PE is one of the most common sexual health conditions in men — and one of the most treatable. Our specialist doctors can help you last longer and feel confident again.
Start Free AssessmentPremature ejaculation occurs when a man ejaculates sooner than he or his partner would like during sexual activity. It's defined clinically as ejaculation that occurs within approximately one minute of penetration, or an inability to delay ejaculation consistently.
PE is not a sign of weakness or inadequacy — it's a recognised medical condition with effective treatments, and it can affect men of all ages.
Identifying the type of PE helps your doctor choose the most effective treatment for your individual situation.
PE that has been present since your very first sexual experience. Often has a neurobiological basis and typically responds well to medication combined with behavioural therapy.
Developed after a period of normal ejaculatory function. Often triggered by ED, relationship issues, stress, or hormonal changes. Treating the underlying cause is key.
Occurs inconsistently — sometimes fast, sometimes normal. Not considered a disorder; usually situation- or partner-specific. Reassurance and minor behavioural techniques often help.
The man perceives PE despite having a normal or even above-average ejaculation time. Often involves anxiety or unrealistic expectations — psychological support is most effective.
Your VitalMan doctor will recommend the best approach based on the type and severity of your PE, your medical history, and your personal preferences.
Applied directly to the penis 5–15 minutes before intercourse, topical agents temporarily reduce sensitivity to help delay ejaculation. Products like EMLA cream or lidocaine-based sprays are first-line options for many men due to minimal systemic side effects.
Dapoxetine is the only oral medication specifically approved for PE. Taken 1–3 hours before sex, it increases serotonin activity to delay ejaculation. Clinical trials show a 3–4x improvement in ejaculation time compared to placebo.
Antidepressants such as sertraline, paroxetine, or fluoxetine taken daily have a well-established off-label use for PE. They work by increasing serotonin levels, which naturally delays ejaculation. Effective for lifelong PE in particular.
The stop-start technique and squeeze technique are evidence-based behavioural methods that help you learn to recognise and control arousal levels. Often combined with medication for best results. Our doctors can guide you through these in detail.
For many men, the most effective approach is combining a topical agent or oral medication with behavioural techniques and psychological support. Your doctor will help design a personalised combination plan.
All treatments recommended by our doctors are clinically proven and carefully matched to your health profile. Here's a quick overview of common considerations.
Temporary mild numbness at application site. Rarely, temporary numbness for partner. Wash off after 15 min to minimise this.
Nausea, headache, dizziness — usually mild and short-lived. Taking with food reduces nausea. Do not combine with alcohol.
May include reduced libido or delayed orgasm during initial weeks. Most side effects settle within 2–4 weeks as your body adjusts.
Dapoxetine should not be combined with MAOIs or nitrates. Always disclose all medications to your doctor during assessment.
Complete a free, confidential assessment and speak to a specialist doctor today.
Prescription delivered discreetly to your door — often within 24 hours.