Premature ejaculation – drugs. When to start taking them?

E-prescription Family doctor Specialist

Premature ejaculation is a dysfunction that affects 30 percent of men. Only one in tenth decides to treat it. Meanwhile, there are effective drugs to treat premature ejaculation. Overcoming the embarrassment, seeing a doctor, and buying appropriate drugs – this is a straight road to boosting the quality of your sex life. See how you can use tablets to extend sexual intercourse and when to start taking them.

What is premature ejaculation?

Premature ejaculation is one of the most common sexual disorders. According to various estimates and depending on the definition, the problem can affect even up to 30 percent of males of reproductive age.

Be aware that premature ejaculation does not have a clear-cut and precise medical definition. Attempts at defining the phenomenon have resulted in M.D Waldinger developing an indicator called Intravaginal Ejaculation Latency Time (IELT). On that basis, three forms of the disorder are distinguished:

• severe – when it takes less than 15 seconds during vaginal penetration for a man to ejaculate;

• moderate – when premature ejaculation occurs within 15-60 seconds;

• mild – when a man achieves orgasm before the lapse of 2 minutes.

However, not all sexologists agree with such an approach to the problem. The World Health Organization defines it in a less mathematical, but more psychological manner, stating that premature ejaculation is a situation in which:

• ejaculation occurs as a result of a minimal sexual stimulus,

• before penetration or soon after penetration begins,

• sooner than the patient would want that,

• the problem causes anxiety, tension, or frustration in the sexual partner.

Drugs for premature ejaculation

Premature ejaculation is a disorder that rarely do patients see a doctor for (diagnosed and treated account for no more than 10 percent of the cases). Due to the dire consequences that this type of dysfunction can cause, not only for the sex life, but also for the mental condition – such an attitude is simply wrong.

Modern pharmacology offers effective drugs for premature ejaculation, which, in most cases, allow you to regain the control over your own body. What is interesting, mostly antidepressants have proven useful in this disorder. The range of drugs that can be used includes:

• selective serotonin reuptake inhibitors (SSRI);

• serotonin antagonist and reuptake inhibitor (SARI);

• phosphodiesterase type 5 inhibitors;

• tricycle antidepressants;

• topical anaesthetics.

For treating PE, antidepressants are used: selective serotonin reuptake inhibitors (SSRI), serotonin antagonist and reuptake inhibitors (SARI), phosphodiesterase type 5 inhibitors, and topical anaesthetics.

Tablets to extend sexual intercourse with dapoxetine

In recent years, the substance named dapoxetine has gained on importance. It is a substance classified as a selective serotonin reuptake inhibitor, but is considered a strictly sex-related drug, not an antidepressant. The mechanism of action of dapoxetine has yet to be fully examined.

It is suspected that the substance blocks the neuronal uptake of serotonin, thus inhibiting the effects of this neurotransmitter on the pre- and postsynaptic receptors and – as a consequence – delaying ejaculation. It was demonstrated that in men with moderate premature ejaculation, dapoxetine extends sexual intercourse on average by 1-3 minutes.

In sexology, dapoxetine has gained advantage over different SSRIs (sometimes paroxetine, fluoxetine, and sertraline are also used) not only because of its efficacy, but also relatively small number of side effects. It does not mean, though, that there are no adverse effects. After taking tablets to extend sexual intercourse containing dapoxetine, the patient can feel:

• headaches,

• nausea, vomiting,

• lower libido.

Remember that this type of drugs for premature ejaculation cannot be taken together with other antidepressants. You should neither take them if there are no purely medical indications for using them.

Subjective beliefs about insufficiently long sexual encounters are not enough. Seeing a doctor is crucial here, all the more that drugs to extend sexual intercourse belonging to the SSRI group are available on prescription only.

Treating premature ejaculation with drugs for erectile dysfunction

Although it seems that premature ejaculation and erectile dysfunction are completely opposite by nature, they have actually much in common, at least when it comes to their etiology (causes).

These disorders often coincide or one is caused by the other. No wonder, then, that premature ejaculation is often treated with the same drugs as those that are helpful in fighting impotence. They include the already mentioned SSRIs, but also the so-called phosphodiesterase inhibitors. These are drugs actively affect the mechanisms associated with male sexuality.

By inhibiting the PDE5 enzyme activity, they improve the erection quality while extending the time needed to achieve an orgasm. They also boost self-confidence. Commercially available are drugs delaying ejaculation which contain such substances as:

• sildenafil,

• wardenafil,

• tadalafil.

When to start taking pills for premature ejaculation?

Premature ejaculation is a disorder with diverse etiology. Two substantial types of the disorder can be distinguished.

• Primary – it accompanies a man for his entire life, from the first to the last sexual intercourse, in almost every situation and with every partner. In 80 percent of cases premature ejaculation of that type occurs in a severe or moderate form (up to 60 seconds).

• Secondary – it appears at a certain stage of life, after a period of normal sexual encounters. It is usually associated with emotional factors (e.g. due to stress or conflicts in the relationship) or diseases, injuries, or drugs used.

The above distinction is crucial for a sexologist to develop a premature ejaculation treatment plan.

When it comes to the secondary disorder – psychotherapeutic, psychoeducational, and physiotherapeutic measures are used first. If these measures do not bring any satisfactory results, the sexologist prescribes drugs.

However, it is possible to introduce pills for premature ejaculation from the first day of the therapy in patients with diagnosed primary type of the disorder. Prior to that, however, the background of the disorder must be thoroughly examined and diagnosed – the patient might require prior neurological, urological, or psychiatric treatment.

Read also:

• How to prevent premature ejaculation?

• Drugs and tablets for premature ejaculation

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