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Premature Ejaculation


Premature ejaculation is not an uncommon condition for men to experience at some point in their life. It refers to instances where a man comes to climax “too early some or most of the time” when they engage in sexual intercourse. However, the definition of what constitutes “too early” can change from individual to individual, though most professionals define premature ejaculation as when a man ejaculates after less than two minutes of being aroused.

Premature ejaculation can occur during all forms of sexual activity, including vaginal sex, anal sex, oral sex, masturbation and simple physical contact.


Erectile dysfunction and premature ejaculation are often associated with one another, and can even be confused for each other, as they are both male sexual health conditions that relate to sexual activity and the male erection.

However, it is important to differentiate between the two conditions in order to select the most appropriate treatment. The main difference between the two conditions is that premature ejaculation is ejaculating too quickly, whilst erectile dysfunction (otherwise known as impotence) is an inability to achieve or maintain an erection.

If you still aren’t sure which condition you’re suffering from, speak to one of the Express Pharmacy team today using our discreet Live Chat service or by calling 0208 123 0703.


It is currently difficult to gain a clear diagnosis of premature ejaculation, as the guidelines for what the specific symptoms of the condition are is often changing. This is largely due to the fact that all men have a different idea regarding how long sexual intercourse should last, so one man’s concerns may be non-existent in another man who ejaculates after the same period of time.

There has been no specific length established for how long sexual intercourse should last. However, studies into the conditions have set certain guidelines which allow us to establish two main symptoms of premature ejaculation. These include:

  • Reaching the point of ejaculation within two minutes (120 seconds) or less of becoming aroused
  • This problem occurring regularly. Most men will experience “one off” or intermittent instances of premature ejaculation at some point in their life.

The regular experience of reaching ejaculation within two minutes is the surest sign that you may potentially be suffering with premature ejaculation. However, it is still beneficial to discuss your symptoms with a medical professional in order to gain a clear diagnosis.

The embarrassment associated with premature ejaculation is common but often misplaced. Infrequent or intermittent premature ejaculation can be embarrassing and inconvenient, but it does not necessarily indicate a sexual dysfunction. Perhaps the surest sign of persistent premature ejaculation is where a man finds that the problem does not ease even when they have become comfortable with their sexual partner.


There are many factors which can be at the root of premature ejaculation, which is why so many men experience the condition. These causes can be both physical and psychological, or it can be brought on by lifestyle factors too.

Physical causes of premature ejaculation include:

  • Spinal injuries
  • Diabetes
  • Vascular conditions
  • Prostate disease
  • High blood pressure
  • Multiple sclerosis
  • Neurological conditions

Psychological causes of premature ejaculation include:

  • Stress
  • Anxiety
  • Guilt
  • Nervousness
  • A lack of confidence
  • Unresolved emotional issues
  • Sexual inexperience

Lifestyle factors which can contribute to premature ejaculation include:

  • Excessive alcohol consumption
  • Drug use
  • Nicotine


The first step to resolving your premature ejaculation is to understand what is causing the condition. This will give you a clue as to what method of treatment will benefit you. For example, if your premature ejaculation is simply due to nervousness, this will likely get better as you become more sexually confident.

Lifestyle changes can help reduce symptoms of premature ejaculation if the condition is indeed caused by lifestyle choices like drinking and drug use, whilst therapy or opening up to a partner can help alleviate premature ejaculation caused by psychological concerns. If the condition is caused by an underlying physical issue, treating this concern can help alleviate your premature ejaculation.

Prescription medication is an effective method of premature ejaculation relief, particularly SSRIs (Selective Serotonin Reuptake Inhibitors). Premature ejaculation medication such as Priligy uses the active ingredient Dapoxetine to encourage ejaculation delay during sexual intercourse.