Premature ejaculation (PE) affects up to 31% of Australian men, making it one of the most common forms of male sexual dysfunction. Because it’s an uncomfortable topic, the true number of men who experience early ejaculation could actually be much higher. The good news is that PE is treatable with a variety of options that can help you last longer in bed. We’ll go over what premature ejaculation is, your treatment options and how premature ejaculation pills work to delay orgasming too early.
What is premature ejaculation?
First let’s start with the basics. Premature ejaculation describes when a man finishes too quickly, oftentimes within a few minutes of penetration. If it’s happening every time or almost every time, you might consider seeking treatment. However, it’s important to understand the underlying causes of PE and what type of PE you have in order to identify the best course of action for you.
There are two types of PE: lifelong and acquired. Lifelong premature ejaculation begins with the first sexual encounter and early ejaculation happens every time or almost every time. Acquired premature ejaculation develops over time, when previous sexual experiences didn’t have any ejaculatory problems.
Both psychological and physiological factors can cause premature ejaculation in men of all ages. If your PE is being caused by psychological reasons, such as anxiety, stress, depression, negative sexual experiences or poor self esteem, addressing these issues through counselling or therapy can be an appropriate treatment plan.
Certain physiological factors can cause PE as well, including chemical imbalances in the brain that control ejaculation, hormonal imbalances like thyroid disease or high blood pressure and urological conditions related to the prostate or urethra. It’s important to share as many details as possible with your doctor to help them diagnose you and identify the best premature ejaculation treatment plan for you.
Premature ejaculation is often confused with erectile dysfunction, another form of male sexual dysfunction in which a man has difficulty attaining or maintaining an erection that is firm enough for sex. It’s possible to have both at the same time, but don’t worry - both have treatment options available. You can learn more about what causes erectile dysfunction and what you can do about it in our guide.
What premature ejaculation treatment options are there?
Depending on what’s causing the early ejaculation, you may consider therapy or counselling to address the underlying psychological issues. There are also behavioural techniques you can try before trying prescription medication, such as the stop-start technique and kegel pelvic floor exercises.
You can also find sprays, creams and wipes that have numbing agents in them to help reduce sensation and delay orgasm. These are available over the counter in Australia. For example, Lidocaine-Prilocaine is a topical cream that is applied directly to the tip of your penis to make it less sensitive and potentially help delay orgasm.
If behavioural techniques and over-the-counter options aren’t working, there are prescription premature ejaculation tablets that can be taken to help you last longer in bed.
What are premature ejaculation pills?
In Australia, premature ejaculation pills belong to a class of drugs called SSRIs (Selective Serotonin Reuptake Inhibitors). The most commonly prescribed premature ejaculation medications in Australia are Priligy, Prozac (Fluoxetine) and Paroxetine.
All of these are oral tablets. However, Priligy is the only PE treatment that is designed for on-demand use. This means that you can take it 1 to 3 hours before sex instead of taking it everyday like you need to for Fluoxetine and Paroxetine.
Although SSRIs like Paroxetine and Fluoxetine are classified as antidepressants, they have been shown to help with premature ejaculation when prescribed at doses ranging from 10 mg to 40 mg. In the management of PE, these doses are prescribed specifically for the symptom of PE.
How do premature ejaculation pills work to delay orgasm?
SSRIs work by increasing serotonin levels in the brain. Serotonin plays a key role in the ejaculation control systems. When you take a SSRI, the drugs inhibit the reuptake of serotonin (5-HT receptors) and thus leads to delayed ejaculation.
Premature ejaculation pills like Prozac, Fluoxetine and Paroxetine are prescribed at a lower dose than when used to treat depression or anxiety. If you’re prescribed one of these PE medications, you will need to take a tablet every day. However, Priligy is a short-acting SSRI specifically designed to provide on-demand treatment for PE.
One study found that daily usage of Fluoxetine 20mg and Paroxetine 20mg increased the mean time to ejaculation significantly: from just over a minute to 5 minutes for Fluoxetine and up to nearly 7 minutes for Paroxetine users.
Another study found that both 30mg and 60mg of Dapoxetine, the active ingredient in Priligy, was able to increase the mean time to ejaculation from less than a minute to over 3 minutes when taking the tablets 1 to 3 hours before sex.
Finishing too early can be awkward, especially if it’s happening regularly. Now you can get premature ejaculation pills prescribed online through a Rosemary online doctor. Fill out a text-based assessment (no appointments or video calls needed!) and our doctors can prescribe you a personalised treatment plan. Start your online visit for premature ejaculation treatment today.
- Current Clinical Pharmacology (September 2006) - Pharmacologic treatment of rapid ejaculation: levels of evidence-based review
- International Brazilian Journal of Urology (December 2019) - Which of available selective serotonin reuptake inhibitors (SSRIs) is more effective in treatment of premature ejaculation? A randomized clinical trial
- Lancet (September 2006) - Efficacy and tolerability of dapoxetine in treatment of premature ejaculation: an integrated analysis of two double-blind, randomised controlled trials
- Australian Family Physician (October 2015) - Premature ejaculation: A clinical review for the general physician