Premature Ejaculation
June 25, 2024
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5 Mins
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Premature Ejaculation: Causes, Prevention, and Treatment in Singapore
Men often feel embarrassed not being able to last as long as they want, but premature ejaculation (PE) is a serious sexual dysfunction that can be treated. Find out all you need to know about the causes of PE, PE treatment options, and how to prevent PE in this ultimate guide.
Premature ejaculation (PE) refers to any instance when a man faces endurance issues during sexual activity, reaching orgasm and ejaculating faster than desired. PE affects 1 in 3 men across their lifetime and is one of the most common sexual disorders for men in Singapore.
According to a study by Adaikan (2011) involving 243 Singaporean men aged between 18 and 55, one-fifth of the respondents have PE and 14% have Probable PE. However, out of those experiencing PE, only 23% consulted with a doctor, a third had no desire to, and only 17% of the respondents were aware of prescription medication for PE. Most men only heard of using behavioral techniques to treat PE.
90% of the respondents agreed that PE has a damaging effect on a man’s self-esteem. However, the good news is, if you are struggling with PE, you don’t have to face it alone.
Some days, our engines get a little more revved up than usual, and you might have a false start to the race. So how do you know if PE is really the issue at hand?
When it comes to ejaculation, there is no set time that is considered too soon; it really depends on the extent of PE affecting your sex life as a whole. Signs that indicate PE include ejaculating under 1 minute into penetration or the low or absent ability to slow down climax during sexual intercourse (Porst et al., 2007). Often, the frustration that comes with PE results in stress and intimacy avoidance with your partner.
There are two types of premature ejaculation—lifelong and acquired:
Causes of PE vary between people and can be due to various factors, from biological to psychological reasons. The cause can also differ between lifelong PE and acquired PE.
PE is a common problem for numerous men, but it doesn’t have to be a secret kept behind closed doors. If PE is putting a damper on your sex life, don’t let it hold you back from getting intimate any longer. Through Noah’s simple medical evaluation service, you can speak to one of our doctors today and find a treatment suitable for you.
We usually prefer to keep our private matters in the bedroom, so it can be uncomfortable trying to find treatment for sensitive conditions like premature ejaculation (PE) in Singapore. Most people think that the only way to treat PE and other sexual problems is to go to a clinic and have that awkward conversation with a GP - and that can be quite anxiety-inducing. That’s where we come in.
Here at Noah, we understand the discomfort that PE can bring for you and your partner. We believe that getting treatment doesn’t have to be such a daunting experience. That’s why we’ve made it possible to avoid those awkward trips to the doctor by being Singapore’s premiere telemedicine company catering to sensitive health conditions for men such as PE, erectile dysfunction (ED), and hair loss, changing the way Singaporean men find treatment for the embarrassing situations you want to keep private.
From the comfort of your own home, you can consult with our licensed doctors who will help diagnose your condition and prescribe the appropriate medication. Within 4 hours, voila - you’ll receive your delivery discreetly.
There are several ways to treat PE. Sometimes behavioral techniques are effective, but sometimes you might need that extra bit of help through medication or supplements. It’s best to speak to a doctor who can advise you on the best approach for the treatment of PE, tailored to your needs.
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Drug medication for the treatment of PE is not available over the counter; you’ll need a doctor’s prescription to get these medicines. This medication is from a class of medicines known as Selective Serotonin Reuptake Inhibitors (SSRIs), which are used in the treatment of anxiety and depression. Priligy (Dapoxetine) is an SSRI indicated in PE treatment in Singapore and is the treatment of choice at Noah. It is an oral medication taken 1-3 hours prior to sexual activity, that helps you have more control over ejaculation and can delay it. Another SSRI medication used in the treatment of PE is Sertraline, otherwise known under the brand name Zoloft. We’ll go into more detail about these two medications in our following article, along with supplements and behavioral techniques for PE.
Some over-the-counter creams and sprays are also used to help those with PE troubles, such as mild anesthetics like lidocaine or benzocaine. These topical treatments are applied to the head of the penis and have a numbing effect, reducing penile sensitivity for the man, which can help delay ejaculation. However, this option may not be ideal for everyone because the numbing effect of the creams or sprays may also affect your partner during sex (especially without a condom) and could possibly lead to losing an erection.
On the other hand, if you prefer not to take the medication route and you’d like to find out more about how to prevent PE using non-pharmaceutical methods, there are more natural supplements (like zinc and magnesium) and psycho-behavioral techniques that you can try at home for improving endurance and preventing PE.
According to O’Leary (2004), all men will potentially experience PE at some time in their lives. Thankfully, there are a few options available for the prevention of PE, and it doesn’t always require medication. Through psycho-behavioral techniques, men can improve their endurance, learning to gradually stop PE and prolong the time before orgasm.
In a study by Chen et al. (2009), 58 PE patients were treated with psycho-behavioral therapy 2-3 times a week, over a 6-time course. Following the treatment, almost 80% of the patients reported a longer time before ejaculation, decreased sexual anxiety, and higher satisfaction for both themselves and their spouses during sexual experiences.
These psycho-behavioral techniques range from relaxation exercises to physical behavioral methods to stop PE. These methods include behavioral techniques such as masturbating before sex, a “start-stop” technique, and a “squeeze” technique.
A study by Myers and Smith (2019) found that working out your pelvic floor muscles appear to be effective in PE management. The researchers discovered that 83% of participants with PE had improved control over ejaculation after exercising their pelvic floor muscles. The exercises involved tightening and holding the pelvic floor muscles at intervals as they go about their day, to improve control and strength. It’s easiest to pinpoint these muscles when you’re in the toilet, by stopping halfway through urination and drawing your testicles upwards to your stomach. Once you’ve identified your pelvic floor muscles, engage and tense them for 10 seconds and release, repeating this 10 times. This exercise is discreet enough to be done throughout the day and may help you regain more control over ejaculation.
Dr. Tan Kok Kuan (2013) suggests that certain ‘passive’ sex positions may help you delay ejaculation. Studies have shown that positions with your partner on top can slow down ejaculation, so if you don’t mind being on the bottom, it’s worth a try. Apart from different positions, it may do good if you try making shorter thrusts during sex. The decreased surface area of the penis being stimulated may help in delaying ejaculation. One other way to decrease stimulation of the penis with the intention of delaying ejaculation is to use condoms during sex, more specifically, thick ones. Putting on a condom early into an intimate situation may help prevent excessive stimulation leading to PE.
If you find that these methods aren’t working for you, simply speak to one of our doctors here at Noah. They’ll be able to advise you on treatment suited for you and can also prescribe you the right medication if you need it. Priligy is the prescription of choice at Noah, an antidepressant which works on the area of your brain responsible for controlling ejaculation. Apart from that, the use of supplements for PE has been explored as well. For more information on these pharmaceutical options for the treatment of PE, simply look out for the next few articles in our blog series about PE, which talks about supplements and medication used in the treatment of PE.
The first step to understanding and diagnosing your PE is to consult with a doctor. Here at Noah, doctors on our platform will be able to ascertain the root cause of your premature ejaculation and determine whether it is lifelong PE or acquired PE. They will be able to advise you on the best treatment suited for you and can also prescribe you the right medication should you need it.
Looking for a PE doctor in Singapore but not too keen on making the awkward trip to the clinic? With Noah, a zero-judgment digital health clinic for men in Singapore, you can get the PE treatment you need from the comfort of home. See a licensed doctor and have the prescribed PE medication discreetly delivered to your door within 4 hours at no additional cost.
Looking for a PE doctor in Singapore, but not too keen on making the awkward trip to the clinic?
Behavioral therapy can be an effective approach to managing premature ejaculation. Techniques such as the "start-stop" method and the "squeeze" technique can help men gain better control over their ejaculation. The goal of behavioral therapy is to help men identify the psychological factors contributing to PE and develop strategies to manage them. A sex therapist or urologist can guide you through these techniques and provide support.
Topical anesthetics like lidocaine and benzocaine can be applied to the head of the penis to reduce penile sensitivity. These creams and sprays can help delay ejaculation by numbing the genital area. However, it's important to use them correctly to avoid transferring the numbing effect to your partner during sexual activity.
For some men, circumcision may help reduce penis sensitivity and delay ejaculation. This surgical procedure involves the removal of the foreskin, which can help decrease overstimulation during sexual intercourse. Consult with a urologist to understand if this option is suitable for you.
Psychological factors such as performance anxiety, stress, and other mental health issues can contribute to premature ejaculation. Addressing these factors through therapy or counseling can improve sexual function and help manage PE. Techniques like cognitive-behavioral therapy (CBT) can be beneficial in managing anxiety and improving sexual performance.
Prescription medications like Viagra (sildenafil) and Priligy (dapoxetine) can be effective in treating PE. Viagra, commonly used for erectile dysfunction, can help improve overall sexual function and delay ejaculation. Dapoxetine is specifically designed to treat PE by increasing the time it takes to ejaculate and improving control over ejaculation.
Natural supplements such as zinc and magnesium can support men's health and improve sexual function. These supplements can be used alongside other treatment options to enhance overall sexual health and performance.
Using vibrators and other sexual devices can help men desensitize the penis and gain better control over ejaculation. These devices can be used during masturbation to improve ejaculatory control and prolong the time before orgasm.
Strengthening the pelvic floor muscles through exercises can help improve control over ejaculation. Kegel exercises, which involve tightening and holding the pelvic floor muscles, can be done discreetly throughout the day. This technique can improve muscle strength and delay ejaculation.
Desensitizing sprays and creams containing lidocaine or benzocaine can be applied to the glans (head) of the penis to reduce sensitivity. These topical treatments can help delay ejaculation by numbing the sensitive areas of the penis.
Certain medical conditions such as phimosis (tight foreskin), urinary tract infections, and other health conditions can contribute to premature ejaculation. Addressing these underlying issues with the help of a healthcare professional can improve sexual function.
Ejaculatory disorders such as rapid ejaculation and delayed ejaculation can impact sexual satisfaction. Identifying and treating these disorders can help improve sexual health and performance.
Maintaining good genital health is crucial for preventing and managing premature ejaculation. Regular check-ups with a healthcare provider and practicing good hygiene can help prevent infections and other issues that may contribute to PE.
For further reading and understanding of premature ejaculation, refer to articles and studies published in the Journal of Urology. This journal provides valuable insights into the latest research and treatment options for sexual dysfunction and related issues.
If you are experiencing symptoms of premature ejaculation, it's important to seek medical advice. A healthcare professional can diagnose the condition, recommend appropriate treatment options, and provide support for managing PE. Early intervention can improve your sex life and overall well-being.
Premature ejaculation (PE) can be a distressing condition that impacts a man's self-esteem and sexual satisfaction. Understanding the causes, whether biological or psychological, and exploring various treatment options can significantly improve one's sexual health and overall well-being. From medication like SSRIs to behavioral techniques, creams, and natural supplements, there are numerous ways to manage and treat PE effectively. Consulting with a healthcare professional can help you find the best approach tailored to your needs, ensuring you regain control over your sexual experiences and enhance your intimacy.
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Articles featured on Noah are for informational purposes only and should not be constituted as medical advice, diagnosis or treatment. If you have any medical questions or concerns, please talk to your healthcare provider. If you're looking for a healthcare provider, click here.
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