Premature ejaculation

Data gathering

  • Red flags – testicular lump
  • Others – previous partners, masturbation, dysuria, penile discharge
  • Examine – BP, pulse, external genitalia (CHAPERONE)

 

Clinical management

  • Self – masturbating 1hr before sex, thicker/LA condom, thinking about boring things
  • Techniques – squeeze technique – squeeze head of penis for 20 seconds, waits 30 seconds then resume”
  • Medications – SSRI daily