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Men's Health Clinic In Pretoria, Tshwane | South Africa

Men's Health Clinic

Premature Ejaculation

What is Premature Ejaculation?

Premature Ejaculation (PE), also referred to as early ejaculation or early climax, is most simply defined as the inability to delay ejaculation long enough for satisfactory intercourse. Although it is a condition experienced by 1 in 3 men, it was not classified as a medical condition for many years. In 2010, the International Society for Sexual Medicine (ISSM), set forth the following three guidelines to diagnose a patient with PE:

  • Ejaculation less than 1 minute after penetration (3 minutes in those who acquire PE later in life) for life long PE.
  • The inability to delay ejaculation
  • Negative personal consequences

What Causes Premature Ejaculation?

Premature Ejaculation is usually caused by a combination of an oversensitive glans penis (or head of the penis), and nervousness or performance anxiety during lovemaking. Fear of not being able to satisfy a sexual partner, which is common, often stems from previous experiences of premature ejaculation.  Subsequent, similar episodes can perpetuate the problem. Some biological causes of PE include:

  • Hormonal imbalances
  • Thyroid issues
  • Neurotransmitter abnormalities
  • Abnormal reflex activity of the ejaculatory system
  • Inflammation or infection of the prostate or urethra
  • Genetic abnormalities

PE can also occur in association with Erectile Dysfunction. In these cases, treatment often focuses on ED as the primary problem, with the aim of treating PE secondarily.

Treating Premature Ejaculation

Many treatment options exist for Premature Ejaculation but the most appropriate option is a treatment personalized to your condition and preferences.  That’s what differentiates a sexual health expert from your family doctor, the knowledge that no single pill or treatment is a one size fits all solution. Below is a list of generally available treatment options:


Some antidepressants can lead to delayed orgasm as a side effect. Due to this these medications, known as SSRI's, have been used by doctors to help delay ejaculation. These pills taken 4 to 6 hours before sexual activity have been shown to significantly increase the time from penetration to ejaculation. The downside to this treatment is the large side effect potential including, nausea, dry mouth and decrease in libido.


The treatment allows a patient to maintain an erection for up to 60 minutes, regardless of the occurrence of ejaculation.  With a greater ability to endure longer sexual experiences, men are often better able to consistently perform longer, leading to a decrease in sensitivity. Another benefit from each successful sexual encounter is a reduction in the anxiety that had been caused by prior instances of early ejaculation. ICP is most successful in moderate to severe cases of PE


Imperex™ is an oral medication used to treat premature ejaculation. It is taken approximately 90 minutes before sex and works by the targeted modulation of receptors and processes of the central nervous system that are involved in the ejaculatory process, resulting in a delayed ejaculation. At higher dosage, it can completely suppress the ejaculatory response.


These techniques are often a first line of treatment before moving on to a prescribed medication. They focus on orgasm control and are best suited for couples in a long term relationship since they take practice and the participation of your partner. In Start & Stop you will have intercourse up until you reach thee ejaculation threshold and then stop for 30 seconds. This pattern is repeated until you are ready to ejaculate. The squeeze technique is similar but adds a step where your partner will squeeze just below the head of your penis before the 30 second pause in stimulation.


The same medications used to treat erectile dysfunction may also have limited use in treating early ejaculation. Although they have not been shown to increase the time from penetration to latency, they can increase confidence, the perception of ejaculatory control and decrease the refractory time to achieve another erection after ejaculation. The limited benefits along with significant side effect risk makes these medications a poor choice for most men.


These sprays and creams contain a numbing agent, often lidocaine, applied to the penis in order to reduce sensitivity causing a delay in ejaculation. Recent breakthroughs in absorption has improved the effectiveness of these treatments making this a good option for mild to moderate cases of early ejaculation. Some men have reported a temporary loss of sensitivity or a decrease in sexual pleasure which can make this treatment less appealing.

Introducing Imperex


  • Custom blend of the latest FDA-Approved medications ensures full erections within a few minutes
  • Proven to help Men suffering with Premature Ejaculation last up to 5X longer.!

Looking For More Info?

If you have questions about treatment plans, medications, cost of your visit, or other general questions – visit our FAQs page or email us using the form below to contact a representative.

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