Premature Ejaculation

Overview

Premature ejaculation (PE) is one of the most common sexual concerns for men, yet it’s rarely talked about openly. If you often climax sooner than you or your partner would like, you’re not alone — studies suggest up to 1 in 3 men experience PE at some point in their lives. While it can feel frustrating, embarrassing, or even isolating, it’s important to remember that PE is a medical condition that can be managed and treated.

Premature ejaculation can affect self-confidence, relationships, and intimacy, but the good news is that effective options exist. From simple lifestyle strategies to safe, evidence-based treatments like prescription tablets, help is available. At SwiftMedi, your suitability for treatment will always be assessed by a UK-registered prescriber through a secure online consultation, with care tailored to your needs.

Symptoms

Premature ejaculation is usually defined as:

• Ejaculation that happens within 1–2 minutes of penetration or even before penetration.
• Lack of control over when ejaculation occurs.
• Distress, frustration, or anxiety about sexual performance.
• A negative impact on intimacy, relationships, or self-esteem.

Some men experience PE occasionally, while for others it’s a consistent pattern.

Diagnosis

Diagnosis of premature ejaculation is usually made through:

• Open discussion with a healthcare professional about symptoms and history.
• Ruling out other causes such as erectile dysfunction, anxiety, or prostate issues.
• No invasive tests are typically required.

A confidential online consultation at SwiftMedi can help determine whether treatment is appropriate for you.

Treatments

Treatment for premature ejaculation may include:

Lifestyle & Behavioural Strategies

• Pause-squeeze or stop-start techniques during sex.
• Using condoms to reduce sensitivity.
• Practising pelvic floor (Kegel) exercises.
• Reducing anxiety with mindfulness, therapy, or open communication with a partner.

Prescription Treatments (available via SwiftMedi)

• Dapoxetine tablets: a short-acting SSRI specifically designed for premature ejaculation. Taken a few hours before sex, it can increase control and delay climax.

In some cases, erectile dysfunction medicines like sildenafil may be prescribed if PE is linked to erection problems.

Topical Treatments

• Desensitising sprays or gels may help reduce sensitivity in some men.

Prevention

While not always preventable, some steps can reduce the frequency of PE:

• Maintain a healthy lifestyle — exercise, reduce alcohol, stop smoking.
• Manage stress and anxiety, which often make symptoms worse.
• Build open communication with partners to reduce performance pressure.
• Practise sexual techniques that improve control.

Misconceptions

“PE only happens to young or inexperienced men.”
Not true — it can affect men of all ages.

“It means you’re not good in bed.”
PE is a medical issue, not a reflection of ability, masculinity, or desirability.

“There’s no treatment for PE.”
Safe, effective, and clinically proven treatments are available.

“It will always be a problem.”
With the right support, most men see a significant improvement.

FAQ

Is premature ejaculation normal?
It’s very common. Many men experience PE occasionally, while some have it more regularly.

Can stress cause PE?
Yes. Stress, anxiety, and relationship pressures are common triggers.

Does PE get better with age?
Not always — some men improve with experience, while others need treatment.

Can PE and erectile dysfunction happen together?
Yes, and treating ED can sometimes improve PE symptoms.

What is the main treatment for PE?
Dapoxetine is the most commonly prescribed oral treatment in the UK.

Can lifestyle changes really help?
Yes. Reducing alcohol, managing stress, and using behavioural techniques can all improve control.

Is treatment discreet?
Yes. SwiftMedi offers confidential online consultations and discreet delivery.