At the end of the day, my priority is your health and well-being. Whether you're dealing with a complex urological issue or seeking advice on a sensitive matter, I am here to provide the expert care you need with the compassion and understanding you deserve.
As a Consultant Urological Surgeon specialising in men's sexual health and andrology for over 15 years, I've guided countless men through the challenges of premature ejaculation (PE). It’s an incredibly common issue – perhaps affecting around 30% of men at some stage [14, 15] – yet often shrouded in silence due to embarrassment or simply not knowing where to turn. Are you finding yourself finishing sooner than you or your partner would like? Does this cause distress or lead you to avoid intimacy? If terms like "coming too quickly," "how to stop premature ejaculation," or searching for ways to "last longer in bed" resonate with you, please know you are far from alone, and more importantly, that effective premature ejaculation treatment is readily available.
PE is common and treatable – don't suffer in silence.
Ready to take the first step towards regaining control and confidence?
Put simply, premature ejaculation is when ejaculation happens sooner than desired during sexual activity, leading to distress for you or your partner [1]. While there isn't a universal stopwatch definition, clinically we often consider ejaculation occurring regularly within about one minute of starting intercourse (intravaginal ejaculation latency time, or IELT) as indicative of PE, especially if it causes bother [1, 6]. The key elements are the short time to ejaculation, the inability to delay it, and the resulting negative personal consequences (like frustration, distress, or avoiding sex) [1, 6].
Premature ejaculation is the most common male sexual dysfunction, affecting men across all ages and backgrounds [5, 14]. Estimates suggest that around 1 in 3 men experience PE at some point [14]. Importantly, unlike erectile dysfunction, PE prevalence doesn't significantly increase with age [5]. It's a widespread issue, yet often under-reported due to embarrassment. Seeking PE treatment is a positive step towards improving your sexual health and well-being.
The causes of PE are often complex and can involve a mix of physical (biological) and psychological factors. Understanding the potential contributors is key to finding the right premature ejaculation treatment. Biological factors might include nerve sensitivity, hormone levels (like thyroid), or neurotransmitter imbalances (especially serotonin). Psychological factors often involve performance anxiety, stress, depression, or relationship issues.
Getting an accurate diagnosis is the first step towards effective PE treatment. This typically involves a confidential discussion about your sexual history, how PE affects you, and any relevant medical background. Sometimes, questionnaires are used to help quantify the issue. A physical examination may be performed if needed to rule out underlying physical causes.
A thorough consultation is key to accurate PE diagnosis.
The good news is that PE is highly treatable. I offer a full range of evidence-based options, often combining approaches for the best results. Treatments fall into several categories: behavioural techniques (like the squeeze technique), psychosexual therapy, topical treatments (premature ejaculation cream or sprays like Emla), and oral medications (including Priligy/Dapoxetine or off-label SSRIs). The best PE treatment for you depends on your specific needs and preferences.
A range of effective treatments are available for premature ejaculation.
PE doesn't just affect the individual; it can significantly impact intimacy and relationship satisfaction [20]. Open communication with your partner is crucial. Discussing feelings, concerns, and treatment options together can strengthen your bond and lead to a more fulfilling sex life for both of you. Involving your partner in the treatment process (with your consent) is often beneficial.
Addressing PE together can strengthen intimacy and communication.
While not a direct cure, certain lifestyle factors can influence PE. Managing stress through relaxation techniques or mindfulness, getting regular exercise, limiting alcohol consumption, ensuring adequate sleep, and maintaining a healthy diet can support overall sexual health and may complement other PE treatments by reducing anxiety and improving well-being.
It's time to consult a specialist like myself if PE is causing you significant personal distress, negatively impacting your relationship, or affecting your overall quality of life. You should also seek help if PE is a new problem for you (acquired PE), if self-help strategies haven't worked, or if you have other associated symptoms (like erectile dysfunction or pain). Remember, effective premature ejaculation treatment is available. Keywords: `when to seek help for premature ejaculation`.
My commitment is to provide expert, compassionate, and highly personalised care for men experiencing premature ejaculation. With over 15 years as a Consultant Urological Surgeon specialising in Andrology and Sexual Medicine, I understand the sensitive nature of PE and its impact on your life and relationships.
My philosophy centres on:
Developing your personalised PE treatment plan.
Ready to take control of premature ejaculation and improve your sexual health? Arrange a confidential consultation to discuss your concerns and explore personalised treatment options. As an experienced Consultant Urological Surgeon & Andrologist, I offer expert care in a supportive environment.
Appointments are available at my clinics in London (Chelsea & Westminster Hospital Private Care, Highgate Hospital) and Milton Keynes (The Saxon Clinic), or via Secure Video Consultation.
Contact my dedicated secretary team:
Phone: 01908 014478
(Please note: Calls may be recorded for training and quality purposes)
Email: mrollandinisecretary@ggomed.co.uk
Secure Online Booking: Book Appointment via Carebit
Patient Portal (for existing patients): Access Your Carebit Portal
Disclaimer: This website provides general information about Premature Ejaculation (PE) and its treatment based on current medical knowledge and guidelines within the UK. It is intended for educational purposes and should not replace a personal consultation with a qualified healthcare professional. Diagnosis and treatment recommendations must be tailored to your individual circumstances. Always seek professional medical advice for any health concerns. I am PIF Tick certified, demonstrating commitment to clear, accurate, evidence-based health information.
Page last updated: April 2025
The Patient Information Forum is the UK membership organisation and network for people working in health information and support. The PIF TICK is the UK-wide Quality Mark for Health Information.
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