Premature ejaculation is one of the most common sexual problems in men. It is diagnosed by talking with the doctor and an examination, it has effective treatments, and the first step is finding its type and cause.
Medically reviewed by Prof. Dr. Samir Ahmed Al-Samarrai, consultant urologist. Last reviewed:
Types of premature ejaculation
- Lifelong: present from the start of sexual life.
- Acquired: appears after a period of normal ejaculation, sometimes because of erectile dysfunction, prostatitis or anxiety.
How it is diagnosed
- A conversation about the estimated time to ejaculation, sense of control, distress and effect on the relationship.
- A physical examination to look for a physical cause.
- Routine laboratory tests are usually not needed.
Treatment
According to the European Association of Urology (EAU) 2025 guidelines:
- Treat any cause first, such as erectile dysfunction or prostatitis.
- Dapoxetine or a lidocaine/prilocaine spray are first-line treatments for lifelong premature ejaculation.
- Daily SSRI medicines are a second-line option chosen by the doctor.
- Behavioural and psychological therapy combined with medicines for acquired premature ejaculation.
All of these are used on prescription after a medical assessment.
Related topics
Frequently asked questions
Is premature ejaculation only psychological?
Not always. It can be present from the start of sexual life or appear later because of erectile dysfunction, prostatitis or anxiety, so the cause is looked for first.
Do I need tests to diagnose premature ejaculation?
Usually not. Diagnosis is based on talking with the doctor and an examination; routine laboratory tests are not needed unless a specific cause is suspected.
Can I use sprays or tablets without a prescription?
It is not advised. Some of these medicines need an assessment first because of side effects and interactions with other medicines.
Book a premature ejaculation consultation
Prof. Al-Samarrai and Dr. Amer Mousa assess premature ejaculation at Prof. Al-Samarrai Medical Center, Dubai Healthcare City, and medical consultations are confidential.
This information is for health education and does not replace a medical examination. See our medical content policy.