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Premature ejaculation treatment, diagnosis & prescriptions

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Can I talk to a doctor on Maple about my premature ejaculation?

Yes, you can. The healthcare practitioner will want to discuss the symptoms and signs of premature ejaculation you’re experiencing, and some information about your sex life. They’ll also want to discuss your medical history, sexual history, and may suggest having a physical exam performed.

If you’re experiencing signs of premature ejaculation alongside difficulty getting or maintaining an erection, your healthcare provider may suggest additional testing.

In some cases, your healthcare provider may also refer you to a urologist, or a mental health professional that specializes in sexual dysfunctions. This may help determine the underlying causes of your premature ejaculation.

Once the healthcare practitioner can provide a diagnosis for your premature ejaculation, they’ll be able to make suggestions for premature ejaculation treatments.

Can I get a prescription on Maple?

Yes, our physicians can prescribe medications for premature ejaculation online during your consultation. Once you accept a premature ejaculation prescription, you’ll have the option to pick it up from any pharmacy or to have it delivered right to your door at no additional cost.

You can visit our How it Works page to learn more.

What is premature ejaculation?

Ejaculation is the term used for expulsion of semen from the body through the penis.

Premature ejaculation (PE), also known as rapid ejaculation, occurs when a man reaches orgasm too quickly and ejaculates without any control. This can occur before or soon after beginning foreplay or intercourse.

This is very common, affecting as many as one-in-five men at some point in their lives. However, when premature ejaculation symptoms begin to chronically affect sexual experiences of a man and his partner, it can be considered a medical condition.

There are two types of premature ejaculation:

  • Primary – lifelong premature ejaculation, beginning with your first sexual experiences
  • Secondary – premature ejaculation that develops after previous sexual encounters with no premature ejaculation symptoms
What are the symptoms of premature ejaculation?

The main sign of premature ejaculation is the inability to delay ejaculation for more than one minute after beginning penetration.

However, premature ejaculation symptoms can appear in any type of sexual situation, including foreplay, or even masturbation. This can lead to feelings of distress, frustration, embarrassment, and guilt.

Without treatment, premature ejaculation can cause some people to begin avoiding sexual intimacy altogether.

What causes premature ejaculation?

The exact causes of premature ejaculation aren’t known at this time. However, it’s believed that the chemical serotonin could be part of the cause of premature ejaculation. It’s been shown that high amounts of serotonin in the brain increase the time it takes to ejaculate, while low levels can cause premature ejaculation.

In addition to this, there are some psychological and mental health issues that could be involved in premature ejaculation, such as:

  • Guilt (which increases the tendency to rush through sexual experiences)
  • Stress
  • Anxiety
  • Depression
  • Unrealistic sexual performance expectations
  • Relationship issues
  • Lack of self-confidence
  • Sexual abuse
  • Early sexual experiences
  • Worrying about or focusing on premature ejaculation
  • Erectile dysfunction

There are some biological factors that could also increase the risks of experiencing premature ejaculation, such as:

  • Irregular hormone levels (endocrinopathies like diabetes)
  • Abnormal levels of neurotransmitters in the brain
  • Genetics
  • Inflammation/infection of the urethra or prostate
How is premature ejaculation diagnosed?

The healthcare practitioner will want to discuss the symptoms and signs of premature ejaculation that you’re experiencing, as well as your medical history. They’ll also want to discuss your sex life and may suggest a physical exam.

Your healthcare provider may also want to know whether you have difficulty getting and maintaining an erection. If you do, they may suggest having additional testing done to check your testosterone levels.

Sometimes, the healthcare practitioner may refer you to a urologist for further testing, or to a mental health professional that specializes in sexual dysfunctions. They will be able to help provide a clear diagnosis for your premature ejaculation and suggest treatments that will work best for you.

How is premature ejaculation treated?

Once you have a diagnosis for premature ejaculation, it may take time to find treatments that will work most effectively for you.

The most common treatments for premature ejaculation include:

  • Behavioural techniques
  • Using the “pause-squeeze” technique
  • Pelvic floor exercises
  • Prescription premature ejaculation medications (i.e., topical anesthetics, oral medications to delay orgasms like antidepressants, etc.)
  • Counseling
When to see a doctor for premature ejaculation?

If premature ejaculation is beginning to negatively affect your sexual experiences, it’s a good idea to get help.

A healthcare practitioner from Maple can help you try to narrow down the cause of your premature ejaculation, so that you can find treatments that will work effectively for you. They can also suggest prescription premature ejaculation medications that may help extend your sexual performance.

You don’t need to be embarrassed about premature ejaculation. There are treatments that can help you manage this condition. Book a call with a healthcare provider from Maple today, and start enjoying your sexual experiences again.

What is Maple?

With Maple, you can start talking to a doctor about your symptoms in a matter of minutes. We’re a healthcare app for fast, convenient 24/7 access to Canadian doctors.

You simply log in, tap a button to request a consultation, and we’ll immediately connect you to a doctor via live chat or video. You can visit our How it Works page to learn more.

Our doctors can assess symptoms, and provide treatment, including prescriptions as necessary.

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