Last Updated on June 30, 2020 by Dr. Philip Schein MD
Too early ejaculation, or, according to the International Classification of Diseases (ICD), premature ejaculation, is considered a prevalent sexual dysfunction. This is an impossibility of a man to control ejaculation. The climax can occur before the penetration of the penis, that is, when the male genital organ only comes into contact with the female genitalia. In addition, ahis can happen immediately after penetrating and just several frictions inside the vagina so quickly that the partner doesn’t have time to get an orgasm.
Self-Medication and Premature Ejaculation
Men who experience premature ejaculation and do not want to contact specialists because of false bashfulness try to deal with this on their own. They restrain ejaculation and try to tightly control themselves during intercourse. However, these efforts can lead to a result only if PE is psychogenic in nature and the roots of this condition are associated with ordinary inexperience. However, if the disorder is physiological (organic), self-medicating and staying in silence can only aggravate it.
Oral Pharmacological Treatments for Premature Ejaculation
Different medicines may be advised depending on the causes of PE, as the ailment can coexist with and linked to erectile dysfunction, inflammation of the prostate gland, etc. These can be drugs for potency, antidepressants, etc. In particular, there is evidence that Viagra can provide assistance with rapid ejaculation. For instance, in 2007, Chinese researchers at People’s Hospital of Hainan Province reported that sildenafil (Viagra’s active component) demonstrated good efficiency in treating PE. What’s more, it seemed to be more effective than paroxetine, an antidepressant which is used to assist PE sufferers (off-label). So, let’s get to the use of antidepressants in this sphere.
Several medicaments approved for depression treatment are unofficially used to treat premature ejaculation. They belong to the class of selective serotonin reuptake inhibitors (SSRIs). Examples include escitalopram (Lexapro), paroxetine (Paxil) and fluoxetine (Sarafem). The only medication which is specifically intended for treating PE and has multiple regulatory approvals for this is dapoxetine. It also belongs to SSRIs. Dapoxetine is sold under the trade name Priligy by Janssen-Cilag company. This oral preparation blocks the serotonin transporter thereby preventing serotonin breakdown and delaying climax. Multiple studies regarding applicability and safety of dapoxetine have been carried out. After several studies, including a paper published in Therapeutic Advances in Urology (2012) this substance is safe and well-tolerated.
In the near future, a topical aerosol (code name PSD502) may be licensed for PE treatment. It’s known that this remedy significantly increases IELT (intravaginal ejaculation latency time) but features minimal local and actually negligible systemic adverse reactions. According to ClinicalTrials.gov, a randomized study is being done to test the effect of this spray.
Read a thought-provoking article: 7 Myths about Premature Ejaculation and Their Debunking
Other Therapies for PE
If the head (glans) of the penis is hypersensitive, you can try the following method: apply an anesthetic ointment locally before intercourse and then put on a condom. There are also various techniques for delaying ejaculation during sex. Consulting a psychologist or sexologist can be helpful.
I’m an Oncologist and Hematology Specialist primary located in Bryn Mawr, Pennsylvania. I have over 55 years of experience in the medical field and more than 20 years of practice. I’m skilled at the treatment & diagnosis of a large array of ailments & diseases in adults.
- American Board of Internal Medicine Certification in Internal Medicine
- American Board of Hematology Certification in Hematology
- American Board of Medical Oncology Certification in Medical Oncology