Premature Ejaculation: Treatment Options and FAQs

Questions related to premature ejaculation?

Hello Doctor,
I would like to inquire about the following:
1.
Is there a specific treatment regimen for Dapoxetine (Priligy)? There are conflicting opinions online.
Are there any necessary examinations before using it? I would like to understand what the underlying issues might be.
Currently, I am single; should I seek treatment now or wait until I have a partner? I am concerned about the potential awkwardness if my partner finds out.
2.
For those taking antidepressants, how long does it typically take to see effects? Is it necessary to take them for a lifetime, or can one stop once they notice improvements?
3.
I found a product listed under the Ministry of Health and Welfare's Food and Drug Administration, "H-Dapoxetine F.C.
Tablets 30mg, License No.
059806." The online description states that it is similar to Dapoxetine but at a more affordable price; however, it also requires a doctor's prescription.
Is this also a treatment that follows a specific regimen, or is it intended for as-needed use?
Thank you, Doctor.

A Mu, 30~39 year old female. Ask Date: 2018/10/23

Dr. Chen Jiansheng reply Urology

1.
Some scholars suggest taking the medication six times before reassessing its use, without the need for special examinations unless necessary.

2.
Generally, antidepressants take about two weeks to show effects; the duration of medication use is not fixed and should be determined based on clinical evaluation.

3.
The medication should be a generic drug, with the same active ingredient as Priligy, and the treatment course should be similar.

Reply Date: 2018/10/23

More Info

Premature ejaculation (PE) is a common sexual dysfunction that affects many men at some point in their lives. Understanding the treatment options and addressing frequently asked questions can help individuals manage this condition effectively.

1. Treatment Options for Premature Ejaculation
One of the most commonly prescribed medications for PE is Dapoxetine, marketed under the brand name Priligy (必利勁). Dapoxetine is a selective serotonin reuptake inhibitor (SSRI) specifically designed for the treatment of PE. It works by increasing serotonin levels in the brain, which can help delay ejaculation.

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Treatment Regimen
While there is no universally mandated treatment regimen for Dapoxetine, it is typically taken 1 to 3 hours before sexual activity. It is not intended for daily use but rather as needed. Some patients may benefit from a trial period to assess effectiveness and tolerability. It is advisable to consult with a healthcare provider to determine the best approach based on individual circumstances.

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Pre-treatment Evaluation
Before starting treatment, it is essential to have a thorough evaluation by a healthcare professional. This may include a physical examination and a discussion of sexual history and psychological factors. Understanding the underlying causes of PE—whether they are psychological, physiological, or a combination of both—can guide appropriate treatment.

2. Psychological Considerations
If you are single and experiencing PE, it is still worthwhile to seek treatment. Addressing the issue proactively can enhance your confidence and improve future sexual experiences. There is no need to wait until you are in a relationship to seek help, as understanding and managing the condition can alleviate anxiety.

3. Antidepressant Medications
If you are considering the use of antidepressants for PE, it is important to note that these medications may take several weeks to show effects. SSRIs, including Dapoxetine, can help with PE, but they may also be prescribed for anxiety or depression. The duration of treatment can vary; some individuals may need to continue medication long-term, while others may find that they can stop once they achieve satisfactory control over their symptoms. Always consult with a healthcare provider before making any changes to your medication regimen.

4. Alternative Medications
Regarding the alternative medication you mentioned, H-Dapoxetine (御久膜衣錠), it is indeed similar to Dapoxetine and may be prescribed for the same purpose. However, it is crucial to use it under the guidance of a healthcare professional. Like Dapoxetine, it may be used on an as-needed basis rather than as a daily treatment. The effectiveness and safety profile should be discussed with your doctor.

Conclusion
In summary, premature ejaculation is a manageable condition with various treatment options available. Dapoxetine is a well-studied medication that can be effective for many men. It is essential to have a thorough evaluation by a healthcare provider to determine the most appropriate treatment plan tailored to your needs. Whether you are single or in a relationship, seeking help for PE can lead to improved sexual health and overall well-being. Always consult with a healthcare professional before starting any new medication or treatment regimen.

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