general feeling is that premature ejaculation can be defined by a short latency (time between starting and finishing sex), which you struggle to control and that causes distress.

    There are two types:

    • Primary (lifelong) premature ejaculation: where you have always had the problem, and
    • Secondary (acquired) premature ejaculation: where the problem is a recent development.

    No widely accepted ‘normal’ latency (normal time that it takes to ejaculate) exists, but an estimate suggests around 7 minutes for men without premature ejaculation, and just under 2 for men with it.

    But, as we said earlier, this is more a question of whether you feel like premature ejaculation is causing distress and is getting in the way of you and your partners’ sex life.

    How common is premature ejaculation?

    Pretty common. It’s pretty difficult to get accurate data on just how common, as the definition can often be loose or subjective, and many men ‘suffer in silence’ – so estimates can range from 4%-66% of men worldwide – though most studies indicate that the number is between 25%-40%

    Whatever the exact number, most men will have at least one premature ejaculation at some point in their lives. Most of the time it’s not a concern, and often it will only happen once or twice.

    It’s really only a problem if it happens with enough frequency to cause further distress, disrupt your relationship, or has happened consistently since you’ve been sexually active.

    How do you stop premature ejaculations?

    There are things you can try before seeking medical help. Some men find it useful to masturbate around one to two hours before sex, or to use condoms (or thicker ones if you already do) to lessen sensitivity. You can also take breaks, change position, or try to think about something a little less exciting.

    Also, if you’re in a relationship, there are things you can do with your partner to help to extend your orgasms. The two main recommendations are the ‘squeeze’ technique, and the ‘stop and start’ technique. Both of which involve stopping intercourse when you are close to climaxing, and starting again when you feel comfortable. But these take a lot of practice, and might not always work.

    Failing this, there are treatments you can take which have been shown to help you to delay ejaculations.

    How do premature ejaculation treatments work?

    One of the most common treatments for premature ejaculation are drugs called SSRIs (selective serotonin reuptake inhibitors). These were originally designed as antidepressants, but an unintended side effect of these was that they delayed ejaculation.

    This happens because serotonin manages the transportation of pleasure signals around the body, and SSRIs increase the activity of serotonin within a certain point of the nervous system, which leads to the user having greater control over their orgasms during sex.

    Because of this, SSRIs started to be recommended to people who were struggling with premature ejaculations, but they have to be taken daily and there is often a delay of 1 to 2 weeks before you feel the effects. More recently, an “on demand” SSRI has been licensed with the sole intention to help people with premature ejaculation: Dapoxetine (or Priligy). This is the only drug marketed at helping to prevent premature ejaculations.

    EMLA is another possible treatment. This is a topical anaesthetic cream which will reduce sensation when applied to the penis. You may need to use a condom when using EMLA, though, as the cream can transfer to your partner when engaging in sex or foreplay, which can cause numbing and a loss of sensation for them.

    Medically reviewed by
    Dr Daniel Atkinson
    GP Clinical Lead
    on August 02, 2022.
    Meet Daniel  
    Daniel
    This page was medically reviewed by Dr Daniel Atkinson, GP Clinical Lead on August 02, 2022. Next review due on August 01, 2024.

    How we source info.

    When we present you with stats, data, opinion or a consensus, we’ll tell you where this came from. And we’ll only present data as clinically reliable if it’s come from a reputable source, such as a state or government-funded health body, a peer-reviewed medical journal, or a recognised analytics or data body. Read more in our editorial policy.

    What causes premature ejaculation?

    Most of the time the cause is psychological. This can be anything from depression or stress, to performance anxiety (particularly with a new partner). These can often be the reasons for acquired premature ejaculation. And although it may feel as though the problem will last forever, it can often only result in you suffering from premature ejaculation temporarily, or until the root cause is resolved.

    But it can also be caused by factors that will more likely mean lifelong premature ejaculation. This can be biological things, like having a higher-than-normal penis sensitivity, or psychological reasons.

    Reference Popover #ref2

    Premature ejaculation tablets

    Your best option for a premature ejaculation tablet will most likely be Dapoxetine (Priligy).

    This is because it’s currently the only licensed treatment for premature ejaculation. Also, Priligy works “on demand”, so you can simply take it from 1 to 3 hours before sex, and be ‘good to go’ as and when you need to be. Though it’s recommended that you don’t take it more than once a day.

    You can also take other SSRIs, which may help you to delay your ejaculation. SSRIs that are currently licensed as antidepressants include Paroxetine, Sertraline and Fluoxetine, and these could work, but are not recommended strictly for this purpose, so you would have to take them daily, and any usage of these would be “off label” (not licensed for use in this way, but can be prescribed if the clinician believes the treatment will work and the benefits outweigh the risks).

    EMLA cream for premature ejaculation

    Lidocaine/ Prilocaine (the active ingredient in EMLA cream) works by reducing the strength of sensation to the applied area. So, when applied to the penis, you should feel a reduction in sexual sensation, allowing you to ‘go’ for longer.

    It’s recommended that you pair this with the use of a condom. This is to help reduce the risk of your partner also experiencing numbing side effects if they do not want to.

    Also, EMLA cream is a topical anaesthetic used in minor skin procedures, and wasn’t developed as a PE treatment. So when doctors prescribe this, it’s also off-label.

    What about natural remedies for premature ejaculation?

    Aside from trying to learn how better to control your ejaculations – there aren’t any, really. Some people might claim that they have found a natural remedy to combat premature ejaculation but these are unlikely to be backed by strong scientific basis, and could end up being dangerous or doing more harm than good.

    This is because some homeopathic medicines can have serious side effects, and as they aren’t generally prescribed by a medical professional, you won’t receive the health checks you need to make sure it’s safe for you to use. So it’s always best to consult a clinician to talk through whatever options are available, so you can be given the best, safest advice.

    Reference Popover #ref3
    Reference Popover #ref4

    FAQ: Premature ejaculation

    Have something specific you want to know? Search our info below, or ask our experts a question if you can’t find what you’re looking for.

    Priligy and Viagra: can I take them together?

    Answer:
    Typically, men suffering from erectile dysfunction that are using a PDE5 inhibitor like Viagra shouldn’t take Priligy. This is due to a risk of orthostatic hypotension. Orthostatic hypotension is where your blood pressure drops significantly when standing up after sitting or lying down for a while.

    If you’re thinking about taking Priligy but are already taking Viagra or other medication for erectile dysfunction, you should speak to your doctor. They can give you the best advice on what is and isn’t safe for you, and tell you what your options are. You may need treatment to rectify your ED first, before trying to resolve your premature ejaculation.

    Should I use EMLA cream or Priligy?

    Answer:
    Both EMLA numbing cream and Priligy can be used to treat premature ejaculation. There are also anaesthetic sprays, like Fortacin, available. Your personal preferences and medical history will help you and your doctor decide which is right for you.

    If you like the simplicity of a pill, Priligy may be your best bet. However, the fast-acting properties of Fortacin spray may be better for you. There are also off-label treatments, like other SSRIs, numbing creams and sprays. Talk to your doctor to learn more about which medication is appropriate for you.

    How is Cipramil different from other premature ejaculation treatments?

    Answer:
    Unlike some other premature ejaculation treatments like EMLA cream and Stud 100 spray, Cipramil doesn’t numb your penis in order to work. So it should help you last longer while keeping full sensation. So if you’re experiencing premature ejaculation but you don’t want to lose any feeling during sex, Cipramil might be right for you.

    Is Cipramil similar to any other treatments?

    Answer:
    Cipramil has a generic form, Citalopram. They have the same active ingredients, so they should work in a very similar way. Citalopram may come in different packaging, have different non-active ingredients or cost a different amount.

    Cipramil is also a bit like other SSRIs. Their effects on serotonin are close, though many have different active ingredients. So it’s a lot like a drug called Dapoxetine, an SSRI that’s licensed for premature ejaculation. There are also other SSRIs used off-label for premature ejaculation, like Cipralex and Sertraline.

    Can I take Cipramil and drink alcohol?

    Answer:
    It’s best not to drink alcohol when you’re taking Cipramil for premature ejaculation. Although it doesn’t seem to cause serious harm, it’s safest to avoid it. Drinking alcohol may also increase the effects of Cipramil on your central nervous system, and make you feel sleepy.

    How effective is Cipramil?

    Answer:
    Cipramil has been shown to be safe and effective for treating premature ejaculation in a number of studies. One randomised, double-blind trial found that Cipramil significantly increased the time it took for men to ejaculate over a placebo. The group treated with Cipramil also began having more sex as the treatment went on, and reported more satisfaction with their sex lives.

    Another study found that men treated for premature ejaculation with Cipramil reported significant improvements in the time taken to ejaculate, as well as lower rates of performance anxiety. So Cipramil can help with premature ejaculation and with other areas of your sex life, as well as improving your confidence.

    Do I need a prescription for Cipramil?

    Answer:
    Yes, you’ll need a prescription for Cipramil. It’s an off-label treatment for premature ejaculation, so your clinician will need to check if it's right for you. Cipramil isn’t suitable for everyone, like if you have certain health conditions or take certain medications.

    If this applies to you, you might have to try another treatment for premature ejaculation. You can always talk to our clinicians for advice. Just tell us about your health and we’ll let you know your options.

    Why should I buy Cipramil online with Treated?

    Answer:
    If you’re struggling with premature ejaculation, we can help. We give you the treatment you need, tailored to your needs. Tell us about your health and we’ll talk you through your options, helping you find the right medication at the right dose.

    Order Cipramil with us and we can deliver it straight to your door. The packaging is discreet and there’s no need to travel to a pharmacy to pick it up. Our clinicians take care of the hard part for you. You don’t need to remember to reorder either. You can choose a subscription option that works for your schedule, so you never run out.

    How is Cipralex different from other treatments for premature ejaculation?

    Answer:
    Some people prefer to treat their premature ejaculation with topical treatments that reduce sensation like Fortacin spray. There are also creams like Emla cream which have the same active ingredients.

    Cipralex isn’t a numbing spray or cream, so it can help you last longer in bed without reducing sensation. But treatments like Fortacin have their uses. They tend to work almost immediately, which can be extra convenient.

    Is Cipralex similar to any other treatments?

    Answer:
    There’s only one SSRI that’s licensed for use in premature ejaculation, Dapoxetine (sometimes branded as Priligy). It’s in the same family of drugs as Cipralex, but it’s more fast-acting and leaves your system much quicker. So you can take it on-demand for premature ejaculation but it doesn’t work well for depression. If you can’t take Dapoxetine, Cipralex might be a good alternative.

    There are also other SSRIs used off-label for premature ejaculation, like Cipramil, Seroxat, Prozac and Sertraline. Cipralex is most similar to Cipramil, as it’s a newer version that’s based on it. Cipralex is thought to cause slightly fewer side effects compared to Cipramil. Although all these medications work in a similar way because they’re all SSRIs, they have different active ingredients. So if one doesn’t suit you, another could be a good fit.

    Can I drink alcohol on Cipralex?

    Answer:
    If you’re taking Cipralex, try to avoid drinking alcohol. Although drinking a small amount of alcohol hasn’t been shown to be dangerous, it’s usually advised against. Drinking and taking Cipralex together can increase the risk of side effects like dizziness and sleepiness. As they’re both processed in the liver, alcohol might also make Cipralex less effective against premature ejaculation.

    How effective is Cipralex?

    Answer:
    Studies into Cipralex for premature ejaculation have shown it works effectively and is safe to use. It can even have a big improvement after treatment is over. The main way the benefits of drugs for premature ejaculation are measured is through intravaginal ejaculation latency time (IELT). This basically means how long it takes a man to orgasm during vaginal sex.

    One study found that after two weeks of Cipralex treatment, IELT increased by 226% on average. After four weeks, IELT among the men was 503% higher. There were also no significant side effects after four weeks of Cipralex.

    Another study found that IELT increased by 4.9 times after 12 weeks of Cipralex, and the men reported high satisfaction with their sex lives. Improvements were reported even three months after the treatment had been stopped, so it continued to help.

    Do I need a prescription for Cipralex?

    Answer:
    Yes, you’ll need a clinician to prescribe you Cipralex. If you have particular medical conditions or take some medications, it might not be safe for you to use. A clinician will have to make sure it’s right for you, especially as it’s an off-label treatment for premature ejaculation. If you want to know if Cipralex might be right for you, our clinicians can let you know. Just tell us about your health.

    Why should I buy Cipralex online with Treated?

    Answer:
    Dealing with premature ejaculation can be tricky, but we’re here to make it simple. Just talk to us about your symptoms and we’ll talk you through your options. We help you take control of your health, with treatment that fits your needs.

    If you order with us, you can pick a subscription option. So your medication will always be delivered on time, before you run out. It also comes straight to your door in discreet packaging, to make your treatment even more simple.

    Our clinical team is available whenever you have questions about your treatment. All you have to do is log into your account and send us a message.

    How is EMLA Cream different from other treatments for premature ejaculation?

    Answer:
    Other treatments for premature ejaculation like Priligy come in the form of tablets rather than topical medications. Tablets like Priligy don’t numb sensation to delay ejaculation. So you might prefer Priligy or other SSRIs if you want to feel sex fully.

    Despite this, SSRIs can be more likely to cause side effects than topical treatments like EMLA Cream, because they’re active across your whole system rather than just affecting the skin. Although Priligy is quicker to absorb and disappear than other SSRIs, topical treatments still might suit you better.

    Is EMLA Cream similar to any other treatments?

    Answer:
    EMLA cream contains the same active ingredients as Fortacin, another topical treatment for premature ejaculation. But there are a few main differences. Fortacin contains lidocaine and prilocaine in slightly different doses than EMLA Cream. Fortacin is also licensed for use in treating premature ejaculation, while this use for EMLA Cream is off-label.

    Fortacin tends to work a bit quicker than EMLA Cream too. Most importantly, EMLA Cream is a cream, while Fortacin is a spray. There’s another spray for premature ejaculation which just contains lidocaine, called Stud 100 Spray. Which one you use is really up to you. You might find one easier to apply, or prefer the way it feels.

    How effective is EMLA Cream for premature ejaculation?

    Answer:
    Treatment for premature ejaculation is measured by a score called the intravaginal ejaculation latency time (IELT). This is basically how long it takes to ejaculate during vaginal sex. EMLA Cream has been shown to significantly increase IELT in men with premature ejaculation, meaning they last longer in bed.

    In one study, men who used EMLA Cream increased their IELT to nearly seven minutes. Men with premature ejaculation who used EMLA Cream also reported much larger rates of sexual satisfaction compared to a placebo.

    Why should I buy EMLA Cream for premature ejaculation online with Treated?

    Answer:
    Finding the right solution for premature ejaculation can be tricky. We can make it simple for you when you tell us about your health. We’ll go through the different options for premature ejaculation with you to make sure you get the right treatment.

    Then you pick the one you want and have it delivered straight to you in discreet packaging. After you’ve started using it, we’ll check in with you regularly to see how your treatment is going.

    Do I need a prescription for EMLA Cream?

    Answer:
    EMLA Cream is a pharmacy medicine, so you need to get it from a registered pharmacy. Because it’s an off-label treatment for premature ejaculation, a clinician will need to make sure it’s definitely the right treatment for you.

    As we’re a registered pharmacy, you can order EMLA cream online with us when you chat to our clinicians. Just talk to us about your premature ejaculation and answer a few questions about your health. We’ll help you find the treatment that’s right for you.

    Does Viagra help with premature ejaculation?

    Answer:
    Viagra isn’t a premature ejaculation treatment but some research suggests it can help with the problem. A study performed on 150 people that suffered from premature ejaculation showed sildenafil (Viagra) to be effective in helping them to last longer. But, interestingly, a combination of both Viagra and dapoxetine was most effective.

    Again, though, it is important to remember that Viagra is not licenced to treat premature ejaculation, and as such any usage of it for this purpose would be “off-label” - so be sure to talk to your clinician before using Viagra to try to help with your premature ejaculation.
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