Premature ejaculation is a common and treatable condition. With proper medical guidance and a personalised approach, many men are able to improve control and regain confidence in their sexual health. If you are experiencing symptoms, seeking professional advice is an important first step towards effective management.
Premature ejaculation is the inability to control ejaculation resulting in ejaculation either before or shortly after sexual penetration, with minimal sexual stimulation and before the person wishes. The actual timing of the ejaculation can vary depending on the individual, from less than one minute to more than ten minutes.
It may result in an unsatisfactory sexual experience for both partners and may cause significant personal distress to the person and/or the partner. This can increase the anxiety that may contribute to the problem.
Premature ejaculation is one of the most common forms of male sexual dysfunction and has been reported to affect as many as 1 in 3 men. Premature ejaculation can be lifelong, which means it was present from the first sexual activity or acquired, which means it may have occurred after years of normal satisfactory sexual activity. Premature ejaculation can affect both young and old, as long as they are sexually active.
The following is a questionnaire to help identify men who may have a problem with ejaculating too soon during sexual activity.
Even if you do not have difficulties, please answer all the questions.
Please circle the number that best represents your answer for each of the questions below.
Please circle only one number for each question.
Remember there are no right or wrong answers to these questions.
While your experiences may change from time to time, what we need to know is your general experience with intercourse.
When you are done, add up the total score.
| Question | Score | Score | Score | Score | Score |
| How difficult is it for you to delay ejaculation? | Not difficult at all
0 | Somewhat difficult
1 | Moderately difficult
2 | Very difficult
3 | Extremely difficult
4 |
| Do you ejaculate before you want to? | Almost never or never
0 | Less than half the time
1 | About half the time
2 | More than half the time
3 | Almost always or always
4 |
| Do you ejaculate with very little stimulation? | Almost never or never
0 | Less than half the time
1 | About half the time
2 | More than half the time
3 | Almost always or always
4 |
| Do you feel frustrated because of ejaculating before you want to? | Not at all
0 | Slightly
1 | Moderately
2 | Very
3 | Extremely
4 |
| How concerned are you that your time to ejaculation leaves your partner unfulfilled? | Not at all
0 | Slightly
1 | Moderately
2 | Very
3 | Extremely
4 |
| Total Score: Less than 8 – No PE 9 – 10 – Possible PE More than 11 – Probable PE |
Premature ejaculation may occur with a new partner, only in certain sexual situations, or if it has been a long time since the last ejaculation. Psychological factors such as anxiety, guilt, or depression can cause premature ejaculation. In some cases, premature ejaculation may be related to a medical cause such as hormonal problems, injury, or a side effect of certain medicines.
Premature ejaculation is generally classified into two types:
You may consider seeking premature ejaculation treatment in Singapore if:
While occasional early ejaculation is normal, persistent symptoms may benefit from medical evaluation.
There is no single test that diagnoses premature ejaculation. Assessment usually begins with a discussion about your symptoms, sexual history, general health and any medications you may be taking.
Your doctor may ask about:
A physical examination or additional investigations may be recommended if your doctor suspects that another medical condition could be contributing to your symptoms.
This assessment also helps distinguish between lifelong (primary) and acquired (secondary) premature ejaculation so that treatment can be tailored accordingly.
Treatment for premature ejaculation depends on the type of PE, possible underlying causes, your overall health and how much the condition affects you. There is no single treatment that is suitable for everyone. A doctor can assess your symptoms and recommend an appropriate treatment plan, which may include behavioural techniques, counselling, topical treatments or prescription medication.
Certain behavioural techniques may help some men develop better awareness and control over ejaculation. These can include the start-stop technique, in which sexual stimulation is temporarily stopped before ejaculation and resumed once the urge has reduced.
Behavioural approaches may be used alone or together with other forms of premature ejaculation treatment.
Stress, performance anxiety, relationship difficulties and other psychological factors can contribute to premature ejaculation. Where these factors are significant, counselling or psychological therapy may be considered as part of treatment.
Addressing anxiety surrounding sexual performance can also help break the cycle in which concern about ejaculating too quickly creates further anxiety during sexual activity.
Certain topical anaesthetic creams, gels or sprays may reduce penile sensitivity and help delay ejaculation. These are usually applied before sexual activity.
Topical treatments should be used correctly as they may sometimes reduce sensation in the partner as well. A doctor can advise whether this form of treatment is appropriate and how it should be used.
Certain prescription medicines may be used to help delay ejaculation. Some medications affect serotonin activity, which plays a role in the ejaculatory response.
The appropriate medication depends on factors such as your medical history, other medicines you are taking and whether you have other sexual health conditions. Prescription medication should therefore be used under medical supervision.
When premature ejaculation develops after a period of previously normal ejaculatory control, a doctor may consider whether another condition is contributing to the problem.
For example, premature ejaculation can sometimes occur together with erectile dysfunction or other medical or psychological conditions. Identifying and managing an underlying condition may therefore form an important part of premature ejaculation treatment.
There is no guaranteed permanent cure for all cases. However:
Premature ejaculation can affect:
Seeking medical advice allows for:
Occasional early ejaculation is common. It is considered a medical concern when it happens consistently and causes distress.
Yes, in some cases it may improve over time, especially with lifestyle changes and stress management.
Medication can be effective for many men, particularly when combined with behavioural techniques.
When prescribed and supervised by a doctor, treatments are generally safe and tailored to your needs.
Premature Ejaculation Treatment Singapore.
Specific Men’s Health:
General Men’s Health:
Screening:
Please call 64433101, SMS 96622880 or email info@tanjongpagarclinic.com for more information.
