Medical Treatment for Premature Ejaculation
In this article, we will focus on the Medical Treatment options available for the treatment of Premature Ejaculation.
For other non-medical options, please read our previous article on Premature Ejaculation.
There are basically 2 types of Medicines that work well in the treatment of Premature Ejaculation. They are all effective and safe.
As with all medicines, they work better for some people than others. It is therefore important that you see Our Doctors who can give you professional advice on changing and mixing medicine types and dosages to achieve the best results for you.
Medicines used to treat Premature Ejaculation
1. SSRIs (Selective Serotonin Re-uptake Inhibitors)
In a nutshell, these medicines help your nerves ‘talk’ better with each other. And when they do, you get better control over when you ejaculate.
The only SSRI and really the only medicine officially indicated to treat Premature Ejaculation is Dapoxetine. It is marketed under the brand name Priligy. The usual starting dose is 30mg. It is taken 2 to 3 hours before planned sexual activity. In some patients, it can increase the duration up to 4 times the baseline. The 2 commonest side effects of this medicine are nausea and feeling sleepy. One really important fact that you have to know about Dapoxetine is that you will not experience its maximum benefit from the first pill. It usually takes up to 6 pills for you to see its maximum potential. So when you first start on this medicine, it is recommended that you take at least 1 pill per week and reach a total of 6 pills before you decide if it is working for you or not. In some instances, the dose needs to be increased to 60mg. It is also safe for Dapoxetine to be taken everyday.
All the other SSRIs are not indicated in the treatment of Premature Ejaculation. But since the delay of ejaculation is a common side effect of SSRI treatment, some doctors use these medicines for exactly this side effect. Common SSRIs used are Setraline, Paroxetine and Fluoxetine. In cases where Dapoxetine does not work well, some doctors might prescribe one of these SSRIs to be taken daily instead of just before sexual activity.
Advertisement video for Dapoxetine.
2. PDE5-Is (Phosphodiesterase 5 Inhibitors)
They have also been used very successfully in the treatment of Premature Ejaculation. They work particularly well if the Premature Ejaculation is a consequence of Erectile Dysfunction. Basically a guy might have problems getting hard or staying hard. So once he is hard, he pumps very vigorously so as not to lose the hardness. This of course will cause him to ejaculate sooner then her would like. In this way, Erectile Dysfunction causes Premature Ejaculation.
However, these medicines also work for Premature Ejaculation even is the patient is NOT suffering from Erectile Dysfunction. They work particularly well if given in combination with Dapoxetine. This was proven in the very famous scientific study aptly named the COUPLES study.
Aside from possibly causing flushing, heartburn and headache, these medicines are generally very safe. They are to be taken at least 15 minutes to 30 minutes before planned intercourse. The only exception is Cialis 5mg low dose once-a-day pill. This is designed to be taken everyday regardless of sexual activity.
Control in Bed!
All these medicines require a Doctor’s prescription in Singapore. You cannot buy them over the counter at a pharmacy.
All our clinics provide consultation for these medicines.
After the first consult, we would generally allow patients to continue purchasing the same medicine from the clinic without any further consultations.
Of course, if you experience any side effects with the medicines or have been prescribed new medicines please see our Doctor again for a review.
Need more advice?
To find out more about Penile Rash or other Men’s Health issues , please visit your doctor or visit Men’s Health Clinic.
Dr. Tan and Partners @Novena (Men’s Health Clinic)
10 Sinaran Drive,
#08-31, Novena Medical Centre
+65 6397 2095
Learn more about Andrology and Infection Centre at Novena Medical Center services.
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- Penile Discharge (Should I be Worried?)
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About Dr. Tan
Dr. Tan graduated from the National University of Singapore in 2001. His residency was in the two largest public hospitals in Singapore; Tan Tock Seng Hospital and Singapore General Hospital.