Premature Ejaculation (PE) is one of the most common sexual-health concerns among men in the UK, where 1 in 5 men is troubled by it. If you’ve been finishing sooner than expected or finding it difficult to keep it in control, you’re not alone. The good news is that PE can be managed with the right mix of medical treatments, behavioural techniques, and lifestyle changes.
In London, you have access to several options ranging from topical numbing sprays and prescription medicine like Priligy to urology clinics, men’s sexual-health specialists, and counselling. You can also practise evidence-based ejaculatory control techniques, such as the stop-start method or pelvic-floor exercises, to help delay ejaculation naturally.
This article lists the most effective Premature Ejaculation treatments available in London, how you can access them, and which approaches can help you delay early climax.
Premature Ejaculation symptoms and causes
Premature Ejaculation happens when you climax earlier than you or your partner would like. Some may experience this persistently (chronic PE) while others only occasionally, especially during times of stress or high arousal.
Common symptoms include ejaculating within 2-3 minutes after penetration, difficulty controlling when you climax, or early ejaculation during both intercourse and masturbation. You may also experience reduced confidence or increased tension during sexual activity.
PE can be caused by physical or psychological factors or a combination of both. Understanding the cause of PE will help your doctor to draw up the most effective treatment plan best suited to you.
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Best treatments for Premature Ejaculation in London
Men in London can access various PE management options depending on their symptoms, comfort level, and the recommendations of their healthcare professional. These include medical therapy, behavioural methods, psychosexual counselling and lifestyle adjustments.
Here are the most effective treatments for Premature Ejaculation available to you in London.
Medications for PE in London
Medical treatments are prescribed when PE becomes persistent and doesn’t improve with self-guided exercises. In London, you can access:
1. Priligy
Priligy is the only licensed medicine in the UK as an on-demand treatment for Premature Ejaculation in adult men aged 18-64. It contains Dapoxetine, a short-acting Selective Serotonin Reuptake Inhibitor (SSRI) that boosts serotonin (a feel-good chemical) to prevent early climax. Your doctor may prescribe Priligy 30 mg to be taken 1-3 hours before sexual activity.
2. Paroxetine
Paroxetine is also an SSRI antidepressant that some doctors in the UK advise off-label to help delay ejaculation. Similarly, Fluoxetine and Sertraline are also prescribed to help prevent early ejaculation. One tablet is typically taken once daily, and benefits usually appear after 3-4weeks.
3. Fortacin spray
Fortacin is a prescription topical medication that combines 7.5 mg Lidocaine and 2.5 mg Prilocaine in each spray. These two local anaesthetics reduce sensitivity and help increase the time to ejaculation. It is approved and licensed by the MHRA in the UK for the treatment of lifelong Premature Ejaculation in adult males.
4. EMLA Cream 5%
EMLA is a local anaesthetic cream used to numb the surface of the skin before medical procedures. Although not licensed for the treatment of PE, it is applied to the head of the penis 20-30 minutes before intercourse. Available in 5 g and 30 g tubes, each 1 g of EMLA contains 25 mg Lidocaine and 25 mg Prilocaine.
5. Phosphodiesterase 5 (PDE5) inhibitors
Prescription-only PDE5 inhibitors, such as Sildenafil, Vardenafil or Tadalafil, are primarily approved for Erectile Dysfunction (ED), but have proven to be beneficial in treating men with both ED and PE. They improve blood flow to the penis, support longer-lasting erections and indirectly help control ejaculation.
6. Medicated condoms
Medicated condoms contain a mild numbing agent (such as Benzocaine) on the inside, which gently reduces penile sensitivity and helps you last longer in bed. These condoms do not require a prescription, so you can purchase them over the counter from local pharmacies and online retailers, such as Durex UK or Condoms.uk.
Non-medication PE treatment options
If you prefer non-medical approaches or want to support your medication with practical techniques, there are several evidence-based methods you can try. Most of these are recommended by top UK urology and psychosexual services.
1. Self-help techniques you can try yourself
These simple strategies may help you gain better awareness of your arousal and reduce the risk of climaxing too quickly:
- Masturbating 1-2 hours earlier in the day can temporarily reduce arousal intensity later, making it easier to last longer during intercourse.
- Practising slow and steady breathing during sex can help calm your nervous system, lower Performance Anxiety, and prevent rushing towards orgasm.
- Shifting your thoughts away from sexual focus when you feel close to climax might help delay it.
- Practice Kegels at home or see a pelvic-floor physiotherapist in London for personalised training to strengthen your pelvic muscles.
2. Behavioural techniques
With consistent practice, the methods explained below will help your body and mind to respond more gradually during sexual activity.
- Stop-start method: You or your partner stimulates the penis until you feel close to climax, then stop and allow the sensation to settle before starting again.
- Pause-squeeze technique: When you feel close to climax upon stimulation, apply gentle pressure to the head or base of the penis for some time.
3. Counselling and therapy
Anxiety, stress, and relationship tension can all contribute to PE. In London, you can access Psychosexual counselling, mindfulness-based sexual therapy or Cognitive Behavioral Therapy (CBT) to address Sexual Performance Anxiety, negative thoughts, or relationship-based sexual concerns.
Where to seek Premature Ejaculation treatment in London?
London offers several trusted options, including free NHS services and men’s health centres as well as private urology clinics, psychosexual therapists and pelvic-floor physiotherapists. Here are the most reliable and safe ways to access PE treatment in London:
NHS UK clinics
Your first step can be speaking with your National Health Service (NHS) general practitioner, who can assess your symptoms, rule out other medical concerns, and discuss treatment options, such as Priligy. If needed, they can refer you to NHS sexual health clinics located throughout London (in Soho, Chelsea, and Paddington). These clinics are free, confidential, and follow approved guidelines.
Private urology and men’s health clinics in London
If you prefer faster appointments or specialist-led guidance, London has several reputable private urology and men’s health clinics offering assessments for ejaculation disorders, sexual dysfunction and Performance Anxiety. You can visit Urology consultants at London clinics serving Marylebone, Chelsea, and London Bridge.
Psychosexual therapy and counselling in London
Counseling and therapy have proven to be very effective for PE due to Anxiety, stress, relationship tension, or negative sexual experiences. You can access qualified psychosexual therapists through NHS-referred psychosexual services in selected boroughs, private practices or Accredited therapists registered with the College of Sexual and Relationship Therapists (COSRT).
Telehealth services
If you want privacy and convenience, UK-licensed online platforms allow you to discuss your PE symptoms with a clinician for a proper diagnosis, guidance and discreet medication delivery. They adhere to local prescribing regulations and offer confidential support without requiring a clinic visit. The best options for PE include Sexual Health London and virtually.healthcare.
Pharmacies to buy your medication
After your healthcare provider or an online clinician approves a treatment like Priligy or Paroxetine, you will receive a prescription. Once you have that,
- You can pick up your medicines from major pharmacy chains such as Boots, LloydsPharmacy, or an independent chemist in your neighbourhood.
- Alternatively, if you prefer privacy and convenience, opt for a reputable online pharmacy that offers discreet, quick, and hassle-free delivery. You can choose Cheap Medicine Shop for authentic branded and generic medicines sourced from WHO-compliant facilities. You can also easily compare all available options and purchase them at lower costs than those offered by local pharmacies.
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Conclusion
Premature Ejaculation, or PE, is a common concern for many men globally, but it is also highly manageable. Kegel exercises, edging technique, mindfulness activities, counseling, and balanced lifestyle habits can make a noticeable difference in improving sexual stamina.
However, if PE persists or is lifelong (from the first sexual encounter), you will require medical treatment. Clinically proven options include medications such as Priligy, SSRIs like Dapoxetine or Paroxetine and topical delay creams/sprays. With a valid prescription, you can buy these from your local chemist or online pharmacies like Cheap Medicine Shop.
You can also easily access urology clinics, men’s health centres, psychosexual therapists, and telehealth platforms for Premature Ejaculation in London. A specialist will help you find the right mix of treatments and self-help strategies to achieve better climax control for a more satisfying experience.
Frequently Asked Questions
Is it safe to combine PE medications with supplements or herbal remedies?
No, it may not be safe to combine PE medications (Priligy, SSRIs, or topical anesthetics) with herbal remedies or supplements to delay ejaculation. This can possibly lead to drug interactions, causing adverse effects or worsening of symptoms. So, always disclose all existing medications or supplements to your doctor.
How long does it usually take to see improvement in Premature Ejaculation once I start treatment?
Depending on the type of treatment, it might take anywhere from a few days to a few weeks to see improvement in PE symptoms. Priligy and numbing sprays might work on the same day, whereas behavioral techniques, pelvic floor exercises, and therapy usually require weeks of consistent practice.
What lifestyle and exercise changes help delay ejaculation?
Lifestyle changes, such as eating foods rich in zinc, reducing alcohol consumption, managing stress effectively, and improving sleep quality, can help delay the onset of climax. Regular Kegel exercises in combination with behavioral techniques like edging or mindfulness also help delay ejaculation.
Can Premature Ejaculation return even after successful treatment?
Yes, symptoms of Premature Ejaculation can return after successful treatment if stress levels rise again, routines slip, or other causes reappear. To avoid this, continue pelvic-floor exercises, mindfulness techniques, or occasional behavioural training to delay climax. However, if symptoms persist, consult a specialist.
When should I consider consulting a specialist for Premature Ejaculation?
You should consult a men’s health specialist if PE persists, causes distress in relationships, or doesn’t improve with self-help methods or home remedies. A urologist, sexologist or psychosexual therapist will assess underlying causes and recommend personalised medical or behavioural treatment options.
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