Premature Ejaculation

Men's Health

Finishing too quickly? It doesn’t have to be a lasting problem.

  • At SwiftMedi, we provide safe, effective treatments for premature ejaculation
  • Regain control, reduce frustration, and improve satisfaction — all from the comfort of your home

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About 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.



Frequently asked questions

  • What is premature ejaculation?

    Premature ejaculation is when ejaculation happens sooner than you or your partner would like, usually with little control. It is one of the most common sexual concerns in men and can affect confidence and relationships. Treatment options, including dapoxetine, are available through our premature ejaculation service.

  • What causes premature ejaculation?

    PE can be caused by psychological factors such as stress, anxiety or relationship concerns, or by physical triggers including sensitivity, hormonal changes or prostate issues. Many men experience a mix of both. The right treatment can reduce symptoms, improve control and increase confidence.

  • How common is premature ejaculation?

    PE is very common. Most men experience it at some point, especially during stressful periods or new relationships. Around one in three men report symptoms at some stage, and it can occur at any age. Effective support and treatments are widely available.

  • What treatments are available for premature ejaculation?

    Options include dapoxetine tablets, topical anaesthetic sprays or gels, condoms designed to reduce sensitivity and behavioural techniques such as pause-and-squeeze. A clinician will help decide which approach is most suitable based on your symptoms and medical history.

  • How well does dapoxetine work for PE?

    Dapoxetine can significantly increase the time before ejaculation for many men. It is taken when needed, typically one to three hours before sex. Some men see improvement quickly, while others benefit from combining it with simple techniques or lifestyle adjustments.

  • Are premature ejaculation treatments safe?

    Most treatments are safe when prescribed after a proper assessment. Dapoxetine may cause mild nausea or dizziness, while topical sprays can reduce sensitivity. Your clinician will check your health, medicines and suitability before recommending an option.

  • When should I see a doctor about premature ejaculation?

    It is helpful to seek advice if PE is persistent, affects your confidence or relationships or has developed suddenly. A clinician can check for underlying causes, discuss treatment options and offer personalised strategies to help improve control.

  • How do I know if I actually have premature ejaculation?

    PE is usually diagnosed when ejaculation happens with very little control, often within a minute of penetration or before intercourse begins. If this pattern is consistent and causing distress, it may be premature ejaculation. A clinician can review your symptoms and guide treatment.

  • Can anxiety or performance worries cause premature ejaculation?

    Yes. Anxiety, stress, low confidence and performance pressure are major contributors. These factors make it harder to relax and maintain control. Techniques, reassurance and appropriate treatment can help break the cycle and improve sexual confidence.

  • Can lifestyle changes help improve control?

    Yes. Reducing alcohol, improving sleep, regular exercise and managing stress can all help improve ejaculation control. Avoiding overstimulation or changing sexual routine may also help. Many men see best results when lifestyle steps are combined with medical treatment.

  • What is the stop–start and squeeze technique?

    These behavioural methods involve pausing stimulation when you feel close to ejaculation, then squeezing or holding the base of the penis briefly before resuming. Over time, this can help improve awareness and control. These techniques can be used alone or with medical treatment.

  • Can condoms, sprays or gels help with premature ejaculation?

    Yes. Some condoms reduce sensitivity and can delay ejaculation. Lidocaine-based sprays and gels can also help by gently numbing the area. These options may be used alone or alongside dapoxetine depending on your symptoms and preference.

  • Can premature ejaculation improve without medicine?

    Many men improve with simple techniques, open communication and reduced performance pressure. Anxiety, stress and overthinking can maintain symptoms, so reassurance and lifestyle changes may make a significant difference. Medicine is an option if symptoms continue.

  • Does premature ejaculation affect fertility?

    PE does not affect sperm quality or fertility. However, if ejaculation happens before penetration or very early, it might reduce the chance of conception. Treatment can improve control if you are trying for a baby.

  • What should I do if dapoxetine or other treatments do not work?

    A clinician may recommend adjusting the dose, switching to topical treatments or combining medication with behavioural techniques. If symptoms persist, they can explore psychological or physical factors and tailor a more targeted plan.