Premature Ejaculation: Causes, Treatments, and Online Support

Dealing with premature ejaculation (PE) can be frustrating, but effective treatments are available. You can get a prescription for PE medication online from an EU-licensed doctor, without the need for an in-person clinic visit. Hi-Doctor offers a discreet and convenient way to access care: a €25 online consultation, a prescription issued in under 24 hours (if appropriate), and validity at any EU pharmacy. If the doctor determines the treatment is not suitable, your €25 fee is refunded automatically – no risk.

How it works — get your PE medication prescription in 4 steps

1. Fill out the online medical questionnaire (2–3 minutes) and pay the €25 consultation fee.
2. A licensed EU doctor reviews your case in private. If the doctor decides the treatment is not appropriate, your €25 is refunded automatically — no risk.
3. If approved, you receive a REMPE electronic prescription (PDF file) in your Hi-Doctor account and by email within 24 hours.
4. Print the PDF or show it on your phone — present it at any pharmacy in the EU to collect the medication.

Who qualifies for PE medication

During your online consultation, our EU-licensed doctors assess your medical history and symptoms to determine if PE medication is appropriate for you. They look for specific criteria, including:

• A consistent pattern of ejaculation occurring sooner than desired, often within one minute of penetration.
• Distress or interpersonal difficulty caused by premature ejaculation.
• Absence of other underlying medical conditions or medications that might be contributing to PE and would require a different approach.
• No contraindications to the specific medications used for PE, such as certain heart conditions or interactions with other drugs you may be taking.

The doctor's review ensures the treatment is safe and effective for your individual health profile.

What PE medication actually does (and doesn't do)

Medications for premature ejaculation primarily work by altering neurotransmitter levels or reducing sensitivity to help delay ejaculation. The most commonly prescribed options include:

• Selective Serotonin Reuptake Inhibitors (SSRIs): These oral medications, such as dapoxetine (specifically approved for PE in many countries), paroxetine, or sertraline, increase serotonin levels in the brain. Higher serotonin levels are associated with delayed ejaculation. You typically take these a few hours before sexual activity, or daily for some.
• Topical Anaesthetics: Creams or sprays containing lidocaine or prilocaine are applied directly to the penis to reduce sensitivity. This dulls nerve endings, making it take longer to reach ejaculation. These are applied shortly before intercourse.

It's important to understand that these medications help manage PE symptoms, but they are not a cure. Consistent use, often combined with behavioural techniques, provides the best results. They do not increase libido or treat erectile dysfunction, though some men may experience both conditions.

Side effects and when to stop

Like all medications, treatments for premature ejaculation can have side effects. For SSRIs, common side effects can include nausea, dizziness, headache, or mild fatigue. Topical anaesthetics might cause temporary numbness or a burning sensation, and can transfer to your partner if not used with a condom or washed off. Most side effects are mild and transient.

You should stop taking the medication and consult your doctor immediately if you experience severe allergic reactions (e.g., rash, swelling, difficulty breathing), persistent chest pain, significant changes in mood, or any other severe or concerning symptoms. Always follow your doctor's instructions and never exceed the prescribed dosage.

Why Hi-Doctor vs. walking into a clinic

Choosing Hi-Doctor for your premature ejaculation treatment offers significant advantages over traditional in-person clinic visits:

• Speed: Get a prescription in under 24 hours from an EU-licensed doctor, versus waiting weeks for an appointment.
• Price: A flat €25 online consultation fee, compared to variable and often higher private clinic fees.
• Privacy: Everything happens in your secure, RGPD-compliant Hi-Doctor account. No waiting rooms, no reception desk conversations, just discreet chat with your doctor.
• Convenience: Consult from your phone or computer, wherever you are in the EU. No travel, no time off work, no parking hassles.
• Trust: Join over 50,000 satisfied patients. We have a 4.8 Trustpilot rating, reflecting our commitment to patient care and service.