At Pollock Clinics, an individualized treatment plan will be determined for each patient after a thorough medical examination and consultation and with consideration of patient’s goals, values and preferences.
At Pollock Clinics, we offer a wide variety of treatment options. Our aim is to provide a biopsychosocial multidisciplinary treatment plan for premature ejaculation including psychosexual and behavioural therapy through our certified sex therapist, a variety of topical and oral medications, as well as the surgical option of penile frenulectomy as indicated for some patients.
There are variety of pharmacological and non-pharmacological treatment options for premature ejaculation with varying degrees of effectiveness and potential side effects. Traditionally, topical anesthetics such as Lidocaine/prilocaine combination applied to penis can be used to treat PE by reducing penile sensitivity; however, the side effects such as genital numbness and irritation for the patient and his partner can be quite a bothersome if the topical medication is not applied and administered properly.
Oral medications such as Selective Serotonin Reuptake Inhibitors (SSRIs) which are used to treat depression and anxiety have been shown effective in prolonging the ejaculatory time. Some experts also suggest a trial of Phosphodiesterase-5 inhibitors (such as Viagra, Cialis or Levitra) to help with PE especially in men who also suffer from erectile dysfunction. Other medications such as Tramadol (opioid medication) and older generation antidepressants (such as Clomipramine) have also been suggested but may in some people be associated with a more significant side effect profile.
Behavioural and psychosexual therapies have also been proven effective in delaying ejaculation especially in men with acquired PE. There are surgical options as well i.e. penile frenulectomy. All of these options are available through our Premature Ejaculation Program. Other proposed alternative treatments such as acupuncture, herbal medicine, yoga, etc. will certainly require further investigation for their efficacy.