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The use of topical anaesthetics such as lidocaine or prilocaine can help but may be transferred and absorbed to the vagina, causing decreased sensation. Read more about sildenafil including information on how and when to take it. You can get sildenafil on prescription, or buy it from a pharmacy after a discussion with the pharmacist to make sure it's safe for you to take. Research has found that they may also help with premature ejaculation. Phosphodiesterase-5 inhibitors, such as sildenafil (sold as Viagra), are a class of medicine used to treat erectile dysfunction. It can also interact with other medicines, such as other antidepressants. For example, it is not recommended for some men with heart, kidney and liver problems. Your response to the treatment will then be reviewed after 4 weeks (or after 6 doses), and again every 6 months.ĭapoxetine is not suitable for all men diagnosed with premature ejaculation. You'll usually be advised to take it between 1 and 3 hours before sex, but not more than once a day. It acts much faster than the other SSRIs used for premature ejaculation and can be used "on demand". Local NHS authorities can choose to prescribe it on the NHS. Dapoxetine (Priligy)Īn SSRI specifically designed to treat premature ejaculation, known as dapoxetine (Priligy), has been licensed in the UK. Read more about the side effects of SSRIs. Side effects of SSRIs are usually mild and should improve after 2 to 3 weeks.

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However, you'll usually need to take the medicine for 1 to 2 weeks before you notice the full effects. Some men may experience an improvement a few days after treatment begins. SSRIs used for this purpose include:Īnother type of antidepressant called clomipramine is also sometimes used. Selective serotonin reuptake inhibitors (SSRIs) are a type of antidepressant, but they also delay ejaculation. Treating premature ejaculation Antidepressants

a strict upbringing and beliefs about sex.

a previous traumatic sexual experience – this can range from being caught masturbating to sexual abuse.

For example, if a teenager conditions himself to ejaculate quickly to avoid being caught masturbating, it may later be difficult to break the habit

conditioning – it's possible that early sexual experiences can influence future sexual behaviour.

A number of possible causes for this are: It's possible for a man to have experienced premature ejaculation since becoming sexually active.

anxiety about sexual performance (particularly at the start of a new relationship, or when a man has had previous problems with sexual performance).

thyroid problems – an overactive thyroid or an underactive thyroid.

Various psychological and physical factors can cause a man to suddenly experience premature ejaculation. However, if you're finding that it happens more than you'd like, and it's a problem for you, it might help to get treatment. Occasional episodes of premature ejaculation are common and are not a cause for concern. It's where the male ejaculates sooner than he or his partner wishes during sexual arousal. Premature ejaculation is a common ejaculation problem. If you have a persistent problem with ejaculation, visit your GP, who will discuss the problem with you and may examine you or refer you to a specialist. The 3 main types of ejaculation problems are:

Ejaculation problems are common sexual problems in men.