Treatment is individualised based on the type of PE, what is contributing to it, your general health and your preferences. The right combination is agreed with you in consultation, after assessment.
Behavioural techniques
Structured techniques — such as the “stop–start” and “squeeze” methods, pelvic-floor training and sensate-focus exercises — help many men build ejaculatory control over time, especially when a partner is involved. These are covered in more detail below.
Topical treatments
Treatments applied to the skin can reduce over-sensitivity and help delay ejaculation. Whether this suits you, and how to use it correctly, is discussed and guided by the clinician.
Oral medication
Certain prescription medicines can help delay ejaculation for some men. These are available only through a doctor and are discussed in detail in consultation — including how they work, who they suit, who should avoid them, and what to expect. In line with UK rules we don’t name specific medicines on this website; that conversation belongs in clinic.
Treating contributing factors
Where a treatable factor is found — coexisting erectile dysfunction, an overactive thyroid, prostate or urinary inflammation, or high stress — addressing it often improves ejaculatory control on its own.
Psychosexual support
Where performance anxiety, low mood, relationship difficulties or past experiences play a part, talking therapy — alone or alongside other treatment — is often the most effective long-term approach. We can refer to a psychologist or psychosexual therapist within Tower Bridge Hospital London.
Combining approaches
For many men, a combination — for example a behavioural technique plus a topical or oral option, with support for anxiety — works better than any single measure alone.