Top Treatments for PE in the Philippines: Behavioral, Prescription and more

Premature ejaculation (PE) is one of the most common sexual concerns among Filipino men, yet it remains largely undiscussed due to cultural stigma and embarrassment. Many men assume that PE is something they have to live with, but the truth is that effective treatments exist—ranging from lifestyle techniques to doctor-guided therapies.

If you’re struggling with PE, you’re not alone. Studies suggest that up to 30% of men experience premature ejaculation at some point in their lives (NIH Study on PE Prevalence). The good news? PE is highly treatable, and many men can improve their control with the right approach. This guide covers the best treatment options for PE available in the Philippines, helping you find the solution that works best for you.

What is Premature Ejaculation?

PE is defined as ejaculating too quickly during sexual activity, often within one minute of penetration. While there’s no universal standard for how long sex should last, PE becomes a concern when it causes distress, frustration, or relationship issues.

There are two types of PE:

• Lifelong PE – Men have always experienced PE since their first sexual encounters.
• Acquired PE – Men develop PE later in life, often due to psychological or medical factors.

Regardless of which type you experience, there are scientifically backed methods to help manage and improve PE.

Behavioral Techniques for PE

For many Filipino men, PE can be improved with non-medical approaches that focus on training the body and mind to increase control over ejaculation. These methods are particularly useful for mild-to-moderate cases and can be practiced alone or with a partner.

1. The Start-Stop Method

One of the most effective techniques, this involves stopping sexual stimulation just before ejaculation, waiting for arousal to decrease, and then resuming activity. This trains the body to build greater control over orgasm timing.

2. The Squeeze Technique

Developed by sex therapists, this method involves gently squeezing the head of the penis when you feel close to climax. This reduces sensitivity and can delay ejaculation over time.

3. Kegel Exercises for Men

Kegels aren’t just for women strengthening the pelvic floor muscles can help men gain better control over ejaculation.

Try this:

• Identify your pelvic floor muscles by stopping urine midstream.
• Perform three sets of 10 repetitions daily to strengthen muscle control.
• Consistency is key—results may take a few weeks to notice.

4. Mindfulness & Anxiety Reduction

Premature ejaculation is often linked to performance anxiety and stress. Practicing mindfulness, deep breathing exercises, and reducing anxiety before sex can improve ejaculation control over time.

Topical & Over-the-Counter Solutions

Desensitizing products available in pharmacies may help reduce sensitivity and delay ejaculation. Always check that these are locally registered and used as directed

Doctor-Guided Medical Treatments for PE

For men with persistent or severe PE, medication may be the most effective solution. Several prescription options are available in the Philippines, and these can be prescribed by a licensed healthcare provider. A review published in the Journal of Sexual Medicine found that certain doctor-prescribed treatments have been shown to help delay ejaculation, are effective for delaying ejaculation (Journal of Sexual Medicine).

1. Selective Serotonin Reuptake Inhibitors (SSRIs)

Some antidepressant medications prescribed by doctors have been found to increase ejaculation time as a side effect. While not originally developed for PE, they are commonly prescribed for this purpose.

How they work:

• These medications increase serotonin levels in the brain, helping to delay orgasm.
• Men taking SSRIs often experience 2-3 times longer ejaculation control.

Side effects:

• May cause mild nausea, dizziness, or mood changes.
• Should only be taken under medical supervision.

2. Dapoxetine (Priligy)

Doctors may prescribe specific short-acting treatments developed to help delay ejaculation. A study in the British Journal of Urology International found that men taking Dapoxetine significantly increased their intravaginal ejaculatory latency time (IELT) (BJUI Study on Dapoxetine). It is taken 1-3 hours before intercourse and has shown significant improvements in ejaculation control. A doctor-prescribed medication designed specifically to address PE

Pros:

• Fast-acting (works within hours)
• Generally well-tolerated
• Can be used as needed, rather than daily

Cons:

• Requires a doctor’s prescription
• Not suitable for men with certain heart conditions

3. Erectile Dysfunction (ED) Medications

While primarily used to treat ED, medications like Sildenafil (Viagra) and Tadalafil (Cialis) may help some men with PE by increasing confidence and control during intercourse. Certain medications used for erectile health may also support improved control during intimacy (consult your doctor first).

Combination Treatments: The Best Approach for PE

For many Filipino men, the best approach to treating PE is combining multiple methods for long-term improvement. A common treatment plan may include:

1. Behavioral techniques (start-stop, Kegels) for long-term ejaculation control.
2. Delay creams or sprays for immediate results when needed.
3. Prescription medication (such as Dapoxetine) for more persistent cases.

By addressing both physical and psychological factors, men can significantly improve their ability to last longer in bed.

When to See a Doctor for PE

While occasional PE is normal, persistent PE may require medical evaluation. You should consider seeking professional help if:

• PE has been an ongoing issue for more than six months.
• It occurs every time you engage in sexual activity.
• It is causing relationship stress or low self-esteem.
• You suspect an underlying medical issue, such as low testosterone or nerve damage.

Consulting a licensed healthcare provider can help rule out underlying causes and provide personalized treatment recommendations.

Managing PE Effectively

Premature ejaculation is a common but highly treatable condition. With the right combination of behavioral techniques, topical solutions, and prescription treatments, Filipino men can regain control over their sexual performance.

Key Takeaways:

• PE is common but treatable.
• Behavioral techniques like start-stop training and Kegels can improve control.
• Desensitizing creams and delay condoms provide fast-acting relief.
• Dapoxetine and SSRIs are the most effective prescription options.
• A combination approach often provides the best long-term results.

If PE is affecting your confidence or relationships, you don’t have to navigate it alone. Consult a licensed doctor or men’s health professional to discuss personalized treatment strategies that align with your needs and lifestyle.