PE severe cases treatment
If premature ejaculation condition is persistent causing you discomfort and problems in your relationship you should consult your doctor to determine the cause of the problem and find the appropriate treatment right for you.
The Masters-Johnson method may be used to treat the problem. It involves the cooperation of both sexual partners and requires time to show results.
The American therapists Masters and Johnson developed this method to control the time of ejaculation and help couples prolong the sexual intercourse.
Consult your doctor about this method how to use it and try to learn how both partners can cooperate to improve the situation with PE condition.
Some experts consider that PE can be managed with antidepressant drugs used a few hours before sexual intercourse. The mainly used for this medical purpose antidepressants are the selective serotonin re-uptake inhibitors. Antidepressants may help due to their side effect – delaying the time of ejaculation. The SSRI that are usually used for ED include:
• Lustral –sertraline;
• Anafranil- clomipramine;
• Prozac –fluoxetine.
Before using these medications it is highly recommended to try other options for PE. Antidepressant medications may cause unpleasant side effects if used for a long period of time.
A nose spray for PE treatment appeared in 2008 in GB. The goal of the spray is to deliver a medication into the bloodstream more quickly than any other form of the drug (oral medications or injections).
The nose sprays usually contain clomipramine –an antidepressant delaying the time of ejacualtion.
PE mild cases treatment
If a person has mild PE condition when he can last more than 5 minutes but would like to last more to satisfy his partner special treatment may not be needed. A person can try to improve the situation by easy to do distraction methods. These methods distract a man from sex and prolong time to ejaculation.
Local anesthetic gels are helpful for males with mild PE. Self -treatment with locally applied gels shortly before intercourse can provide more control over ejaculation. Still a person should remember that these gels and creams can cause allergic reactions such as intense itching, redness and soreness.
Besides, local gels can desensitize the penis and the genital organs or a sexual partner.
Special condoms can help to prolong the time to ejaculation, but unfortunately they often cause vaginal irritation and may be impossible for some couples.
These condoms contain a local anesthetic (benzocaine or lidocaine). They may cause allergic reaction, so if you have allergy to these medications, do not use such type of condoms.
What causes PE?
During many years, doctors were sure that premature ejaculation was caused by early conditioning meaning that young men had early sexual experiences and were forced to have climax early and ejaculate early not to be caught. Still most experts are sure that the problem is of psychological character, and that the problem is in the head of a man.
Lots of studies were conducted to find out the real causes of PE in men. It was estimated that premature ejaculation is a problem related to the orgasm part in the sexual cycle, which comprises 4 parts: desire, excitement, orgasm, and resolution. If any disturbance occurs in this sexual cycle it may lead to sexual problem such as premature ejaculation.
Premature ejaculation consequences
In most cases premature ejaculation has negative emotional consequences simply because it makes sexual partners sad, depressed and frustrated. In some cases this sexual disorder may lead to divorce because it makes impossible the sex activities of both partners.
Occasionally males can’t have sex because ejaculation occurs before penetration. This can be ruining for a man’s self-confidence and self-esteem. Such serious conditions may prevent pregnancy and become an obstacle for future relations. Most men want to last longer in bed to satisfy their partners so they find rapid ejaculation very irritating. Some of males fear to enter new relationships because of their condition. That is why it is so important to diagnose the problem and start the treatment. The latest medicine to treat PE helps men even with severe condition.
Premature Ejaculation facts
It’s very difficult to define the term premature ejaculation exactly; some partners are satisfied with a very short sexual intercourse which for others would be unsatisfactory.
The Congress of the European Society for Sexual Medicine announced interesting figures found during an American research:
• It was estimated that the average lasting time of males suffering from PE – 1.8 minutes
• Healthy men lasted an average of 7.3 minutes before ejaculation.
However, according to the results of this research there were many men who complained to experience early ejaculation, in spite the fact that they could last up to 25 -30 minutes. This demonstrates distinctly that different men have greatly unalike opinions and understandings about what is normal and healthy.
At the Congress, it was announced that 2.5 % of men couldn’t last 1.5 minutes after the penetration. Those males suffer from PE for sure.
Different clinical trials have shown that there are plenty of couples who consider sexual intercourse lasting about or less than 20 minutes unsatisfactory. Most of the couples also think that any ejaculation after 10 minutes of sexual activity is early and abnormal.
How many males have PE?
Premature ejaculation is one of the most common sexual disorders. Some medical experts think that approximately one-third of all males have PE event at least once in their lives. Other experts consider the number of men suffering from PE to be much greater due to the fact that the condition is intimate, most men prefer to keep it in secret and manage it by their own.
The result of a new survey involving several thousand of British males was that about10 % of them reported that they regularly or periodically had this problem.
The findings demonstrated that the condition was more commonly met in younger men. Young men are more excited and more often have early ejaculation as they cannot fully control them. This can be simply explained by PE tendency to improve with age. Men often get better control as they became older. Still, a 2004 survey held in several European countries demonstrated that many middle-aged males suffer from this condition.
Nowadays effective treatments are available. The condition should be properly managed due to the fact that PE affects both emotional and physical health of a man. It can lower self-confidence, provoke anxiety, and feelings of shame and depression.
Do you have PE?
Lots of men sometimes want to last longer in bed to satisfy their sexual partner and perform well. Some men don’t have PE, but want to enlarge the time before they ejaculate. Some of them think that they have problems in sexual life when they ejaculate 2 or 3 minutes after penetration.
The fact is – the normal time of ejaculation is not determined, it is individual and depends on many factors – situation, new partner, how long a person was without sex and many more. Different studies were conducted to find out the average time of ejaculation, according to them, it is around 7 minutes. But don’t start panic, if your time of ejaculation is over 1 or 2 minutes. If you and your partner are satisfied with your sexual activity, you are not likely to suffer from this condition. In case your time of ejaculation bothers you or you cannot control ejaculation, we advise to consult a medical professional.
Premature or rapid ejaculation can be of two main forms. Males can suffer it from the beginning of their sexual life and it is called lifelong or primary condition, or it can be secondary or acquired, when a man experiences rapid ejaculation after years without any difficulties.
If you think you have PE, do not waste time, go to your doctor. PE is a serious condition which affects normal sexual life and causes lots of relationship problems.
The condition is treatable, you can try different treatment options after you have been diagnosed with PE.
Alternative ways of control over PE
If you like to try alternative methods of control over rapid ejaculation, ask your doctor about behavioral exercises, anaesthetic treatment options and psychological counseling.
Behavioral techniques include different exercises which can help to increase control over your ejaculation process. They may be:
The stop-start and squeeze exercises trained for a long time (weeks and even months) created to enlarge the time of ejaculation.
The stimulation of the penis (better done with a partner) before the pick of ejaculation, and stopping stimulation at the moment of most arousal will be effective if repeated regularly over time.
The other technique involves using anaesthetic creams or sprays to reduce penile sensation. The high sensitivity of the penis can be also decreased by special condoms.
Psychological counselling is advised for some men who learn to regulate their psychosexual reaction and thus get more control over ejaculation. Counselling usually helps in the treatment of the secondary psychological symptoms of PE like low self-esteem and relationship problems.
PE treatment options
Once your doctor has put the diagnosis that you have PE then it is essential to discuss treatment options. There are different treatment options available now and your doctor will for sure suggest you the right method suitable for your lifestyle and situation.
It is important to give all the necessary information about your health and symptoms to your doctor. It is also urgent to tell your doctor honestly how you’re finding the treatment because you may try more than one option before you find the one that is best for you. Discuss it with your doctor.
Rapid ejaculation requires adequate and serious treatment as any other medical condition. Remember that ads about PE treatment options on TV or other mass media may be tempting but have nothing to do with real treatments of this condition. A consultation with your doctor is needed before starting any treatment with medications unknown to you.
Speak to your doctor about the medication you are planning to take and make sure it is effective and safe. Do not neglect your doctor’s recommendation and offering of daily monitoring.
The aim of all treatment options is to gain control of ejaculation for the man and to restore a satisfactory sexual intercourse for both partners.
Priligy shows high efficacy for premature ejaculation disorder
According to the results of a phase 2 multicenter, double-blind, randomized, placebo-controlled, 3-phase crossover trial Priligy is very effective in treatment of PE in men of different ages.
To estimate the tolerability and efficacy of Priligy in comparison with placebo 166 males aged 23 to 64 years were tested. All the patients were suffering from rapid ejaculation characterized by baseline intravaginal ejaculatory latency time (IELT) of fewer than two minutes.
The trials consisted of a series of three crossover treatment periods with dapoxetine 30 mg, 60 mg, 100 mg, and placebo. All males had constant sexual relationships with one partner lasting at least six months.
Results of the study showed that Priligy 30 mg and 60 mg, 100 mg is effective. It significantly increased the time of ejaculation compared with placebo (2.94 minutes for the 60-mg group and 3.20 minutes for the 100-mg group compared with 2.05 minutes for the placebo group; P < .0001 for both).
The participants reported satisfaction from intercourse “good” and that their female partners were also satisfied. The most common adverse side effect reported with Priligy 60 mg and 100 mg were nausea and headache.
Priligy has demonstrated significant clinical results in treating premature ejaculation condition in men.


