Premature Ejaculation Treatment

Medications are a highly effective component of premature ejaculation treatment, offering significant relief and allowing many men to gain the control they desire, leading to substantial improvements in sexual satisfaction.

• Oral Medications: Your doctor may prescribe oral medications (often used ‘as needed’ a few hours before sexual activity) that work by helping to regulate the neurotransmitters responsible for controlling the ejaculatory reflex. For most patients, these medications can significantly increase the time it takes to climax, helping to address the issue swiftly.
• Topical Creams: Anaesthetic creams, applied directly to the penis, also reduce sensitivity and can be very effective in delaying ejaculation.
• Combined Approach is Best: Based on clinical evidence, the most effective premature ejaculation cure is often a combined treatment plan. This involves using the oral medication for immediate control while concurrently practising behavioural techniques (like Start-Stop). The medication provides the time needed to successfully practice these techniques, leading to better long-term control, even if medication use is eventually reduced or stopped.

Your doctor will discuss the expected effectiveness based on your specific condition (primary vs secondary PE) and work with you to find the most suitable regimen.

The time it takes to see improvement in your premature ejaculation treatment at Elyon Clinic depends entirely on the therapeutic approach adopted:

Medical Intervention Timeline

Oral medication offers the fastest results. If prescribed by your doctor, you typically take the medication one to three hours before planned sexual activity. It will be active within your system almost immediately and should provide noticeable control and delay during that encounter. This provides immediate, temporary relief and helps facilitate the practice of behavioural techniques.

Behavioural & Psychological Timelines

• Behavioural Techniques: These methods are crucial for a long-term premature ejaculation cure, but require commitment. You will likely see gradual improvement over a period of several weeks to a few months as you train your body to manage arousal levels. Consistent practice is the key to success.
• Psychological Therapy/Counselling: If your PE is primarily driven by anxiety, stress, or relationship issues, counselling is effective but takes time to rewire thought patterns. Significant changes in mindset, confidence, and sustained control are usually observed over a few months of ongoing sessions.

As with any medication, the oral treatments used for premature ejaculation treatment do carry the potential for side effects, though most patients tolerate them well.

Common side effects can sometimes include:

• Mild nausea or dizziness.
• Headache.
• Temporary fatigue or drowsiness.

It is important to understand that every individual reacts differently to medication, and most side effects, if they occur, are usually mild and may diminish as your body adjusts to the treatment.

We prioritise patient safety at Elyon Clinic. Before starting any course of medication, your doctor will conduct a detailed consultation to review your complete medical history, explain all potential risks and benefits, and ensure the chosen treatment is appropriate for you. We encourage you to report any persistent or bothersome side effects immediately so we can adjust your dosage or try an alternative treatment strategy.

For most men seeking Premature Ejaculation treatment at Elyon Clinic, the cost of medication, consultation fees, and any necessary tests are generally not covered by MediSave, as sexual health is typically not classified as an essential or critical medical condition for MediSave claims.

Regarding private insurance, coverage can vary significantly depending on your specific policy and provider:

• General Policies: Standard health insurance plans often do not cover sexual health treatments or aesthetic concerns.
• Specialised Riders/Add-ons: If your policy includes a specific rider or a wellness component, there might be a possibility of partial coverage for consultation or tests.

To determine if your treatment for PE is covered, we highly recommend taking two steps:

1. Contact your Private Insurer: Call your insurance provider directly with details of your policy to confirm what is covered under “Men’s Health” or “Sexual Health” treatment.
2. Consult Elyon Clinic: Once you have a treatment plan from our doctor, our clinic staff can provide you with the necessary documentation or bills to submit to your insurance company for reimbursement processing.

We aim to make our services accessible and will advise you on the most cost-effective approach during your consultation.

Yes, stress and anxiety play a significant and often central role in causing or exacerbating PE. In fact, psychological factors are one of the most common causes of secondary PE (PE that develops later in life).

At Elyon Clinic, we recognise two primary ways that psychological factors affect control:

• Performance Anxiety: The single biggest factor is often performance anxiety, which is the intense pressure and worry about satisfying a partner or concerns about one’s sexual ability. This anxiety causes the body to release adrenaline and tension, leading to heightened sensitivity and a rushed, uncontrolled ejaculatory response.
• Learned Behaviour: High stress from work, life, or relationship conflicts can cause men to rush through intimacy or masturbation, creating a pattern where the body learns to ejaculate quickly. This conditioned response is challenging to break without dedicated effort.

When you seek treatment, your doctor will assess your mental well-being. A holistic approach includes addressing the anxiety, often through counselling, alongside behavioural techniques and medication. Treating the psychological roots is key to achieving a long-term premature ejaculation cure.