Premature Ejaculation
Premature ejaculation is a common condition that can affect sexual satisfaction and confidence. While it is often distressing, effective treatments and strategies are available to help you last longer and improve control. Combining medical treatment with simple lifestyle and behavioural techniques can provide the best results.
Through 123Meds, you can receive expert-approved treatments for premature ejaculation via our UK-registered online pharmacy service, with prescriptions reviewed by clinicians and delivered discreetly straight to your door.

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According to the American Urological Association, 30-40% of men will experience PE at some point in their lives. Unfortunately, reluctance to discuss the condition often delays diagnosis and treatment, preventing many men from finding effective solutions.
What Causes Premature Ejaculation?
Premature ejaculation (PE) can generally be classified into two main types:
- Lifelong PE – Present from the first sexual experience, often linked to physical causes.
- Acquired PE – Develops later in life, usually due to psychological factors.
Both types can be effectively managed through a combination of therapy and medication.
Physical Causes of PE
✔ Natural Sensitivity – Some men have a higher concentration of nerve endings in the penis, making them more sensitive.
✔ Erectile Dysfunction (ED) – Anxiety over maintaining an erection can lead to rushed intercourse and PE.
✔ Medical Conditions – Prostate issues and thyroid imbalances can affect ejaculation timing and quality.
✔ Alcohol Use – Heavy alcohol consumption can contribute to various sexual dysfunctions, including PE.
✔ Medications – Certain drugs, such as steroids and antidepressants, can alter hormone or neurotransmitter levels, affecting ejaculation.
✔ Illicit Drugs – Recreational drug use can disrupt the body's natural ejaculatory reflex.
Psychological Causes of PE
✔ Stress & Anxiety – Performance anxiety, particularly with new partners, can increase nervousness and trigger premature ejaculation.
✔ Fear of Rejection – Concerns about sexual performance may cause men to rush intercourse.
✔ Past Trauma – Negative sexual experiences may contribute to long-term psychological barriers.
✔ Depression – Low self-confidence and emotional distress often lead to less satisfying, rushed sexual experiences.
For those struggling with PE, there are effective treatment options available at 123meds, including Priligy (Dapoxetine), behavioral techniques, and alternative therapies. Seeking help can improve confidence, sexual satisfaction, and overall well-being.
While many men may feel concerned about how quickly they ejaculate, some variation in timing is completely normal. Premature ejaculation (PE) is typically diagnosed when ejaculation occurs before or within one minute of penetration, often with minimal stimulation, and this happens on a regular basis.
PE can lead to feelings of stress, frustration, or anxiety, particularly if it occurs frequently and impacts confidence or relationships. Psychological symptoms may arise as both a cause and consequence of the condition.
Managing premature ejaculation (PE) often involves a combination of approaches, including medication, behavioural techniques, therapy, and lifestyle changes. The most effective treatment varies from person to person, so it’s recommended to speak with a healthcare professional to find the option that’s right for you.
Premature Ejaculation Tablets – Priligy (Dapoxetine)
Priligy is the only licensed oral treatment in the UK specifically for premature ejaculation. It belongs to a group of medicines called selective serotonin reuptake inhibitors (SSRIs). While SSRIs are commonly used to treat depression, Priligy is uniquely formulated and approved for the treatment of PE.
It works by modifying serotonin levels in the brain to delay ejaculation, helping to improve control and prolong sexual activity.
- How to take: Priligy should be taken 1 to 3 hours before intercourse.
- Duration: Its effects can last for up to 12 hours.
- Priligy is suitable for men aged 18 to 64 who have experienced premature ejaculation for at least 6 months.
Studies show that Priligy is effective in around 80% of men, typically doubling or tripling the time to ejaculation. However, it is not a permanent cure—it only works while the medication is active, and any underlying causes of PE should also be addressed.
Topical Anaesthetics
Topical treatments can help reduce sensitivity and delay ejaculation by numbing the skin of the penis. These include creams and sprays containing local anaesthetics like lidocaine.
Popular options include:
- EMLA cream
- Stud 100 spray
These products are applied shortly before intercourse. It’s important to wipe off any excess or use a condom to prevent transferring the numbing effect to your partner. While these treatments are fast-acting and convenient, they are typically best used alongside longer-term management strategies.
At 123Meds, you can access discreet, effective PE treatments through our online consultation service, with fast UK delivery and support from qualified prescribers.
What leads to premature ejaculation?
Premature ejaculation can be caused by psychological causes like stress, worry, or painful experiences in the past. Other factors, including hormone imbalances, heightened sensitivity in the genital area, or inflammation of the prostate or urethra, could possibly be the cause.
Is it common to ejaculate too soon?
Indeed, among males, PE is one of the most prevalent sexual health issues. Studies show that around one in three males will go through it at some point in their lives. It is one of the most prevalent problems that must be recognised and resolved.
Can lifestyle changes help with PE?
Yes, regular exercise, stress reduction, better communication with your partner, and the avoidance of too much alcohol or smoking can all help manage and reduce the occurrence of PE.
Is premature ejaculation related to other medical conditions?
Although PE itself is not a dangerous condition, sometimes it may indicate other problems such as hormonal imbalances, erectile dysfunction, or even some neurological conditions. It would be best to see a healthcare professional for an accurate diagnosis and treatment.
Is PE linked to erectile dysfunction (ED)?
Yes, in some cases. Men with ED may rush intercourse due to fear of losing their erection, which can contribute to PE. Treating both conditions together often improves results.
Is premature ejaculation curable?
There’s no guaranteed cure, but most men can manage or significantly improve symptoms with the right treatment plan. Combining medication with behavioural strategies and lifestyle changes offers the best long-term outcome.
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