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Premature Ejaculation

What is Premature Ejaculation?

Generally, premature ejaculation is defined as a lack of control of ejaculation when having a sexual intercourse of less than 1 min or when it cannot sustain through intercourse to sexually satisfy both the female partner and him. Sometimes, it may even happen before penetration or just at the time of penetration. It is more common in younger patients, especially when they are associated with:

  • Fast-paced, ‘high stress’ work
  • High expectations during sex
  • Non-frequent sex but needing to do it for some reasons, e.g. to have a baby and they usually perform it at the end of the day when they are feeling tired.


Treatment of Premature Ejaculation (PE)

  • Before starting any treatment, a thorough discussion of the effectiveness and side-effects of the treatment must be carried out to manage patients’ expectations. Psychosexual and behavioral therapy were once the mainstays of treatment, but now, topical and systemic medications have demonstrated success too.
  • Medications:
1. Topical medication therapy Lidonocaine jelly (numb the penis and lubricate especially with patients with sensitive glans penis)
2. Systemic medication therapy Selective serotonin reuptake inhibitors (SSRIs) e.g. Zoloft, etc. This is usually taken 4 hours before sex. If not, one can take one day before and follow by 4 hours before sex. 3. Tramadol Generally, the SSRI is the most common treatment modality and it has shown successful outcomes in our patients with premature ejaculation.