Medications for premature ejaculation: consultation with e-prescription
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Medications for premature ejaculation: consultation with e-prescription
Extend or start your treatment with Dimedic
If you have concerns about your health and want to speak with a doctor, choose an e-consultation.
Which consultation should you choose?
Choose Express e-Prescription if you only need a prescription.
Choose E-Consultation if you've never taken hormonal medication and want to speak with a doctor.
How does it work?
Select a consultation option
Decide whether you want to extend your prescription or talk to your doctor (e.g. to start therapy with a new drug). In the case of psychotropic drugs or strong painkillers, it is necessary to provide data from your IKP or a certificate from your doctor.
Complete the medical questionnaire
Answer a few questions that will help the doctor assess your health. If you are continuing treatment, attach your previous prescription.
Wait for the doctor to contact you
If you have chosen a teleconsultation/videoconsultation, the doctor will call you on the selected date to conduct a consultation. If you have chosen to extend your prescription and are a new patient, the doctor will call to confirm the data from the questionnaire.
Receive your documentation
After the doctor's decision, you will receive a prescription and/or recommendations via text message and e-mail - without leaving your home.
What is premature ejaculation?
Premature ejaculation is the inability to control the timing of ejaculation, which can lead to frustration and tension between partners. It is the most common sexual dysfunction among men, affecting around 30% of the male population. Premature ejaculation can occur in various situations, both during intercourse and masturbation. It's important to understand that this is a medical issue that can be effectively treated—not just a psychological concern.
Premature ejaculation – what does treatment involve?
Premature ejaculation is recognized as a medical condition under ICD-10 code F52.4. If the issue persists despite exercises or dietary changes, it's a clear reason to consult a doctor.
There is nothing to be ashamed of—this condition affects many men of different ages, and modern medicine offers solutions that help prolong intercourse and delay ejaculation. Pharmacological treatment is often recommended in such cases.
When treating premature ejaculation, doctors most commonly prescribe an e-prescription for delay-ejaculation pills.
Causes and symptoms
The exact causes of premature ejaculation aren't fully understood, but several risk factors are recognized. These may include urological diseases, hormonal imbalances, stress, anxiety, and insecurity. Low testosterone levels may also contribute. Symptoms include an inability to delay ejaculation, often causing frustration and tension between partners. If you notice these symptoms, consult a doctor to find an appropriate solution.
When are delay-ejaculation pills needed?
Pills are effective when premature ejaculation is diagnosed medically—not just based on a subjective sense that sex ends "too soon."
Premature ejaculation is a sexual dysfunction affecting around 30% of men. These medications have an effectiveness rate of up to 80%, offering promising results.
It is defined as ejaculation that occurs before penetration, or within 2 minutes of starting intercourse, or when a man cannot control ejaculation despite not wanting it to occur.
The causes are complex, ranging from congenital or acquired issues, neurological disorders, past illnesses, or emotional dysfunctions.
Treatments include psychotherapy, Kegel exercises, and masturbation to relieve sexual tension before intercourse.
Pharmacology also plays a role, including tablets with dapoxetine (an active ingredient found in medications like Priligy).
Prescription treatment for premature ejaculation
Drugs used to treat premature ejaculation include:
Selective serotonin reuptake inhibitors (SSRIs)
Serotonin receptor antagonists
Tricyclic antidepressants
Phosphodiesterase type 5 inhibitors (PDE-5)
PDE-5 inhibitors are also used to treat erectile dysfunction, improving erection firmness and endurance.
In addition to dapoxetine, other SSRIs used include:
Paroxetine
Fluoxetine
Sertraline
The tricyclic antidepressant clomipramine
Topical medications like lidocaine cream to delay ejaculation
Over-the-counter medications for premature ejaculation
In addition to prescription drugs, various herbal and vitamin supplements are used, as well as topical anesthetics.
All of these are considered non-prescription options. There's also a wide range of psychotherapeutic and physiotherapeutic approaches. Delay-ejaculation pills are widely available over the counter, often based on herbal extracts and essential nutrients (e.g., ginseng, fenugreek, zinc).
Many of these supplements are also used to treat erectile dysfunction by improving blood flow to the penis through nitric oxide synthesis. However, this improved blood flow can increase sensitivity, potentially worsening premature ejaculation. In such cases, ginseng and similar supplements may have the opposite effect.
Other products include gels, sprays, condoms, and wipes containing benzocaine—a local anesthetic that reduces physical sensation and prolongs intercourse.
Benzocaine reduces sensitivity during sexual activity. Similarly, delay condoms, usually made from thicker latex and coated with benzocaine inside, can help prolong sex. Lidocaine and prilocaine creams also work to reduce sensitivity and delay ejaculation.
Even though these products are available without a prescription, it’s advisable to consult a pharmacist or doctor before use.
Best tablets for premature ejaculation
The most effective medications are SSRIs, which are also commonly used as antidepressants.
However, these are relatively new treatments and require a doctor’s prescription.
How to take delay-ejaculation pills
Dapoxetine pills typically come in packs of 3, in doses of 30 mg or 60 mg. The tablet should be taken whole—starting with 30 mg, possibly increased to 60 mg—1 to 3 hours before planned intercourse. Do not exceed one pill per day.
These medications are not intended for long-term daily use. The effects of using them for more than 24 weeks are not well studied.
SSRIs like dapoxetine were originally developed to treat conditions such as depression, and they act on the nervous system.
When do tablets start working?
The onset of effects varies by medication. SSRIs act more slowly, while PDE-5 inhibitors act faster. Some benefits may be noticeable within days, but full effectiveness may take weeks of regular use. Always follow your doctor’s instructions and don’t discontinue without consultation.
Side effects and interactions
Possible side effects include headaches, dizziness, nausea, and sleep disturbances. These medications can also interact with other drugs, such as antidepressants, blood pressure medications, and heart disease treatments. Always inform your doctor of all medications you're taking. Side effects vary by individual, so monitor your response and report anything concerning.
What to watch out for with delay pills
Dapoxetine-based medications have been available for several years. While initially controversial, they were ultimately approved due to their benefits outweighing risks.
Side effects may include headaches, nausea, and decreased libido (sometimes beneficial in cases of hypersexuality).
These pills should not be used by men who do not have a diagnosed condition. They are not intended just because someone feels their sex life is too short.
A specialist must diagnose the condition and recommend the best treatment.
Is delay gel effective?
Tablets are not the only solution. Many gels and creams are marketed online.
The issue is that some manufacturers make unrealistic claims—promising delay, stronger orgasms, firmer erections, and even penis enlargement—all at once.
Most gels use anesthetics like lidocaine to reduce sensitivity. However, they may also numb the partner and potentially affect erection quality. It’s advised to use them with condoms.
Kegel exercises and other home remedies
In many cases, home methods can be effective. More frequent sex or masturbation may reduce arousal and help delay ejaculation.
Other methods include the "start-stop" technique (APE – anti premature ejaculation), where stimulation is paused just before climax. This can help train control.
Kegel exercises—strengthening the pelvic floor—are also helpful. Practicing these regularly can lead to longer intercourse.
Partners should communicate openly and try different strategies together.
Medical treatment under a doctor’s care
If you think premature ejaculation affects you, consult a doctor. If you’re a returning Dimedic patient renewing a prescription, the doctor may issue it without another consultation. If you’re starting treatment, the doctor will call for an interview. Most importantly—you can receive medication without stress or embarrassment to improve your sexual performance.