Preparing for your appointment

It's normal to feel embarrassed when talking about sexual problems, but you can trust that your doctor has had similar conversations with many other men. Premature ejaculation is a very common — and treatable — condition.

Being ready to talk about premature ejaculation will help you get the treatment you need to put your sex life back on track. The information below should help you prepare to make the most of your appointment.

Information to write down in advance

  • Pre-appointment restrictions. When you make your appointment, ask if there are any restrictions you need to follow in the time leading up to your visit.
  • Symptoms. How often do you ejaculate before you or your partner would wish? How long after you begin having intercourse do you typically ejaculate?
  • Sexual history. Think back on your relationships and sexual encounters since you became sexually active. Have you had problems with premature ejaculation before? With whom, and under what circumstances?
  • Medical history. Write down any other medical conditions with which you've been diagnosed, including mental health conditions. Also note the names and strengths of all medications you're currently taking or have recently taken, including prescription and over-the-counter drugs.
  • Questions to ask your doctor. Write down questions in advance to make the most of your time with your doctor.

Basic questions to ask your doctor

The list below suggests questions to ask your doctor about premature ejaculation. Don't hesitate to ask more questions during your appointment.

  • What may be causing my premature ejaculation?
  • What tests do you recommend?
  • What treatment approach do you recommend?
  • How soon after I begin treatment can I expect improvement?
  • How much improvement can I reasonably expect?
  • Am I at risk of this problem recurring?
  • Is there a generic alternative to the medicine you're prescribing?
  • Are there any brochures or other printed material that I can take home with me? What websites do you recommend visiting?

What to expect from your doctor

Your doctor might ask very personal questions and might also want to talk to your partner. To help your doctor determine the cause of your problem and the best course of treatment, be ready to answer questions such as:

  • How often do you have premature ejaculation?
  • When did you first experience premature ejaculation?
  • Do you have premature ejaculation only with a specific partner or partners?
  • Do you experience premature ejaculation when you masturbate?
  • Do you have premature ejaculation every time you have sex?
  • How often do you have sex?
  • How much are you bothered by premature ejaculation?
  • How much is your partner bothered by premature ejaculation?
  • How satisfied are you with your current relationship?
  • Are you also having trouble getting and maintaining an erection (erectile dysfunction)?
  • Do you take prescription medications? If so, what medications have you recently started or stopped taking?
  • Do you use recreational drugs?

What you can do in the meantime

Deciding to talk with your doctor is an important step. In the meantime, consider exploring other ways in which you and your partner can connect with one another. Although premature ejaculation can cause strain and anxiety in a relationship, it is a treatable condition.

Nov. 05, 2016
References
  1. Ferri FF. Ejaculation and orgasm disorders. In: Ferri's Clinical Advisor 2017. Philadelphia, Pa.: Elsevier; 2017. https://www.clinicalkey.com. Accessed Sept. 21, 2016.
  2. Saitz TR, et al. Advances in understanding and treating premature ejaculation. Nature Reviews Urology. 2015;12:629.
  3. Gur S, et al. Current therapies for premature ejaculation. Drug Discovery Today. 2016;21:1147.
  4. Wein AJ, et al., eds. Disorders of male orgasm and ejaculation. In: Campbell-Walsh Urology. 11th ed. Philadelphia, Pa.:Elsevier; 2016. http://www.clinicalkey.com. Accessed Sept. 21, 2016.
  5. Althof SE, et al. An update of the International Society of Sexual Medicine's guidelines for the diagnosis and treatment of premature ejaculation (PE). The Journal of Sexual Medicine. 2014;11:1392.
  6. Cooper K, et al. Behavioral therapies for management of premature ejaculation: A systematic review. Sexual Medicine. 2015;3:174.
  7. Serefpglu EC, et al.  Premature ejaculation: Do we have effective therapy? Translational Andrology and Urology. 2013;2:45.
  8. Siegel AL. Pelvic floor muscle training in males: Practical applications. Urology. 2014;84:1.
  9. Kegel exercise tips. National Institute of Diabetes and Digestive and Kidney Diseases. https://www.niddk.nih.gov/health-information/health-topics/urologic-disease/urinary-incontinence-women/Pages/insertC.aspx. Accessed Sept. 25, 2016.
  10. Hill BJ, et al. The effect of condoms on penile vibrotactile sensitivity thresholds in young, heterosexual men. The Journal of Sexual Medicine. 2014;11:102.
  11. Althof SE, et al. Contemporary management of disorders of male orgasm and ejaculation. Urology. 2016;93:9.
  12. Castiglione F, et al. Current pharmacological management of premature ejaculation: A systematic review and meta-analysis. European Urology. 2016;69:904.