Premature Ejaculation (PE) is a common sexual‑health concern in Singapore, with around 40% of men reporting experiencing PE at some point in their lives. It can interfere with sexual satisfaction, leaving them feeling frustrated, uncertain, or anxious about their performance.
Several factors can influence the experience of PE, including both physical and psychological causes. When PE becomes frequent, it can create emotional strain, affect your confidence, and even impact your relationship.
Fortunately, PE is highly manageable with the proper support. Standard treatment options include medications like Dapoxetine, delay sprays, behavioural therapies, and counselling to address psychological factors such as anxiety that can contribute to the condition. You can get the appropriate care once a healthcare professional evaluates your condition and overall health.
This article explains what PE is and the various treatment options available in Singapore. It also highlights clinics where you can conveniently access these services, helping you take the first step toward better control and confidence.
Premature Ejaculation and its causes
Premature Ejaculation is when ejaculation happens sooner than desired or expected during sexual activity, that is, within 1 to 3 minutes of penetration. You may find it hard to delay ejaculation during most sexual encounters, which can lead to frustration, distress, or avoiding intimacy altogether.
PE can be something you’ve experienced since your first sexual experiences (lifelong), or it may develop later in life (acquired). While it does not pose an immediate threat to your physical health, it can impact your confidence, relationships, and overall emotional well-being.
There is no exact cause for PE, but several factors may influence how quickly ejaculation happens. These can affect you physically, psychologically, or both, and often overlap rather than acting alone. Common factors include,
- Stress, anxiety, low confidence, or relationship tension can affect sexual response and make ejaculation harder to control.
- Early sexual experiences, like rushed or negative first encounters, can create patterns that continue later in life.
- Changes in testosterone or thyroid hormone levels can impact the ejaculatory control.
- Differences in neurotransmitters, such as serotonin, can influence how the body regulates ejaculation.
- Smoking, excessive alcohol use, fatigue, or poor sleep can affect your overall sexual performance.
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Premature Ejaculation treatment options in Singapore
In Singapore, you have access to a variety of evidence-based treatments that can help you improve control, reduce anxiety, and enhance your overall sexual experience. This includes medications like Dapoxetine, topical delay sprays, and behavioural therapies, as well as counselling.
Each treatment is designed to address different underlying causes of PE, helping you find a solution that suits your needs and lifestyle. Let’s examine the early ejaculation treatments in more detail.
Medication-based treatments for PE
These include oral pills such as the Selective Serotonin Reuptake Inhibitors (SSRIs) or topical treatments that can help delay ejaculation by altering chemical signals in the brain or reducing penile sensitivity. The following are the standard medication options available in Singapore that can be prescribed to you.
Oral pills
Here are some oral medications that your doctor can prescribe to help control and improve early climax.
- SSRIs: Medications like Dapoxetine, Paroxetine, Sertraline, and Fluoxetine are commonly prescribed. While initially developed as anti-depressants, their side effect of delaying ejaculation helps manage PE. Dapoxetine is often preferred for its fast-acting properties and suitability for on-demand use.
- Phosphodiesterase-5 Inhibitors (PDE5): Medications such as Sildenafil (Viagra) and Tadalafil (Cialis) are primarily used to treat Erectile Dysfunction (ED), but they can also help if you experience both ED and PE.
- Tramadol: It is an opioid pain reliever that doctors can prescribe off-label when SSRIs are not effective. It helps with increasing Intravaginal Ejaculatory Latency Time (IELT), which is the time between penetration and ejaculation.
In Singapore, these medications are legally available only with a valid doctor’s prescription, ensuring safe and appropriate treatment from authorized pharmacies or verified online platforms.
Topical treatments
Topical treatments are anaesthetic products that can be used on demand when you need them to manage early ejaculation. You apply them directly to your penis before or during sex to reduce sensitivity and help you last longer. Common options include:
- Topical creams or sprays: They usually contain Lidocaine or Prilocaine to numb the penis tip, increasing the penetration period and enhancing satisfaction.
- Medicated condoms: They contain Benzocaine (a numbing agent on the inside) to reduce penile sensitivity to help delay ejaculation and prolong intercourse.
Non-medicated treatment options for PE
Non-medicated treatments focus on behavioural, psychological, and practical strategies to help you delay ejaculation and improve sexual control without relying on medication. Let’s look into some options in detail.
Self-help techniques
These include behavioural techniques as well as some strategies that you can incorporate to help you train your body and mind to respond more gradually during sexual intercourse. Some commonly used methods are:
- Stop-Start method: You stimulate yourself or with your partner until you feel close to ejaculation, then pause until the urge decreases. Repeating this several times before climax helps you gain better control and awareness.
- Kegel exercises: By regularly contracting and relaxing your pelvic floor muscles, you can strengthen them, delay ejaculation, increase sexual stamina, and reduce the risk of PE.
- Squeeze technique: When you feel like you are close to climax, gently squeeze the head or base of your penis. This helps delay ejaculation, improves your control over timing, and enhances your awareness of arousal with practice.
- Masturbation before sex: Masturbating one to two hours before sex can help reduce penile sensitivity, allowing you to last longer during intercourse. This technique gives you more control over arousal and delays ejaculation.
- Deep breathing: Practicing slow, deep breathing during sexual activity helps you stay relaxed, lower tension, and reduce arousal. This can delay the ejaculation reflex, giving you greater control over climax.
- Sex positions: Certain positions, such as having your partner on top, can decrease stimulation and sensitivity. Adjusting positions during sex can help you manage arousal levels and prolong sexual activity.
- Distraction methods: Redirecting your focus to non-sexual thoughts or images during intercourse can help lower arousal and delay ejaculation. This mental technique allows you to maintain control over climax and extend sexual performance.
While many of these techniques are self-trainable, involving a healthcare provider or sexual health practitioner can help guide you, monitor progress, and ensure you’re using the method correctly for the best results.
Counselling for PE
Counselling provides support to help you address relationship challenges, past trauma, or Performance Anxiety. It can be done individually or with your partner to improve communication, intimacy, and overall sexual satisfaction. Some key elements of counselling are,
- Cognitive Behavioural Therapy (CBT): CBT helps you recognise and change negative thought patterns or behaviours that may contribute to PE. By managing stress, anxiety, or performance worries, you can gain better control over your climax.
- Couples therapy: This helps you and your partner resolve conflicts, improve communication, and build emotional intimacy, creating a supportive environment that reduces Performance Anxiety and enhances sexual satisfaction while managing PE.
- Sex therapy: This helps you understand your triggers, reduce anxiety, and improve control. A trained therapist guides you through behavioural therapies and better communication, helping you build confidence, enhance intimacy, and manage ejaculation more effectively in a supportive space.
Where to find PE treatments in Singapore
If you are in Singapore and looking to get diagnosed or access treatments for Premature Ejaculation, there are a variety of clinics and healthcare providers specializing in men’s sexual health. Here are some centres that offer comprehensive care, including medications, counselling, and behavioural therapies:
Local health clinics and urology centres
In Singapore, men with PE can access professional, confidential care through medical clinics, specialist centres, and counselling services. These providers offer evidence-based treatment, personalised support, and long-term management.
- Health clinics: DTAP Clinic, TAF Clinic, and Reiwa Health
- Specialist urology centres: Urology Institute at Singapore General Hospital (SGH)
- Counselling services: Alliance Counselling and Mindwise
Teleconsultations
Many clinics and wellness centres in Singapore, such as the Digital Health Clinic, now offer teleconsultations for men experiencing PE. These virtual appointments enable you to discuss your symptoms confidentially, receive professional guidance, and obtain prescriptions or therapy recommendations without the need to visit a clinic in person.
Local licensed pharmacies
For prescription medications, visiting a licensed pharmacy ensures that you receive authentic, lab-tested medicines that are safe, properly stored, and dispensed with professional guidance. Notable pharmacies include:
- Summit Pharmacy
- Guardian Pharmacy
- UNITY by FairPrice
Online pharmacies
If you prefer the convenience of ordering your prescription medication for PE online, reputable pharmacies offer a safe and reliable option, provided you have a valid prescription. When you buy from platforms like Cheap Medicine Shop, you get:
- Genuine, lab-tested products
- Discreet shipping to protect your privacy
- Quick delivery right to your doorstep
- Order anytime from the comfort of your home
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Conclusion
Premature Ejaculation is a common issue that can affect your confidence and intimacy, but it is manageable. In Singapore, you have access to a range of treatment options, including medications such as Dapoxetine, topical treatments, behavioral techniques, and counseling. By combining professional guidance with self-help strategies, you can improve control, reduce anxiety, and enjoy more satisfying sexual experiences.
Health centers like DTap, Reiwa Health, and the Urology Institute at SGH offer consultations with certified professionals for personalized PE treatment. At the same time, clinics like Mindwise provide sex and couples therapy to address performance anxiety, communication, and relationship challenges.
When obtaining medications, it is essential to choose trusted platforms like Cheap Medicine Shop to ensure that the products you receive are genuine and safe. By taking action early, you not only address the physical aspects of PE but also support your emotional well-being and strengthen your relationships.
Frequently Asked Questions
Are there lifestyle habits that worsen Premature Ejaculation among men?
Lifestyle habits that can worsen PE include stress, anxiety, smoking, excessive alcohol, an inactive lifestyle, and a poor diet. Stress and anxiety, in particular, affect how your brain processes sexual stimuli, which can lead to losing climax control.
How long does it take to see results from PE treatment?
The time to see results from PE treatment differs depending on the method used and the individual. Medications like Dapoxetine can work within hours for on-demand use, while behavioral techniques, exercises, or counseling may take several weeks of consistent practice to show noticeable improvements.
Is Premature Ejaculation 100% curable?
No, PE is not always completely curable, but it is highly manageable. With the right combination of treatments, such as medications, behavioral techniques, lifestyle changes, and counseling, you can significantly improve control, reduce anxiety, and enjoy more satisfying sexual experiences.
Does frequent ejaculation lower testosterone?
No, frequent ejaculation does not significantly lower testosterone levels. Your hormone levels are primarily influenced by age, overall health, sleep, diet, and lifestyle factors rather than by ejaculation frequency.
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