Premature Ejaculation




Are you mentally very stressed about intimacy with your partner, because you are afraid of the uncontrollable urge of early release?

**PREMATURE EJACULATION HAS BROKEN UP MANY POSSIBLE MARRIAGES AND RELATIONSHIPS – IT IS HIGHLY TREATABLE. DO NOT SUFFER IN SILENCE**

Men feels ashamed due to premature ejaculation

Disappointed couple due to PE

Introduction

Premature Ejaculation is a condition where a man ejaculates earlier than he or his partner would like him to. It is also known as rapid ejaculation, rapid climax, premature climax or early ejaculation.

It is more common nowadays to refer to PE as Rapid Ejaculatory Dysfunction (RED).

PE can be divided into lifelong ( primary) or acquired ( secondary) types.

Lifelong PE occurs from the very first sexual experience and remains a problem throughout life. In such cases, ejaculation can happen very fast, before vaginal penetration or very shortly after.

Acquired PE patients usually had normal ejaculation prior to the onset of the problem. The time to ejaculation in such cases is short but usually not as fast as in patients with lifelong PE.

How common is PE?

PE is one of the most common male sexual disorders affecting 20-30% of men. 30% of men with PE also have ED (erectile dysfunction) as well. Current evidence shows that the average Intravaginal Ejaculation Latency Time (IELT), the duration of vaginal intercourse before ejaculation, in 18-30 year old men is 6.5 minutes. Men with PE may ejaculate before vaginal penetration or shortly after penetration (less than 1 minute).

 

What is the impact of PE on men?

Premature ejaculation affects the men adversely. In recent studies of Asian men with PE ( as according to the diagnostic guideline of the PEDT below), 37% of men reported ejaculation with very little stimulation in >50% of intercourse attempts; 72% reported that the time to ejaculation was a problem for them and their partners. The majority of these men reported experiencing extreme difficulty in delaying ejaculation, frustration about ejaculating too early, and very strong concern about leaving their partner unfulfilled due to this problem. Men often are hesitant to discuss about PE as well, as it causes stigma and embarrassment. It also leads to low self-esteem, feelings of inferiority causing emotional burden and in severe cases, anxiety and depression. Men suffering from PE reported reduced levels of sexual functioning, satisfaction level, quality of life and increased levels of distress and interpersonal difficulty.

 

PE affects the partners too

Premature ejaculation affects not only men, but also their partners and their relationships as well. PE and the associated lack of control led to dissatisfaction and reduces the sense of intimacy of both men and their partners. In a recent study, only 38.3% of partners of men with PE reported sexual satisfaction, as compared to 90% of partners of men without PE. Often, females avoided raising the issue due to fear of hurting their partners’ feelings and/or to prevent the feeling of inadequacy. Sufferers themselves also would not want to discuss the issue due to the stigma and embarrassment it causes. The lack of communication then becomes an important issue between the couples, leading to breakdown of the relationship.

 

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How to diagnose PE?

PEDT questionaire to diagnose premature ejaculation from Pfizer

Premature Ejaculation Diagnostic Tool – PEDT
>11: Has PE
=9 or 10 : Probable PE
<=8 : No PE

The above is a questionnaire used to diagnose premature ejaculation. It is called the Premature Ejaculation Diagnostic Tool (PEDT).

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What are available treatments for Premature Ejaculation?

Sexual Counselling

Patients with PE frequently have performance anxiety. Sexual Counselling attempts to relieve the underlying performance pressure on the man. Intercourse should not be attempted until PE is treated, to prevent worsening of the performance anxiety.

 

Sexual Therapy

There are 3 techniques to help to delay ejaculation :

A. Stop and Start Method

This technique involves sexually stimulating the man until he feels like he is about to reach orgasm. The stimulation is then suddenly stopped for about 30 seconds before starting again. This pattern is repeated until the man cannot hold back anymore and has to ejaculate.

 

B. Squeeze Technique

The man is sexually stimulated until he recognises that he is about to ejaculate. At this point, the man or his partner gently squeezes the head of the penis for several seconds. The stimulation should be stopped for 30 seconds before starting again. This pattern is repeated until the man cannot hold back anymore and has to ejaculate.

 

C. Pre-coital Masturbation

This is useful if the man is young and can achieve another erection in a few minutes following an episode of PE. The man is advised to masturbate ( or be stimulated by his partner to ejaculation) 1 to 2 hours before sexual relations are planned. Thereafter, during the actual act of intercourse with his partner, he will be able to last longer before his second ejaculation. However, he may not ‘feel as much’ during the intercourse.

This method is not so useful for an older man who may have difficulty in achieving a second erection after the first rapid sexual release.

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Medical Treatment of PE

Topical Therapy

Numbing sprays or creams containing Lignocaine / EMLA / Prilocaine are sprayed / applied 20-30 minutes before intercourse. This can numb the head of the penis, making the man feel much less sensation and delaying ejaculation in the process. Condoms may be used to avoid transfer of the spray / cream into the partner.

 

1 box of Priligy 30mg and 1 box of Priligy 60mg

Priligy 30mg and 60mg boxes of 6 tablets each

 

SSRI ( Selective Serotonin Reuptake  Inhibitors)

Priligy ( Dapoxetine) works in the brain to reduce sensation of the penis during sexual intercourse. It should be taken 1-3 hours before sexual intercourse. The recommended starting dose is 30mg. If the effect of 30mg is insufficient and the drug does not cause any major side effects, the dose may be increased to the maximum dose of 60mg.

Possible side effects are giddiness and fainting, which occurs in around 3.9% of patients in studies. Other side effects are nausea, diarrhoea, headache.

It is recommended to take at least 6 days of Priligy for the medication to reach steady levels in one’s blood stream for best effects. For best response, treatment should be continued up to 12 weeks, as the effects of the drug can improve more and more with prolonged treatment.

 

How much does treatment cost?

Priligy costs $19 / tablet.

Medical Strength Numbing sprays are also available, prices will be revealed during consultation.

 

happy couple under the sheets

Cure PE Today!

A man with PE has little or no control over a condition that causes him and his partner much anguish, anxiety and unhappiness. If you have tried the non-medical treatment methods and still suffers from PE, please come for a consultation with our friendly doctors at our discreet third floor shophouse location.

To begin your journey to confidence, it is as easy as this:
(1) Give us a call at +65 97309399
(2) Send an email to questions@knightsbridgeclinic.sg

Disappoint your partner no more and be a more confident you. Cure PE Today with The Knightsbridge Clinic.