Book NowBook NowPremature ejaculation (PE) is one of the most common male sexual health conditions, characterised by reaching climax sooner than desired during sexual activity.
It can lead to frustration, anxiety, and reduced relationship satisfaction.
At Harley Street MD, we treat men experiencing:
Our goal is to identify and address the underlying physical, hormonal, or psychological causes to help restore lasting control and confidence.
Premature ejaculation (PE) is one of the most common male sexual health conditions, characterised by reaching climax sooner than desired during sexual activity.
It can lead to frustration, anxiety, and reduced relationship satisfaction.
At Harley Street MD, we treat men experiencing:
Our goal is to identify and address the underlying physical, hormonal, or psychological causes to help restore lasting control and confidence.
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All consultations are conducted in a confidential, judgement-free environment by GMC-registered doctors experienced in men’s sexual health.
Our treatment plan typically includes:
We focus on long-term improvement through a combination of medical therapy, education, and lifestyle strategies.
Yes. It’s estimated that around one in three men will experience PE at some point in their lives. It’s a common and treatable condition.
It can be due to psychological factors such as anxiety or relationship stress, or physical factors like hormonal imbalance, nerve sensitivity, or underlying medical conditions. Often, both play a role.
While there’s no single “cure,” premature ejaculation can be effectively managed. With the right treatment and support, most men achieve significant improvement and better sexual confidence.
Dapoxetine is a prescription tablet designed specifically for premature ejaculation. Taken before sexual activity, it helps delay ejaculation and improve control.
Results vary depending on the cause and treatment method. Some men notice improvement within weeks, while others may benefit from ongoing therapy or medication.
Absolutely. Consultations at Harley Street MD are completely private and discreet, conducted by experienced men’s health specialists.
Premature ejaculation (PE) can often improve or completely resolve with the right treatment and support. In many cases, it is a temporary condition linked to stress, anxiety, or relationship concerns, and once those factors are addressed, control usually returns to normal.
For some men, PE is related to physical factors such as hormonal changes, prostate issues, or increased penile sensitivity. When these causes are identified and treated, symptoms usually improve significantly.
At Harley Street MD, we take a holistic approach — combining medical treatment, behavioural techniques, and psychological support — to help men achieve long-term improvement.
With professional guidance, most men find that premature ejaculation becomes highly manageable and no longer interferes with confidence or intimacy.
In short, yes, premature ejaculation can go away, especially when treated early and effectively.
Yes, simple lifestyle adjustments can make a noticeable difference. Reducing alcohol intake, stopping smoking, improving sleep, and managing stress all support better sexual function.
Regular exercise improves blood flow and hormonal balance, while strengthening the pelvic floor muscles (through Kegel exercises) can enhance control during intimacy.
A healthy diet, maintaining a stable weight, and open communication with your partner can also help reduce anxiety and improve overall sexual wellbeing.
Improvement varies depending on the cause and treatment plan. Some men notice progress within a few weeks of starting behavioural techniques or medication such as Dapoxetine, while others may take a little longer as therapy and lifestyle changes take effect.
At Harley Street MD, our doctors provide regular follow-up and adjustments to your plan to ensure you’re seeing steady progress and lasting results.
Not always. For mild or situational PE, behavioural strategies and lifestyle changes may be enough to restore control. However, for men with more persistent or lifelong PE, medication such as Dapoxetine (a short-acting prescription tablet) or topical treatments may be recommended to support progress.
In many cases, the best results come from combining medication with counselling or behavioural techniques, ensuring both physical and psychological factors are addressed.
Most treatments for premature ejaculation (PE) are safe and well-tolerated when prescribed and monitored by a qualified doctor. However, as with any medical therapy, there can be some potential side effects — depending on the type of treatment used.
1. Topical Treatments (Numbing Creams or Sprays)
These are applied directly to the penis to reduce sensitivity.
Possible side effects may include:
• Temporary numbness or tingling
• Reduced pleasure or sensitivity for the partner (if not washed off before intercourse)
• Mild skin irritation or allergic reaction in rare cases
To minimise these effects, always follow your doctor’s instructions for application and timing.
2. Prescription Medication (e.g. Dapoxetine or Other SSRIs)
Dapoxetine is a short-acting tablet licensed in the UK specifically for premature ejaculation.
Possible side effects can include:
• Mild nausea or dizziness
• Headache
• Diarrhoea or upset stomach
• Temporary drop in blood pressure (especially if taken with alcohol or certain medications)
• Difficulty sleeping or mild fatigue
These effects are usually short-lived and tend to improve as your body adjusts. Always inform your doctor about other medicines you take to avoid drug interactions.
3. Behavioural Techniques and Therapy
Behavioural training and psychosexual counselling are very safe and have no medical side effects. The main “risk” is emotional frustration if progress feels slow, which is why professional guidance and partner support are encouraged.
4. PDE-5 Inhibitors (e.g. Sildenafil, Tadalafil)
Sometimes used if premature ejaculation occurs alongside erectile dysfunction.
Possible side effects include:
• Facial flushing
• Nasal congestion
• Headache or mild visual changes
• Upset stomach
These are generally mild and temporary when taken correctly.
General Advice
• Most side effects are mild and manageable with proper guidance.
• Never use online or unregulated medication: always consult a registered clinician.
• Regular review with your doctor ensures your treatment remains safe and effective.
Pre-Care (Before Starting Treatment for Premature Ejaculation)
Before starting treatment for premature ejaculation (PE), there are a few important steps to help ensure your consultation and therapy are safe, effective, and tailored to your needs.
These pre-care guidelines help your doctor identify any underlying causes and create a personalised treatment plan.
1. Book a Private Consultation
Schedule a confidential appointment with one of our men’s health specialists. During this visit, we’ll review your medical and sexual history, discuss symptoms, and explore any emotional or relationship factors that may contribute to PE.
Try to be open and honest during your consultation, this allows us to recommend the most appropriate approach.
2. Medical and Medication Review
Before your appointment:
• Prepare a list of all medications or supplements you currently take (including over-the-counter or herbal remedies).
• Let your doctor know if you have any chronic conditions, such as heart disease, thyroid disorders, depression, prostate problems, or diabetes.
• Mention any allergies or sensitivities to medication or topical creams.
This information helps ensure that any treatment prescribed is both safe and effective for you.
3. Avoid Alcohol and Recreational Drugs
Alcohol and recreational substances can worsen premature ejaculation and may interfere with prescribed medication such as Dapoxetine. It’s best to limit or avoid these before and during treatment.
4. Prepare for a Physical Examination (If Required)
A brief physical examination may be performed to rule out any structural or medical issues. You may also be asked to provide blood samples for hormone or thyroid function testing.
There is no special preparation required, but wearing comfortable clothing is advised.
5. Manage Stress and Get Adequate Rest
Anxiety, fatigue, and stress can all contribute to PE. In the days leading up to your appointment, try to rest well, stay hydrated, and engage in light exercise to support overall wellbeing.
6. Set Realistic Expectations
Treatment results vary from person to person. Some men notice improvement within weeks, while others may require longer-term support. Your clinician will discuss what to expect and outline each stage of your treatment plan.
After-Care Instructions: Premature Ejaculation (PE)
After beginning treatment for premature ejaculation, following the guidance below will help you achieve the best possible results and ensure your therapy remains safe and effective.
These after-care steps support your progress and allow your clinician to monitor your response to treatment.
1. Follow Your Treatment Plan as Advised
Your clinician may prescribe medication such as Dapoxetine, topical anaesthetic creams, or recommend behavioural techniques.
To get the most benefit:
• Take medication exactly as directed.
• Do not exceed the recommended dose or frequency.
• Allow time for your body to adjust — some treatments improve gradually with consistent use.
If you are unsure about how or when to take your medication, please contact us for guidance.
2. Monitor Your Symptoms and Progress
Keep track of any changes you notice, such as:
• Increased control during intercourse
• Reduced anxiety or performance pressure
• Any side-effects from medication
This information is extremely helpful during follow-up appointments and allows your doctor to refine your treatment plan if needed.
3. Attend Follow-Up Appointments
Regular reviews are an important part of PE treatment.
During these check-ins, we:
• Assess how well the treatment is working
• Discuss any challenges, side-effects, or concerns
• Adjust your dosage or try alternative therapies if appropriate
Please attend all scheduled appointments so we can support your progress effectively.
4. Avoid Alcohol and Recreational Drugs
Alcohol, cannabis, and other recreational drugs can worsen PE and reduce the effectiveness of medications such as Dapoxetine.
Limiting or avoiding these substances will help you achieve better and more consistent results.
5. Continue Lifestyle and Stress-Management Strategies
Stress, fatigue, and anxiety can significantly influence ejaculation control. Alongside medical treatment, consider:
• Maintaining good sleep habits
• Regular moderate exercise
• Relaxation practices, such as breathing exercises or meditation
• Open communication with your partner
These measures can help improve both physical and emotional wellbeing.
6. Use Recommended Techniques Consistently
Your clinician may suggest behavioural strategies such as:
• The “stop–start” technique
• The “squeeze” technique
• Sensate focus exercises
• Reducing overstimulation during foreplay
Consistent practice often leads to better control and longer-lasting improvement.
7. Report Any Side-Effects Promptly
Most treatments for PE are well tolerated, but mild side-effects can occur, including nausea, dizziness, or headache (particularly with Dapoxetine).
Contact us straight away if:
• Symptoms are severe or persistent
• You experience mood changes
• You feel faint, unwell, or have any unexpected reactions
Your safety is our priority, and alternative options are always available if needed.
8. Maintain Realistic Expectations
Improvement often happens gradually. Some men experience benefits within a few weeks, while others require a longer course of therapy or a combination approach.
Your doctor will guide you through each stage and adjust your plan to help you reach your goals.
