Compare telehealth services treating premature ejaculation with topical, oral and behavioural approaches, prescribed after clinician review.
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Compare which approaches a service actually offers — topical anaesthetics, off-label oral medication, or both — whether it screens for erectile dysfunction as a contributing factor, and how it handles dose adjustment.
Complete an online intake covering symptoms, duration and medical history, have a licensed clinician review it, and receive a topical or oral treatment plan where appropriate.
Topical anaesthetics containing lidocaine or prilocaine reduce sensitivity and are applied before sex. Certain SSRIs are prescribed off-label because delayed ejaculation is a known side effect. Behavioural techniques such as the stop-start and squeeze methods can be used alongside either.
The two frequently coexist, and treating erectile dysfunction sometimes resolves the ejaculatory complaint on its own. A thorough intake should ask about both rather than treating one in isolation.
Topical anaesthetics work on the day they are used, applied a set time before sex. Off-label oral medication may be taken daily or on demand depending on the drug, and daily regimens generally take one to two weeks before the effect is clear.
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