Premature ejaculation is defined as the inability to delay ejaculation longer than 60 seconds after vaginal penetration with no control over ejaculation and with the problem causing considerable distress to the man and/or his partner.
Numerous studies have shown PE to be common, occurring in approximately 30% of men.
The problem can be lifetime (occurring with first sexual experiences) or acquired, occurring at a later time, possibly associated with the onset of an illness, medication or psychological/relationship disturbance.
Regular aerobic exercise and relaxation techniques such as yoga, breathing meditation and mindfulness can be significantly beneficial.
The time to ejaculation is primarily due to the relative balance of two of the brain’s neurotransmitters, serotonin (blocks ejaculation) and dopamine (promotes ejaculation). Too much dopamine relative to serotonin and early ejaculation is inevitable.
In some men, reducing the sensitivity of the penis with anaesthetic cream (lignocaine) will greatly increase the time to ejaculation with no reduction of pleasure.
SSRI medications significantly increase the blocking neurotransmitter (serotonin) and can increase the time to ejaculation by 5 – 7 times. They can be taken one hour prior to sex (dapoxetine) or once a day to allow full spontaneity.
After comprehensive assessment we will recommend the most appropriate treatment for you.