Premature Ejaculation
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Premature Ejaculation key facts

Premature ejaculation is a type of sexual dysfunction that occurs during sex, where a man is unable to prevent ejaculation. Here, we will take a closer look at the causes, symptoms, and treatments available for this condition.
What is Premature Ejaculation?
Premature ejaculation is when you are unable to delay ejaculation long enough during sexual intercourse, for sexual satisfaction. There is no measure for premature ejaculation, but if it occurs during foreplay, within a minute or shortly after sexual penetration, this may be classed as premature ejaculation.
Causes of Premature Ejaculation
Premature ejaculation can be caused by:
- Psychological factors, such as anxiety, stress, depression, guilt, and relationship problems, or
- Physical factors such as erectile dysfunction, imbalances in hormone levels, inflammation or infection of the prostate gland or urethra, recreational drugs, or genetics
Premature ejaculation, on rare occasions may result from nervous system damage due to surgery or trauma.
Diagnosing Premature Ejaculation
Speak to your doctor or a sexual health provider if premature ejaculation is affecting your sex life. They will carry out physical examinations, discuss your medical history and any other medical conditions you have, and potentially carry out blood tests to rule out any underlying health conditions.
Behavioral techniques for managing Premature Ejaculation
These aim to improve your control over ejaculation and delay orgasm. Two common methods are:
- The stop-start technique, where you stimulate the penis until you feel close to orgasm, then pause until the sensation stops
- The squeeze technique, where you apply pressure to the base of the penis to temporarily reduce arousal
Other therapy may include masturbating 1 or 2 hours before sex, to prevent early ejaculation when you are with your partner.
Pelvic floor exercises for Premature Ejaculation
Strengthening pelvic floor muscles through Kegel exercises, can also help improve ejaculatory control. Kegel exercises involve contracting the muscles used to stop you peeing midstream, holding them for a few seconds, and then relaxing. Repeating this exercise multiple times a day will help strengthen your muscles.
Medications for Premature Ejaculation
- Antidepressants, such as tricyclic antidepressants (clomipramine) and selective serotonin reuptake inhibitors (SSRIs), such as paroxetine, sertraline, fluoxetine, dapoxetine or Priligy. These may be prescribed off-label (for a reason other than the drug’s original use)
- Anesthetic creams or sprays containing lidocaine or prilocaine, such as Emla, applied to the head of the penis to reduce sensitivity and delay ejaculation
Lifestyle modifications
Maintaining a healthy lifestyle, regular exercise, managing stress levels, and practising relaxation techniques can all help with your sexual health. Avoiding excess alcohol consumption, recreational drug use and smoking can all have an impact on sexual function.
Psychological counselling for Premature Ejaculation
A mental health or sex therapist can help address psychological factors such as anxiety and provide coping strategies and techniques to manage performance anxiety. In some cases, a combination of medications and counselling may be recommended.
Communication and support
Honest, open discussions, with your partner, can help strengthen your emotional connection and couples or sex therapy may be beneficial in addressing your sexual relationship.
Frequently asked questions about Premature Ejaculation
Who does Premature Ejaculation affect?
Premature ejaculation can affect men of all ages and nationalities, with up to one out of three men displaying symptoms.
What causes Premature Ejaculation?
Psychological factors such as low confidence, performance anxiety, and relationship issues, as well as biological factors such as neurotransmitter dysfunction, hormone imbalance and physical health conditions, can all play a role.
Does anxiety cause Premature Ejaculation?
Anxiety may be a factor when it comes to sexual performance, but it is not the only cause of premature ejaculation. Premature ejaculation is classed as a physical problem, but, psychological factors, such as anxiety can make it worse.
How do I know I have Premature Ejaculation?
Your doctor will carry out an assessment of your medical and sexual history to rule out any underlying health conditions. This will need you to be open and honest in order for them to give you an accurate diagnosis.
Can Premature Ejaculation be treated with medication?
Yes. Selective Serotonin Reuptake Inhibitors (SSRIs) are used to treat premature ejaculation due to their side effect of causing delayed ejaculation. Speak to a healthcare professional to discuss the most appropriate treatment for your specific situation.
What other treatment options are available for Premature Ejaculation?
Other treatment options include:
- The pause and squeeze technique
- Kegel exercises
- Counselling and therapy
- Yoga and relaxation techniques
- Climax delaying gels and condoms
When should I get professional help for Premature Ejaculation?
Seek professional help if premature ejaculation is causing sexual problems, affecting your relationship or quality of life. Speak to a urologist, or sexologist for guidance, to develop a treatment plan based on your needs.
Conclusion
Premature ejaculation is a common problem caused by psychological, physical or a combination of both factors. With a proper diagnosis and treatment, it can, however, be managed. Behavioural therapy, Kegel exercises, medication, counselling, and changes to your lifestyle can all help improve your sexual experiences.
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Service Guide
Everything you need to know about Getting Treated Privately for Premature Ejaculation
What does the Get Treated Privately service for Premature Ejaculation do?
The Get Treated Privately service is a private prescribing service which is designed for adults aged 18 years and over, who are experiencing health issues and who would like to receive a fast-track assessment and if applicable, a treatment plan from a qualified prescribing clinician. Treatments for Premature Ejaculation are dispensed and delivered to your home or workplace from our regulated online pharmacy.
Is this a safe Premature Ejaculation prescribing service?
Yes. Our formulary of medications prescribed for Premature Ejaculation are controlled, governed, and continuously risk-assessed by our Medical Director, Dr. Aseel Hamoud. Unlike other prescribing services which operate using faceless questionnaires, our Premature Ejaculation prescribing service is conducted through remote video consultations, also known as synchronous consultations. This builds patient safety and prescribing appropriateness into our service, ensuring our prescribing clinicians can be satisfied with who and what they are treating. There is no guarantee of supply of medications, and any prescriptions supplied are at the sole discretion of our clinician prescriber. There is no charge for the Premature Ejaculation consultation.
What is a prescribing clinician and is it safe for me to use them on the NowPatient platform?
Our prescribing clinicians are board-certified pharmacists, nurses, or doctors who can also prescribe any medicine for any medical condition, subject to accepted accreditation and good clinical practice. They are all registered with their respective regulatory bodies. For example, a pharmacist independent prescriber is registered with the General Pharmaceutical Council (GPhC). Each prescribing clinician undergoes an extensive background check including a disclosure and barring service check (DBS). In addition, they undergo a rigorous license verification process. When you book an appointment with our prescribing clinicians you will see their full name, license number, and any specialized credentials they have.
Is the service available worldwide?
Yes, you can get treated privately for Premature Ejaculation worldwide.
Do I need to pay for this service?
Yes. This is a private service. You do not need to pay for the consultation. You only pay for the cost of the Premature Ejaculation treatment that you are prescribed.
How do I book a consultation?
Once you have logged into your account, you will need to navigate to the Get Treated Privately service card which is located as a service item on the dashboard.
Using the action button on the service card, you can select one of the following – ‘Search Treatments’ or ‘Search Conditions’. From here you can search for Premature Ejaculation.
Depending on the search type and the product/condition that you would like to get treated, you will be taken to a consultation booking screen. Follow the simple steps to complete your booking. During the booking confirmation, you will be able to select a date and time that is convenient for you, along with the preferred language and gender of the prescribing clinician you wish to choose. You will then see a list of all available expert clinicians who are trained to assess the medication or condition chosen. Once you have confirmed your booking, you will see a summary of the appointment including preliminary information about the consultation. At this point, you will also be able to add a reminder to your calendar. Always ensure your account health profile is up to date before any consultation. This ensures that our clinicians have the most up-to-date information about your current health status and anything that may influence their prescribing decisions. You will receive a push notification, SMS notification and email reminding you of your consultation, 30 minutes before the virtual consultation is due to start.
Depending on certain medications which require our clinicians to have your up-to-date blood pressure readings, you may be required to submit a virtual blood pressure check, using your smartphone or device. We will provide you with full instructions, when this is required.
What happens during the remote video consultation?
During the consultation, the clinician will ask you a series of questions that will allow the clinician to assess your condition and potential treatment options for Premature Ejaculation. At the end of the consultation, the clinician will decide which treatment options are safe and suitable option for you.
If it is, the clinician will discuss the treatment option, so that you can jointly agree on the treatment plan. Once you have jointly agreed on a treatment plan, the clinician will issue a prescription treatment for your Premature Ejaculation which will be available in your Cart at the end of the consultation.
Also, with your consent, the clinician may wish to inform your doctor of the treatment that was prescribed. We recommend that you agree to this since your doctor is responsible for your overall care and they should have a record of this consultation and medication prescribed. In addition, our clinician may take the opportunity to advise you on your overall health including advice on healthy living or stop smoking.
What happens at the end of the Premature Ejaculation consultation?
At the end of the consultation, you will receive a notification which will summarise the outcome. It will also advise you if any referrals were made to your doctor, along with any other advice that was given to you by the clinician.
If a referral letter was issued to your doctor, you will be able to view a copy of this in the ‘Documents’ section of the dashboard.
If you were prescribed a treatment, it will now be available in your Cart.
When you go to your Cart, you will be able to select the treatment, checkout and make payment. Once the checkout is complete, your prescription order will be sent to our regulated online pharmacy for processing.
What if the prescriber does not prescribe a treatment for Premature Ejaculation?
We operate a safe prescribing service. This means that our prescribing clinicians always exercise their clinical judgment when prescribing . Unfortunately, we do not operate a self select service where you can choose a medication and simply buy. If the clinician that sees you does not prescribe anything, then you will not be charged.
Will I get status updates for my order?
Yes. When your Premature Ejaculation treatment is approved, and after you have checked out and paid for your order, we will keep you fully updated with the status of your order. Every time the status of your order changes, you will be notified immediately. These notifications will appear in the ‘Notification Feed’ section on the dashboard.
How will my Premature Ejaculation treatment be delivered?
All orders are shipped in discreet and unmarked packaging. This means it is suitable for delivery wherever you require (home, work, or a neighbour).
For thermo-sensitive orders (e.g. Insulin or weight loss injections) we use cold chain-validated packaging. Your parcel will normally receive an estimated delivery window from the courier on the day of delivery.
For your protection and safety, your first order can only be delivered to the address that is registered with NowPatient. Future orders can be delivered to any other address, for example, your workplace.
Do you ship cold-chain or temperature sensitive products?
Yes. We use a specialist courier service for all thermo-sensitive deliveries. This is to ensure that cold chain integrity is always maintained and thus the product quality, safety and efficacy.
Learn more about how we handle the delivery of temperature sensitive products.
Where do you deliver?
We currently deliver to all postcodes/zipcodes worldwide. Some postcodes in rural areas may have a slightly longer delivery time.
When will my order arrive?
We aim to ship all orders placed Monday – Friday before 3pm on the same day. Orders placed outside these times will be shipped the next working day. All deliveries are shipped by Royal Mail, which delivers Monday through Saturday in the UK. For deliveries outside of the UK, please check with your national postal service for accurate delivery days.
Our delivery options have the following delivery times:
- UK – Royal Mail Tracked 24 & Signed for Delivery – Next day delivery
- Europe – Royal Mail Tracked – Typical delivery of 3-5 working days
- Worldwide – Royal Mail – Typical delivery of 5-7 working days. If a tracked option is available for your country via Royal Mail, this service will be applied.
What should I do if my order has not arrived?
Delivery is normally made promptly after your dispatch notification is received. You can check the tracking details of your Premature Ejaculation order in the ‘Notification Feed’ section of the dashboard, at any point after dispatch.
Unfortunately, packages can sometimes get lost in the delivery system. If after 10 days you have not received your delivery, please contact us and we will do all we can to resolve the problem.
Can you prescribe GLP-1 weight loss injections?
Yes. However, with GLP-1 weight loss medications, the license requires that there are support resources put in place as part of the plan including coaching for a healthy lifestyle, exercise, and diet. Our clinicians will discuss this with you, if you are prescribed this type of treatment.
You can learn more on our Weight Loss Programs feature page.
What’s included with my order?
If you are ordering a treatment for Premature Ejaculation, your order will contain your medication only.
If you are ordering weight loss injections, your order will contain:
- Your prescription of pre-filled weight loss injection pens
- Needles
- Sharps bin for safe disposal of needles (if ordered as part of the bundle)
Can I reorder my medication, if I have already been prescribed a course?
Yes. However, as a responsible prescribing service, we do not issue more than one monthly cycle of medication at a time.
This means that, if you would like to reorder, you will need to rebook a consultation.
This is important, because it allows our clinicians to keep track on the progress of your treatment plan and ensure that the medication remains safe and effective for you.
What is the earliest I can reorder my medication or treatment?
14 days after you have received your first monthly supply of medication, we will send you a notification to advise you that you are eligible to reorder your medication. To ensure that we are able to safely prescribe the Premature Ejaculation medication for the next supply, you will need to rebook a consultation.
This ensures that our clinician can check in on your treatment plan and ensure it is working as intended and continues to be safe, suitable and appropriate for you.
How do I reorder my Premature Ejaculation?
When you are eligible to reorder your next Premature Ejaculation prescription, we will send you a notification reminder. This notification reminder will request that you book a consultation with a NowPatient Clinician.
You should book a suitable time and date for the consultation.
At the end of the consultation, the clinician may advise you to either
- Stop the treatment
- Stay on the current dose
- Increase the dose
If our clinician deems it safe for you to continue the medication used to treat Premature Ejaculation, the prescription will be added to your cart, from where you can checkout.
Delivery will be made in line with our delivery timescales.
As a responsible prescribing service, we will always monitor your Premature Ejaculation treatment plan to ensure that it remains safe, effective and suitable for you.
How do I reorder weight loss medication?
Our weight loss programs are built to closely monitor treatment progress and safety. Please refer to the Weight Loss Programs Service Guide that explains how you can reorder or step edit your dose.
About Telehealth
Everything you need to know about video consultations
Watch the video below for a rundown of how NowPatient’s remote video consultations work:
Are remote video consultations right for me?
Remote video consultations or synchronous consultations are suitable for many patients who do not need a physical examination and who can communicate via video. Remote video consultations might not always be suitable – for example, if you need a test or physical examination. If that is the case, you will need to attend your doctor’s practice.
Although our Clinicians are clinically trained in various services that we provide, they are not a substitute for your doctor if you have a serious illness or life-threatening condition. If at any time during your remote video consultation, you feel that you would like to end that consultation, then you can say so and the consultation will be ended.
How do I know if the remote video consultation service is safe?
NowPatient has specific safeguards and protocols in place that ensures the service we provide you is safe, secure and effective. Our video technology platform is certified to the highest industry standards of data security and clinical governance.
Do I need to verify my identity during the remote video consultation?
Yes, for your safety and to ensure that the service we provide you, complies with regulations, our clinicians will request that you hold up your ID at the start of your virtual consultation to verify your identity.
Can I have a chaperone (carer, friend, family member) join a remote video consultation?
Yes. If they are in the same location as you, it is possible to have someone with you during your video consultation. You should let your clinician know if you have someone with you at the start of your appointment. You may be asked what relationship the chaperone has to you.
How can I be sure that you are handling and protecting my data securely?
We not only meet the UK and US standards for data security but we exceed them. We demonstrate this by regularly auditing our systems, both internally and externally.
Our various externally audited accreditations such as ISO27001, DTAC, DSPT, and Cyber Essentials + demonstrate our compliance with global security standards and should give you peace of mind.
How is my data stored?
NowPatient’s commitment to data residency is a key priority, and to that end, we only house data in validated data centers. We pledge that UK-based data remains solely in the UK, while US data is governed by HIPAA-prescribed data security protocols.
The data centers we use align with the highest standards of security and privacy, which is demonstrated by a programme of regular external audits to demonstrate the efficacy of safeguards against contemporary threats.
Are my consultations confidential?
Yes, we follow strict General Data Protection Regulations (GDPR) which came into force in May 2018. This places legal requirements on ourselves to ensure your personal data is managed securely with the utmost confidentiality. Records are maintained of the processing that is carried out and reported when breaches of the regulation do occur. Our platform is also HIPAA compliant which means we are able to handle PHI (Personal Health Information) securely.
Can I select which clinician I have my consultation with?
Yes. NowPatient allows you to choose from a pool of clinicians based on competencies, gender and languages spoken.
Will my doctor be informed of any consultations I have through the app?
We recognize that your doctor is responsible for your overall care. Our clinicians will communicate with your doctor if they have concerns or recommendations that could be beneficial for your overall care. Referrals are only made upon your explicit consent or if they form part of the terms of service that you consent to.
Do remote video consultations save money for health systems?
The traditional healthcare model encourages patients with health concerns to visit their doctor or pharmacy to seek a consultation. NowPatient is the first remote video consultation service that connects patients to a multi-disciplinary team of clinicians.
It allows patients to book a consultation with a clinician from anywhere in the United Kingdom and the United States. Consultations can be conducted using a smartphone, tablet or PC.
Are remote video consultations safer than online questionnaires?
NowPatient only provides its services in real time over a live video feed. This is called synchronous telehealth. We believe it is the safest way for you to receive remote care because it is in real-time. It is especially beneficial in an emergency situation as the clinician and patient can visually see each other. The clinician can ask all the questions they need to make a diagnosis or build a treatment plan during the consultation. Equally, any concerns you have can be addressed at the point of consultation.
Some providers use a low-tech approach for conducting clinical services such as a questionnaire or quiz. Although it may be suitable for low-risk clinical services, it often means you will not have any face-to-face interaction nor be able to raise concerns about treatment or diagnosis, in real-time, with the clinician who is providing your care.
What quality of care can I expect to receive from a remote video consultation?
Your remote video consultation, conducted by a NowPatient clinician, will always seek to provide you with safe, high-quality care. Your health and well-being is our priority. We continuously monitor and assess the services we provide you to ensure that it is safe, effective, caring and well-led.
Why am I being asked to provide my Blood Pressure reading?
For certain treatments and services, our clinicians require you to provide your most up-to-date blood pressure reading. This is to ensure that the service or treatment being considered is both suitable and safe for you.
If I don’t have a Blood Pressure monitor, how can I provide my readings?
The NowPatient app uses a new approach to measuring blood pressure using your smartphone camera held in front of your face. It is the world’s only blood pressure check without a cuff or wearable.
Is the remote blood pressure monitor safe and medically accurate?
Yes. It Is classified as a Medical Device. It conforms to EU CE and UKCA Class I Medical Device standards. There is also an impending CE Class IIa conformity, expected in Q2 2025.
How does the remote blood pressure monitor actually work?
The diagram below outlines how NowPatient’s blood pressure reading works:
When and how is my remote blood pressure reading taken?
At the point of booking any service or treatment, we will let you know whether there are any requirements for an up-to-date blood pressure reading.
If you are required to give a reading, you will be guided through a series of simple steps.
What devices does the remote Blood Pressure monitor work on?
You will need a recent iOS or Android smartphone with a front-facing camera. It is not available for use on desktop devices.
Why do my results keep failing when using the remote blood pressure monitor service?
Possible reasons why results are not being generated include:
- Bad lighting – Make sure you are well-lit by diffuse lighting. Avoid strong shadows and uneven lighting.
- Unstabilised device – Ensure your device is kept still during the reading.
- Not remaining still – You must stay still during the reading and avoid talking.
- Poor Wi-Fi – The service requires a strong and stable Wi-Fi signal.

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NowPatient has offices in the United Kingdom and United States.
In the UK, we are located at:
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Alternatively, if you need to speak to us, you can reach us on the following numbers:
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Who owns NowPatient?
NowPatient is owned and operated by Infohealth Ltd, a licensed online pharmacy with services spanning the UK, US and Rest of the World. Infohealth Ltd is registered in England and Wales under company number 04004930 and our registered office is at Lynwood House, 373 – 375 Station Road, Harrow, England, HA1 2AW.
Our website is www.nowpatient.com. Our App is called “NowPatient” and can be downloaded from the App Store (for Apple devices) or Google Play (for Android devices).
Can you tell me more about your NHS online pharmacy?
NowPatient’s Pharmaceutical services in the UK are provided by Infohealth Limited trading as ‘Infohealth Pharmacy’.
Our dispensing pharmacy is regulated and authorized for internet sales by the General Pharmaceutical Council (GPhC), registration number 1036487. You can view our license credentials on the General Pharmaceutical Council website. Our superintendent pharmacist who is responsible for the safe and effective oversight of medicines supplies is Mr Amish Patel (Registration Number 2042705).
Medicines are not ordinary items of commerce. All medicines or healthcare product sales are made under the supervision of a registered pharmacist who is licensed by the GPhC. At all times, we endeavour to provide a professional and transparent service whose primary goal is to ensure that the best interests of the patient are served.
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From time to time, we accept that our service levels may not be up to your expectations. NowPatient welcomes concerns, compliments and complaints as valuable feedback that will help us learn from your experiences and make improvements. Feedback can be provided via our clear and transparent Complaints Procedures.
Can you tell me more about NowPatient’s prescribing services for treatments offered?
Our prescribing services are regulated by the General Pharmaceutical Council (GPhC). We provide the following regulated activity:
• treatment of disease, disorder, or injury
• transport services, triage, and medical advice are provided remotely
• caring for adults over 65 years old
• caring for adults under 65 years old
NowPatient prescribing services are run by Infohealth Limited. The Clinical Safety Officer and nominated individual is Mr Navin Khosla.
Can you tell me more about NowPatient’s US services?
Our head of US services is Dr. Jamie Winn.
You can lower the cost of your prescription medications using our various savings programs which include drug coupons, savings card and manufacturer-sponsored patient assistance programs.
We do not provide any prescribing services or dispensing services in the United States.
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Yes. NowPatient provides trustworthy and accessible clinical, health education and prescription services. We are also trusted by the NHS to deliver clinical and NHS repeat prescription dispensing across the whole of England. In the United States, we work with over 65,000 pharmacies to deliver considerable costs savings for our users.
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Please note that we are closed at weekends.
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