{"id":8800016,"date":"2026-09-09T13:26:28","date_gmt":"2026-09-09T13:26:28","guid":{"rendered":"https:\/\/www.costamedicalservices.com\/spain\/medical-library\/premature-ejaculation\/"},"modified":"2026-09-09T13:26:28","modified_gmt":"2026-09-09T13:26:28","slug":"premature-ejaculation","status":"publish","type":"page","link":"https:\/\/www.costamedicalservices.com\/sv\/spain\/medical-library\/premature-ejaculation\/","title":{"rendered":"Premature ejaculation: assessment and treatment options"},"content":{"rendered":"<style>.entry-title{display:none!important}.cmsarticle{--ink:#103d56;--muted:#647d8b;--blue:#2d78da;--cyan:#1baec5;--green:#16856f;--line:#d9e7ed;--soft:#f3f8fa;--warn:#fff7e8;--rose:#fff3f3;--shadow:0 18px 44px rgba(16,61,86,.11)}\n.cmsarticle,.cmsarticle *{box-sizing:border-box}.cmsarticle html{scroll-behavior:smooth}.cmsarticle{margin:0;background:#fff;color:var(--ink);font-family:Inter,Arial,sans-serif;line-height:1.68}.cmsarticle a{color:#176ecb}.cmsarticle 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span{display:block;font-size:11px;color:var(--muted);font-weight:600;margin-top:3px}.cmsarticle .reviewer{display:grid;grid-template-columns:70px 1fr;gap:17px;padding:22px;border:1px solid var(--line);border-radius:18px;margin:30px 0 22px;background:#fff}.cmsarticle .avatar{width:70px;height:70px;border-radius:50%;display:grid;place-items:center;background:linear-gradient(145deg,#daf4f7,#e8eefb);font-size:22px;font-weight:900}.cmsarticle .reviewer h3{margin:0 0 3px}.cmsarticle .reviewer p{font-size:14px;color:var(--muted);margin:0}.cmsarticle .seal{display:inline-block;margin-top:8px;color:var(--green);font-size:12px;font-weight:850}.cmsarticle .sources{font-size:14px;color:var(--muted);border-top:1px solid var(--line);padding-top:24px}.cmsarticle .sources h2{font-size:25px;margin-top:0}.cmsarticle .sources li{margin-bottom:9px}.cmsarticle .cta{margin-top:34px;padding:27px;border-radius:20px;background:var(--ink);color:#fff}.cmsarticle .cta h2{color:#fff;margin:0 0 7px}.cmsarticle .cta p{color:#c7d9e2}.cmsarticle .cta a{display:inline-block;padding:13px 18px;border-radius:12px;background:var(--blue);color:#fff;text-decoration:none;font-weight:850}.cmsarticle .disclaimer{margin-top:20px;padding:19px 21px;border:1px solid #cfdde4;border-radius:16px;background:#f7fafb;color:var(--muted);font-size:12px;line-height:1.6}.cmsarticle .disclaimer strong{display:block;color:var(--ink);font-size:13px;margin-bottom:5px}.cmsarticle .disclaimer p{margin:0}\n@media(max-width:850px){.cmsarticle .layout{grid-template-columns:1fr}.cmsarticle .toc{position:relative;top:auto}.cmsarticle .cards{grid-template-columns:1fr 1fr}.cmsarticle .related-grid{grid-template-columns:1fr}}\n@media(max-width:560px){.cmsarticle .page{padding:13px 15px 60px}.cmsarticle .hero{min-height:690px;padding:27px 21px;background-image:linear-gradient(0deg,rgba(255,255,255,.99) 0%,rgba(255,255,255,.95) 51%,rgba(255,255,255,.06) 75%),var(--hero);background-position:68% center}.cmsarticle .hero h1{font-size:40px}.cmsarticle .dek{font-size:17px}.cmsarticle .layout{gap:26px}.cmsarticle .summary{padding:22px 20px}.cmsarticle article{font-size:16px}.cmsarticle article h2{font-size:28px}.cmsarticle .cards,.cmsarticle .checklist{grid-template-columns:1fr}.cmsarticle .reviewer{grid-template-columns:56px 1fr}.cmsarticle .avatar{width:56px;height:56px;font-size:18px}}\n<\/style>\n<div class=\"cmsarticle\" lang=\"en-GB\">\n<div class=\"page\"><a class=\"back\" href=\"https:\/\/www.costamedicalservices.com\/spain\/medical-library\/\">\u2190 Return to the Medical Library<\/a><\/p>\n<header class=\"hero\" style=\"--hero:url('https:\/\/www.costamedicalservices.com\/wp-content\/uploads\/2026\/08\/Captura-de-pantalla-2026-08-24-a-las-20.18.42.png')\">\n<div class=\"hero-copy\">\n<div class=\"eyebrow\">Men&#8217;s health \u00b7 medical guide<\/div>\n<h1>Premature ejaculation: assessment and treatment options<\/h1>\n<p class=\"dek\">Medical guide on ejaculatory control, causes, assessment, treatments and realistic expectations.<\/p>\n<div class=\"tags\"><span>premature ejaculation<\/span><span>sexual health<\/span><span>dapoxetine<\/span><span>men&#8217;s health<\/span><\/div>\n<div class=\"byline\"><span><strong>Reading:<\/strong> 11 minutes<\/span><span><strong>Updated:<\/strong> August 30, 2026<\/span><span><strong>Medical review:<\/strong> Dr Paola Blanco<\/span><\/div>\n<\/div>\n<\/header>\n<div class=\"layout\">\n<nav class=\"toc\" aria-label=\"Content\"><b>In this article<\/b><a href=\"#resumen\">Summary and conclusions<\/a><a href=\"#s1\">What it really means<\/a><a href=\"#s2\">Lifelong or acquired<\/a><a href=\"#s3\">Available treatments<\/a><a href=\"#s4\">Safety and expectations<\/a><a href=\"#fuentes\">Official sources<\/a><\/nav>\n<article>\n<section class=\"summary\" id=\"resumen\">\n<div class=\"summary-label\">Summary and conclusions<\/div>\n<h2>The essentials in less than a minute<\/h2>\n<ul>\n<li>The diagnosis does not depend only on counting minutes: control, discomfort and the impact on the relationship matter.<\/li>\n<li>It can be lifelong or appear later; In the acquired form it is advisable to look for associated causes.<\/li>\n<li>Treatment can combine sexual education, psychosexual techniques and medication when indicated.<\/li>\n<li>It is not a personal failure and asking for help soon can reduce anxiety and tension as a couple.<\/li>\n<\/ul>\n<\/section>\n<section id=\"s1\">\n<h2>What it really means<\/h2>\n<p>The guides assess time to ejaculation, feeling of control, discomfort, and interpersonal difficulty. An isolated episode or an unrealistic expectation is not enough to establish a diagnosis.<\/p>\n<div class=\"answer\"><strong>Context matters<\/strong>The frequency, the onset of the problem, whether it occurs in all situations and how it affects the person and the couple guide more than an isolated figure.<\/div>\n<\/section>\n<section id=\"s2\">\n<h2>Lifelong or acquired<\/h2>\n<div class=\"table-wrap\">\n<table>\n<caption>Two patterns that change focus<\/caption>\n<thead>\n<tr>\n<th>Pattern<\/th>\n<th>What is reviewed<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td>From the first relationships<\/td>\n<td>Control, frequency, expectations and response to specific options.<\/td>\n<\/tr>\n<tr>\n<td>Appears after a normal stage<\/td>\n<td>Erectile dysfunction, prostatitis, anxiety, thyroid, medication and relationship.<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/div>\n<p>Medical and sexual history is usually the basis. Routine testing is not necessary in all cases; They are requested when the history or examination points to a specific cause.<\/p>\n<\/section>\n<section id=\"s3\">\n<h2>Available treatments<\/h2>\n<div class=\"cards\">\n<div class=\"mini\"><b>1<\/b><strong>Information and techniques<\/strong><span>Education, rhythm, communication and psychosexual approach.<\/span><\/div>\n<div class=\"mini\"><b>2<\/b><strong>Topical treatment<\/strong><span>Lidocaine\/prilocaine in indicated formulations.<\/span><\/div>\n<div class=\"mini\"><b>3<\/b><strong>Oral treatment<\/strong><span>Dapoxetine or other prescription options.<\/span><\/div>\n<\/div>\n<p>European guidelines recommend treating erectile dysfunction, a genitourinary infection, or another identified cause first. The combination of psychosexual intervention and pharmacological treatment may be useful in certain cases.<\/p>\n<\/section>\n<section id=\"s4\">\n<h2>Safety and expectations<\/h2>\n<p>Improvised anesthetic sprays and antidepressants should not be used without assessment. The medication has contraindications, interactions and adverse effects. It is also important to agree on what a realistic improvement would be: more control, less distress and a more satisfying sex life, not a \u201cperfect\u201d duration.<\/p>\n<div class=\"warning\">\n<h3>Check if there are other symptoms<\/h3>\n<p>Pain, blood in semen, discharge, urinary difficulty, loss of erection, or a sudden change warrant further evaluation.<\/p>\n<\/div>\n<\/section>\n<section class=\"related\">\n<h2>Continue on the right route<\/h2>\n<p>Related medical guides and service pages. This article provides general information; treatment and prescribing decisions require an individual medical assessment.<\/p>\n<div class=\"related-grid\"><a href=\"https:\/\/www.costamedicalservices.com\/spain\/telehealth\/online-doctor\/\">premature ejaculation<span>Clinical information and consultation<\/span><\/a><a href=\"https:\/\/www.costamedicalservices.com\/spain\/telehealth\/online-doctor\/\">Erectile dysfunction<span>Clinical information and consultation<\/span><\/a><a href=\"https:\/\/www.costamedicalservices.com\/spain\/telehealth\/online-doctor\/\">Online medical consultation<span>Clinical information and consultation<\/span><\/a><\/div>\n<\/section>\n<section class=\"reviewer\">\n<div class=\"avatar\">P.B.<\/div>\n<div>\n<h3>Medically reviewed by Dr Paola Blanco<\/h3>\n<p>Medical reviewer for Costa Medical Services. Clinical coherence, safety and source quality reviewed.<\/p>\n<p><span class=\"seal\">\u2713 Spanish medical registration 292891820 \u00b7 Review August 30, 2026<\/span><\/div>\n<\/section>\n<section class=\"sources\" id=\"fuentes\">\n<h2>Official and clinical sources<\/h2>\n<ol>\n<li><a href=\"https:\/\/uroweb.org\/guidelines\/sexual-and-reproductive-health-2022\/chapter\/disorders-of-ejaculation\">EAU: Disorders of Ejaculation<\/a><\/li>\n<li><a href=\"https:\/\/uroweb.org\/guidelines\/sexual-and-reproductive-health\">EAU: Sexual and Reproductive Health Guidelines<\/a><\/li>\n<\/ol>\n<\/section>\n<section class=\"cta\">\n<h2>Do you need a medical evaluation?<\/h2>\n<p>The consultation is used to review symptoms, history, medication and decide if online management is appropriate or if you need in-person care.<\/p>\n<p><a href=\"https:\/\/www.costamedicalservices.com\/spain\/telehealth\/online-doctor\/\">See medical consultation<\/a><\/section>\n<aside class=\"disclaimer\"><strong>Notice about AI and medical information<\/strong><\/p>\n<p>This article has been prepared with the help of artificial intelligence tools and may contain errors, inaccuracies or omissions. It is provided for general guidance only and is never a substitute for medical consultation, examination, diagnosis, or the instructions in the package insert. Do not start, stop, or modify a medication or delay urgent care based on this content alone.<\/p>\n<\/aside>\n<\/article>\n<\/div>\n<\/div>\n<\/div>\n<p><script type=\"application\/ld+json\" id=\"cms-confirmed-medical-review\">{\"@context\":\"https:\/\/schema.org\",\"@type\":\"MedicalWebPage\",\"@id\":\"https:\/\/www.costamedicalservices.com\/spain\/medical-library\/premature-ejaculation\/\",\"url\":\"https:\/\/www.costamedicalservices.com\/spain\/medical-library\/premature-ejaculation\/\",\"inLanguage\":\"en-GB\",\"reviewedBy\":{\"@type\":\"Physician\",\"name\":\"Dr Paola Blanco\",\"identifier\":\"Spanish medical registration 292891820\"},\"lastReviewed\":\"2026-08-30\",\"name\":\"Premature ejaculation: assessment and treatment options\",\"description\":\"Medical guide on ejaculatory control, causes, assessment, treatments and realistic 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