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Premature Ejaculation (PE) Treatment

Emla 5% Cream
Pack Size: 5g
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Our Price: £11.50
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  • It is important you do not follow the instructions on the Patient Information Leaflet with this product; it gives instructions for different uses of Emla cream.
  • Pull back the foreskin and apply a pea-sized amount of Emla cream to the underside of the head and neck of the penis.
  • Leave the cream for 15 – 30 minutes before sex.
  • Ensure you remove all the cream before having sex as it can be transferred to your partner and reduce their sensitivity.
  • Emla cream is unaffected by food and alcohol, and is suitable for use with condoms.

Emla cream contains the active ingredients prilocaine and lidocaine. They are both local anaesthetics to help reduce sensation in the penis and delay ejaculation. 

Please read the Patient Information Leaflet for side effects and additional information.

Pharmacist Tip: Apply 1g of Emla cream to the head of the penis at least 15 – 20 minutes before sex. Ensure you remove all the cream before sex as it can make your partner numb and damage condoms if left on. Take care not to leave Emla cream on for too long, you don’t want to be completely numb.

If you do experience side effects from Emla cream they may include redness, tingling, swelling or paleness of the skin. If you experience any of these side effects they should not last long. Emla cream also has a small risk of itching or burning sensation. Please read the Patient Information Leaflet enclosed with your medicines for a full list of side effects.

If you experience any adverse effects from taking your prescribed medicine it is important to let us know immediately. Please log in to your online account and message one of our healthcare professionals or alternatively call us on 0117 971 1603. In a medical emergency you should contact the emergency services or go straight to your local Accident & Emergency.

Emla cream should not interact with any of your other current medicines. 

Emla cream should help to reduce the sensitivity of the penis, however its effectiveness can vary. If you find that Emla cream was not as effective as you would like first time, try spreading it over a larger area. Do not use more than a pea-sized amount and never leave it in place for more than 30 minutes. Leaving Emla cream on for too long can cause complete numbness and can prevent you from achieving an erection.

Priligy 30mg Tablets
Pack Size: 3 tablets
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Our Price: £26.50
Qty: In Stock 
It’s easy and takes less than 3 minutes
  • Reasons to Shop
  • Similar Products
  • Directions
  • Description
  • Side Effects
  • Warnings

Easy Online Consultations

Takes less than 3 minutes to complete

Fast, Discreet Delivery

Same day dispatch on orders before 4pm

Safe &
Secure

All data is safe & encrypted

UK Doctors & Pharmacists

Run by experienced, registered healthcare professionals

A Trusted
Brand

A network of private GP clinics in the UK

  • You should take one tablet 1 – 3 hours before sex, it is most effective if taken within this window.
  • Swallow the Priligy tablet whole with a full glass of water.
  • You should never take more than one tablet of Priligy in a 24-hour period.
  • Priligy can be taken with or without food.
  • You should avoid alcohol with Priligy as it may enhance the effects of alcohol such as sleepiness, dizziness and slow reactions.

Priligy 30mg tablets contain the active ingredient dapoxetine for premature ejaculation. Priligy acts on receptors in the brain to help delay and provide more control over ejaculation.

Please read the Patient Information Leaflet for side effects and additional information.

Pharmacist Tip: Priligy should be taken 1 – 3 hours before sex and has been shown to over double time to ejaculation and increase control over ejaculation in some men during clinical trials. 

If you do experience side effects from Priligy they may include headache and dizziness. Priligy has a small risk of nausea, vomiting, diarrhoea, and skin rash as with all medicines. Please read the Patient Information Leaflet enclosed with your medicines for a full list of side effects.

If you experience any adverse effects from taking your prescribed medicine it is important to let us know immediately. Please log in to your online account and message one of our healthcare professionals or alternatively call us on 0117 971 1603. In a medical emergency you should contact the emergency services or go straight to your local Accident & Emergency.

Priligy interacts with a small number of other medicines. These were checked during your online consultation with our GP. If you are unsure or wish to check your medicines for interactions with Priligy, check the Patient Information Leaflet enclosed with your medicine.

Priligy may be taken with medicines for erectile dysfunction such as Viagra, Cialis or Levitra, however it is important to stay well hydrated if you use this combination. This will help to reduce the slightly increased risk of dizziness or fainting. 

Priligy does not always work for everyone the first time they use it. If this is the case you should not give up, guidance states that you should try Priligy at least 6 times before trying an alternative dose or treatment.

Priligy 60mg Tablets
Pack Size: 3 tablets
Order in for Next Day Delivery
Our Price: £35.00
Qty: In Stock 
It’s easy and takes less than 3 minutes
  • Reasons to Shop
  • Similar Products
  • Directions
  • Description
  • Side Effects
  • Warnings

Easy Online Consultations

Takes less than 3 minutes to complete

Fast, Discreet Delivery

Same day dispatch on orders before 4pm

Safe &
Secure

All data is safe & encrypted

UK Doctors & Pharmacists

Run by experienced, registered healthcare professionals

A Trusted
Brand

A network of private GP clinics in the UK

  • You should take one tablet 1 – 3 hours before sex, it is most effective if taken within this window.
  • Swallow the Priligy tablet whole with a full glass of water.
  • You should never take more than one tablet of Priligy in a 24-hour period.
  • Priligy can be taken with or without food.
  • You should avoid alcohol with Priligy as it may enhance the effects of alcohol such as sleepiness, dizziness and slow reactions.

Priligy 60mg tablets contain the active ingredient dapoxetine for premature ejaculation. Priligy acts on receptors in the brain to help delay and provide more control over ejaculation.

Please read the Patient Information Leaflet for side effects and additional information.

Pharmacist Tip: Priligy should be taken 1 – 3 hours before sex and has been shown to over double time to ejaculation and increase control over ejaculation in some men during clinical trials. 

If you do experience side effects from Priligy they may include headache and dizziness. Priligy has a small risk of nausea, vomiting, diarrhoea, and skin rash as with all medicines. Please read the Patient Information Leaflet enclosed with your medicines for a full list of side effects.

If you experience any adverse effects from taking your prescribed medicine it is important to let us know immediately. Please log in to your online account and message one of our healthcare professionals or alternatively call us on 0117 971 1603. In a medical emergency you should contact the emergency services or go straight to your local Accident & Emergency.

 

Priligy interacts with a small number of other medicines. These were checked during your online consultation with our GP. If you are unsure or wish to check your medicines for interactions with Priligy, check the Patient Information Leaflet enclosed with your medicine.

Priligy may be taken with medicines for erectile dysfunction such as Viagra, Cialis or Levitra, however it is important to stay well hydrated if you use this combination. This will help to reduce the slightly increased risk of dizziness or fainting. 

Priligy does not always work for everyone the first time they use it. If this is the case you should not give up, guidance states that you should try Priligy at least 6 times before trying an alternative dose or treatment.

About Premature Ejaculation

Premature Ejaculation Background

THE Medical Online Doctor service allows men suffering with the distress of premature ejaculation to have a private consultation with a doctor and receive the treatment they require in a safe and discreet manner.

Premature ejaculation (PE) is a common problem for men during (or before) intercourse. It occurs when the male ejaculates (comes) too quickly during sex. There are no strict parameters regarding what is ‘too quickly’, though a recent survey looked at 500 couples and found that the average time between a man putting his penis into his partner’s vagina and ejaculation was approximately five-and-a-half minutes. This figure should only be treated as a guide as there is no official definition regarding how long intercourse should last. It should always be down to the individual and his partner to decide what amount of time is satisfactory for them. However, it is commonly interrupted that an ejaculation that occurs in less than two minutes can be classed as premature ejaculation. Premature ejaculation most commonly affects men in their teenage years and 20’s, however 40% of men have experienced it at some stage.

The causes for premature ejaculation are varied and not always clear. It can be caused by physical or psychological problems or in some cases both. For example, if a man has had erectile problems in the past, this can lead to a feeling of anxiety when engaging in sexual intercourse. This anxiety could result in premature ejaculation.

Common physical causes of PE include:

  • High blood pressure
  • Recreational drug use
  • Excessive consumption of alcohol
  • Diabetes
  • Multiple sclerosis
  • Prostate disease
  • Overactive or underactive thyroid

Common psychological causes of premature ejaculation include:

  • Unresolved sexual or emotional issues within a relationship
  • Stress
  • Depression
  • Anxiety about sexual performance (this is usually a common cause at the start of a new relationship, or when a man has had previous problems with sexual performance).

Premature Ejaculation Symptoms

Premature ejaculation is generally due to over-excitement or increased sensitivity of the penis meaning that an orgasm is reached faster than desired. The majority of men will experience some degree of premature ejaculation in their lifetime. The primary symptom is the inability for a man to control his ejaculation. This will usually result in him being unable to continue intercourse for a period long enough to satisfy both himself and his partner. There are two distinctively different types of premature ejaculation, these are; primary premature ejaculation and secondary premature ejaculation.

Primary premature ejaculation is a lifelong condition that can be caused by a number of different things. For example:

  • Genetic factors: Recent studies have suggested that a man is more likely to suffer from primary premature ejaculation if a first-degree male relative has also suffered with the condition.
  • Biological factors: If the nerve signals that travel from the brain to the penis have changed then it could result in the penis becoming more sensitive. This increased sensitivity will mean the penis will not require as much stimulation before ejaculation occurs.
  • Psychological conditioning: For example, if a teenager always rushes when masturbating (to avoid being caught), this early sexual experience can become habit-forming. Essentially, the mind has been conditioned to ejaculate very quickly.
  • Upbringing: If a man has suffered a strict or devoutly religious upbringing, they may come to view sex as inappropriate, wrong or sinful. These negative connotations may result in feelings of stress or unease when partaking in sexual activity. This may lead to being unable to relax during sex and can cause premature ejaculation.
  • Past sexual experiences: If a man has suffered an early traumatic sexual experience, such as sexual abuse or being caught masturbating. This can lead to lifelong feelings of stress or anxiety during sex, which can cause premature ejaculation.

Secondary premature ejaculation is a condition that is acquired by a man who has otherwise had a history of normal sexual performance. As with primary premature ejaculation, secondary can also be induced by both physical and psychological factors. For example:

  • Physical causes can include; prostate disease, high blood pressure, diabetes, thyroid problems, excessive consumption of alcohol or taking recreational drugs.
  • Common psychological problems include; stress, depression, anxiety about sex or unresolved sexual issues or conflicts.

Premature ejaculation often leads to self-esteem issues for the sufferers that can lead to anxiety, depression, and relationship problems due to their condition, it is therefore important not to suffer in silence.

Premature Ejaculation Diagnosis

If you feel you are suffering with premature ejaculation and it is making you or your partner unhappy then it is advised to consult a medical professional. Your GP, or our Online Doctor, will then ask a number of questions to try and understand the nature and cause of your problem. This may include:

  • Questions about your sexual and emotional health.
  • Questions about lifestyle, diet, exercise, alcohol etc.
  • Questions about your medical history (to try and identify any underlying medical cause).
  • Questioning whether you’ve sustained any pelvic injury or undergone any surgery in the pelvic region.

If the doctor can’t determine the cause through these questions then additional tests may be required. They can include a rectal examination to check for any abnormalities with the prostate gland. Blood and urine samples may also be taken. These samples can then be analysed to check the body’s hormone and cholesterol levels.

Premature Ejaculation Treatment

Treating premature ejaculation can prove challenging but most men who opt for treatment and persevere end up having successful outcomes. There are a variety of treatments and techniques used to help treat premature ejaculations, such as topical anaesthetics containing lidocaine or prilocaine. These will reduce sensitivity in the penis, allowing for longer sex. A topical preparation containing both these anaesthetics is Emla Cream. The directions for using Emla cream are as follows: Pull back the foreskin and apply a small, pea-sized amount of Emla cream to the underside and neck of the penis head. The cream is then left on for 15-30 minutes before sex. The Emla cream is then removed before having sex, so as not to transfer any of the numbing effect to your partner’s vagina.

Dapoxetine is another popular treatment for premature ejaculation. It belongs to a group of medicines called; selective serotonin reuptake inhibitors (SSRIs), although, unlike other medicines belonging to this group, Dapoxetine has been specifically formulated to treat premature ejaculation. The drug dapoxetine is also known as Priligy (the branded name). Priligy is the first medication to be licensed to treat premature ejaculation in the UK. It is usually taken one to three hours before having sex. It is only advised to take one Priligy tablet per day.

It is recommended that men wishing to try Priligy should begin treatment on the lower 30mg strength. The strength can then be increased next time if necessary depending on the response.

It is important to note that Emla cream and Priligy tablets only treat the symptoms of premature ejaculation and do not address the cause. It is important to try to understand the cause of your premature ejaculation and tackle any issues that you have control over.

Behavioural techniques, sex therapy or psychological counseling can help some men gain control over ejaculation and prevent the problem. Another non-medicinal treatment for premature ejaculation is couples therapy. Here any couple engaged in a long-term relationship will be able to discuss and hopefully resolve any emotional conflict or sexual issues that may be responsible for the premature ejaculation.

Premature Ejaculation Prevention

There are a number of self-help techniques that can be used to help prevent premature ejaculation. Before seeking medical advised it is advised to try the following:

  • Masturbate an hour before sex.
  • Use a thicker or numbing condom, such as Durex Extended Pleasure or Pasante Delay condoms.
  • Take breaks during sex and try focusing on something boring and unsexy during these pauses.
  • Inhaling a deep breath will briefly shut down the ejaculation reflex.
  • Letting your partner go on top. This will allow them to pull away when you are close to ejaculating.

 

*RRP is based on the highest price found for a comparable online service found on 04/09/14.

THE Medical Online Doctor service is owned and operated by Total Health Ethos Limited (Company Reg. 6170784). All orders are fulfilled by our pharmacy partners, BSM Healthcare Ltd (Company Reg. 08515600) and Red Label Medical Ltd (Company Reg. 08676338). All information that appears on this website is intended for information purposes only and should be used to supplement, not replace, your relationship with your local healthcare professionals. You should consult your doctor if you think you may have a health problem or before you start taking a new medicine. Please ensure you always read the information leaflets supplied with any medicinal products. For more information see our policies and terms and conditions at the bottom of every page. © 2017 Total Health Ethos Limited. All rights reserved.
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