Sometimes nice guys finish first. But they don’t have to.

It’s all about telemedicine here at Mosh, meaning you meet remotely with real doctors to create a bespoke treatment plan that gets results. They’ll ask about your health, everything from medications you take to your lifestyle, and how exactly PE is affecting you. They’ll also give you some handy tips for how to work through the treatment with your partner. After all, you’re in this together. Once that’s out of the way they’ll get cracking on finding the right treatment for you.

Good question, and one that doctors have struggled to answer until very recently. A lot of guys think they should be lasting longer only to discover that their time to orgasm is well within the average time frame. So let’s put it to bed once and for all.

According to the International Society of Sexual Medicine (ISSM) premature ejaculation is a male sexual health condition defined by the following 3 factors:

1. Ejaculation that always or nearly always occurs prior to or within about 1 minute of vaginal penetration from the first sexual experience. We call this LPE, or Lifelong Premature Ejaculation. Otherwise, a significant reduction in the time it takes to reach orgasm after engaging in sex, often to about 3 minutes or less. This one’s called APE, or Acquired Premature Ejaculation.
2. Not being able to delay ejaculation on all or nearly all vaginal penetrations.
3. Negative personal consequences, such as distress, bother, frustration, and/or the avoidance of sexual intimacy.

Basically though, it’s persistent or recurrent ejaculation that you have little or no voluntary control over, causing you and/or your partner distress.

As we mentioned before, there’s no one magical treatment that works for everyone, but the majority of men can still be treated successfully. It’s all about working with your doctor to find the right treatment combination for you. When it comes to PE, patience and perseverance is key.

We use a combination of behavioural tips and medication depending on your unique situation. Some guys will use an oral medication as well as a topical anesthetic that they cover with a condom, but you might find that that’s overkill for you. It’s all about your personal experience, so the sooner you chat to one of our doctors the sooner you can get started.

Basically, because sometimes ED is the underlying cause of PE - especially if it’s stress-related. We’re complicated beasts, and ED can often be the catalyst in a bunch of physiological changes that results in premature ejaculation.

Drugs work differently for everyone and sometimes there could be a chance of side effects. Familiarise yourself with the side effects so that you’re informed about the chances of them affecting you. And if you do experience some, not to worry. We’re here to manage your options with you.

Behavioural therapy tips play a huge part in PE treatments. A lot of guys experience big improvements with learned techniques as medication isn’t for everyone.

Some examples of these techniques include:

Topical anaesthetics that are applied to the penis just before sex. Creams, lotions or sprays that are all available over-the-counter. Decreased sensation = more time ‘til ejaculation.

Condoms. You know what they are and where to find them. Reduced sensitivity helps, especially when combined with a topical anaesthetic. Plus, it’s safe.

The Squeeze, and the Start-Stop Technique. 2 different strategies designed to give you control over the timing of your ejaculation.

Counseling. Just the simple act of talking to someone, whether it’s a mate or a therapist can dramatically increase the chances of success for some guys. You don’t have to lie down on the couch, just a simple phone call or text will do. Getting it off your chest is the first step in breaking the cycle, and helps you remember your value. Again, it’s a medical condition - not a flaw.

And don’t forget, it might be a combination of a couple (or all) of these things that works for you.

That all depends on the kind of treatment your doctor prescribes, but generally it'll cost around $5.6 per dose.