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Ejaculation Disorders

Too fast, too slow or not at all? We get to the root cause for you.

An estimated 1 in 3 men have faced premature ejaculation, with 1 in 25 men experience delayed ejaculation.

Premature Ejaculation

Ejaculations always or nearly always occur within a minute or so of penetration are considered premature. In most instances, there is difficulty delaying the ejaculation, causing men and their partners significant distress and frustration. It can then lead to avoidance of sexual intimacy.

Premature ejaculation can be classified as acquired or lifelong. Men can acquire the condition at some point in their life, such as after a significant event or change. It can also be a lifelong issue, where they have known this to be the case from their very first penetrative sexual experience.

 

 

Delayed Ejaculation

There are 2 types of delayed ejaculation: primary and secondary.

Primary delayed ejaculation applies to men who have always had difficulty ejaculating. Secondary delayed ejaculation occurs in men who previously had no issues with intercourse but developed this problem. Delayed ejaculation can be caused by physical and psychological factors.

 

Physical factors include:

 

Psychological factors include:

Don’t Keep Your Ejaculation Problems To Yourself

When men touch themselves, the speed, pressure, duration and intensity necessary to produce an orgasm tend to be very dissimilar to what they may experience with a partner. This means that the orgasms may be difficult to reproduce in partner-related sexual activity. If you feel that something isn’t right, please reach out – help is available, and there are many options!

Treatment Options

Interestingly, drugs that have been commonly used as anti depressants have been found to be very effective in managing premature ejaculation. A pill called Dapoxetine (Priligy) has been formulated to be taken just a few hours before intended sexual intercourse to lengthen time for penetrative sex. Paroxetine, a common antidepressant pill can be used daily to treat more severe PE. 

In some cases, PE happens due to a coexisting erectile dysfunction hence treating the erectile dysfunction with medications like Viagra, Cialis etc can alongside resolve the PE Issue.

There is increasing data showing that sex therapy can be more effective than medication to manage ejaculation disorders. This can help men and their partners work on psychological, emotional, and relationships issues that are either long-standing or a recent result stemming from the distress of ejaculation disorders.

Do note that this requires a longer term commitment to resolve this problem.

If your ejaculation disorders are caused by a shortage of testosterone, you may benefit from testosterone replacement therapy, which can take place in the form of injections or gels.

Numbing sprays are another way to treat premature ejaculation on an on-demand basis. Local, topical aesthetic sprays can be applied to the head of the penis approximately an hour before sex. The spray then reduces sensitivity to touch, so ejaculation does not happen undesirably early.

We’re here to answer even the most sensitive and intimate questions. Take the first step, and we’ll take care of the rest.

FAQ

How can one enjoy sex with premature ejaculation?

If couples define sex as the time period between penetration and ejaculation (also known as the latency period), then it might last just a few minutes when there is an issue of premature ejaculation. But if they include foreplay and other sexual activities such as massage and oral sex etc, the experience can last for a much longer period.

If the individuals are satisfied with the duration of vaginal penetrative sex, even if it lasts for just over a few minutes, then the couple does not have an issue as they are both satisfied with that duration of penetrative sex and it does not cause them distress or frustration.

 However, in a couple setting where penetrative vaginal sex mostly occurs under a few minutes (eg 2-3 mins), and one or both partners are unsatisfied, bothered and negatively affected by this, then this can be classified as premature ejaculation.

It is helpful to have realistic expectations – typically, the normal time to ejaculation is between 5 to 7 mins.

 

Do drugs like Viagra help to manage premature ejaculation?

Yes! Common drugs for erectile dysfunction like Cialis, Viagra and Levitra can actually alleviate some of the problems with premature ejaculation. As these drugs provide men with stronger vigour of erection, they also reduce what many men call ”performance anxiety”. Since anxiety is often a concern for men with premature ejaculation, a man using drugs like Viagra, Cialis and Levitra then find that not only are their erections stronger, they may also ‘last longer’.

Can delayed ejaculation be circumstantial?

Yes. Sometimes, it only occurs in specific circumstances, such as only with specific sex partners or it occurs with sexual intercourse with a partner but not with masturbation. A man who masturbates a certain way, with a specific intensity or speed that gets him off, might not reach that required threshold of stimulation during intercourse with a partner.

Does not ejaculating cause any problems?

For some men who suffer from delayed ejaculation, ejaculation cannot be achieved at all. While this condition does not pose any serious medical risks, it can be a source of stress and may create problems in your sex life and personal relationships.

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Lucas Rose
Lucas Rose
2022-01-18
They were really good. I felt comfortable talking to them and I'm sure they can fix my issues.
Naomi Lim
Naomi Lim
2021-10-20
Going to consult Dr Jess has gotta be one of the best decisions I've made in 2018. I'm always a little nervous when I visit a doctor or dentist but she puts me completely at ease. Like another reviewer put it, she truly engages with you and never makes you feel like your question is stupid (you know that feeling). I especially like how she's very upfront with the costs before prescribing or proceeding with anything. I've recommended her to my family and all my friends! Edit: Just wanted to add a shoutout to Dr Jess's team. Each of the ladies I've met in the last couple of years have been so welcoming and warm which calms my nerves while waiting to see Dr Jess or waiting for medication to be dispensed. I don't know why but appointment making can be quite an intimidating process for me but they've always been so kind and are always responsive.
Margoob Chowdhury
Margoob Chowdhury
2021-06-10
Great place! I went there for some tests and one of the tests was taking it's sweet time at the lab. The clinic staffs opened a whatsapp conversation with me and started providing daily updates. I really appreciate their diligence, professionalism and proactive support. Highly recommend if need a GP in this neighborhood.
Nessa Swinn
Nessa Swinn
2021-06-03
Dr Jess is great. Really helpful, patient and accommodating. Thank you also to Hani for the friendly service rendered.
Loh Wanping
Loh Wanping
2021-05-04
No regrets calling up for a consultation to get our concerns sorted out! Lovely responsive team to work with and Dr Jess was professional, warm & friendly and answered all of our questions. Really appreciate the extra time she put in to talk to us. :) Thanks so much! Will highly recommend!
Malanai -
Malanai -
2020-08-28
Dr Jess is an amazing doctor with a beautiful heart. What I really love about her is that is super realistic. She does not promise rapid/fake results. She is very humble and I really like it that spent her time to talk and explain to me about my condition in detail. I have been to so many other doctors for the same. They will just talk briefly and try to push me to start the treament on the spot / nurses will start discussing on pricing.Wasted my time and money in the wrong clinic before. However, Dr Jess is just different.She is not greedy. Very helpful and high level of professionlism and empathy.And her staff Hani is super sweet too. Customer service top notch. Sometime I send message so late when i need something urgently. Hani will still reply to me patiently. I am so lucky I finally found the best doctor and her assitant for my lady needs :) . I only have one regret-I didnt find them earlier.
Maria Lara
Maria Lara
2020-06-30
I am soooooo glad I went here to have my concernssorted. I have no words how comfortable I am after she had me checked up. Her hands are very light aswell. It's like having a class about our body parts. She explained my result that I had back in Bangkok than the doctor I had there. How I wish there is someone like her that will make sure all our questions and concerns are answered. She's the best of best. Highly recommend her. Price is reasonable too. Just thank you Dr.Jess and her assistant Aisyah. Have a wonderful day always.
Lynn Tang
Lynn Tang
2020-06-17
Dr Jess is great - she explains things well and is very patient and helpful.

We’re here to answer even the most sensitive and intimate questions. Take the first step, and we’ll take care of the rest.