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Can PE be cured permanently?

The answer depends on the type and cause of your PE. Many men achieve long-term control, though 'cure' may not be the right word for all cases.

Lifelong PE:

• Usually requires ongoing management
• Medications and techniques provide control
• Many men maintain normal function with treatment
• Some achieve lasting improvement with behavioral therapy

Acquired PE:

• Often completely reversible
• Treating underlying cause may cure it
• Success rate higher than lifelong PE

Factors Affecting Permanent Resolution:

• Underlying cause (psychological vs. physical)
• Treatment compliance
• Partner support
• Overall health status
• Age and hormonal factors

Treatment Success Rates:

• Behavioral techniques: 50-60% long-term improvement
• Medications: Effective while taking them
• Combination therapy: Up to 80% satisfaction
• Psychological therapy: 70% for anxiety-related PE

What 'Cured' Means:

For most men, cure means:

• Satisfactory control over ejaculation
• Reduced distress about the condition
• Improved sexual satisfaction
• Better relationship quality

Maintaining Improvements:

• Continue exercises even after improvement
• Maintain healthy lifestyle
• Manage stress and anxiety
• Keep communication open with partner

When PE Returns:

PE may recur during:

• High stress periods
• Relationship problems
• Health issues
• Long periods without sex

The Realistic Outlook:

Most men with PE can achieve:

• Significant improvement in control
• Satisfying sex life
• Reduced anxiety about performance
• Tools to manage any recurrence

The Bottom Line:

While not everyone achieves complete permanent cure, most men with PE can gain sufficient control to have a satisfying sex life. The key is finding the right treatment combination and maintaining healthy practices.

Is PE medication safe for daily use?

The safety of daily PE medication depends on the specific drug and your individual health status. Here's what you need to know about long-term use.

SSRIs for Daily Use:

These are generally safe for long-term daily use:

• Paroxetine: Well-studied for daily PE treatment
• Sertraline: Good safety profile
• Fluoxetine: Mild side effects for most

Common Side Effects of Daily SSRIs:

• Initial nausea (usually improves)
• Decreased libido (10-15% of users)
• Delayed orgasm
• Mild weight changes
• Sleep changes

Dapoxetine (Priligy):

• Designed for on-demand use only
• NOT recommended for daily use
• Take only when needed, 1-3 hours before sex
• Maximum 1 dose per 24 hours

Safety Monitoring Needed:

• Regular check-ups every 3-6 months
• Blood pressure monitoring
• Mood assessment
• Sexual function evaluation
• Liver function tests if indicated

Who Should Avoid Daily Medication:

• Men with liver problems
• Those with bipolar disorder
• Anyone on certain other medications
• Men with heart rhythm problems

Drug Interactions to Watch:

• MAO inhibitors
• Blood thinners
• Other antidepressants
• Some pain medications
• St. John's Wort

Long-term Considerations:

• Tolerance rarely develops
• Effectiveness maintained over years
• Can stop gradually if needed
• Regular review with doctor important

Alternatives to Daily Medication:

• On-demand treatments
• Topical anesthetics
• Behavioral techniques
• Combination approaches

Starting Daily Medication:

• Start with lowest effective dose
• Give 2-4 weeks for full effect
• Report side effects promptly
• Don't stop suddenly

The Bottom Line:

Daily SSRIs are generally safe for long-term PE treatment when prescribed and monitored by a healthcare provider. Most men tolerate them well, and serious side effects are rare. Regular follow-up ensures optimal safety and effectiveness.

Premature ejaculation occurs when a man ejaculates sooner than he or his partner would like during sexual activity. It's one of the most common sexual problems among Kenyan men, affecting up to 30% at some point in their lives.

PE can be caused by psychological factors like anxiety, stress, or relationship problems. Physical causes include hormone imbalances, prostate problems, or thyroid issues. First sexual experiences and cultural pressures also play a role.

Yes, medications like dapoxetine and certain antidepressants can help with PE. Topical anesthetic creams are also available. These require a doctor's prescription and are available in major pharmacies in Nairobi, Mombasa, and other cities.

Circumcision, which is common in Kenya, may slightly reduce sensitivity and potentially help some men with PE. However, it's not a guaranteed solution and the effect varies greatly between individuals. Medical treatments are more reliable.

Average intercourse lasts 5-7 minutes globally. If ejaculation consistently occurs within 1-2 minutes and causes distress, it may be PE. Remember that satisfaction matters more than duration, and cultural expectations shouldn't dictate your experience.

While some traditional Kenyan remedies claim to help PE, there's limited scientific evidence. Proven techniques include behavioral methods like the stop-start technique and medical treatments. Always consult a qualified doctor before trying traditional remedies.

While small amounts of alcohol might reduce anxiety, regular or excessive drinking actually worsens PE and can cause erectile problems. Many Kenyan men mistakenly use alcohol as a solution, but it often makes things worse long-term.

Consultation with a urologist costs KES 2,000-5,000 in private clinics. Medications range from KES 500-2,000 monthly. Behavioral therapy sessions cost KES 3,000-8,000. Public hospitals offer more affordable options but with longer waiting times.

Yes, open communication with your partner is crucial. Many Kenyan couples find that discussing the issue reduces pressure and anxiety, which often improves the condition. Your partner's support can be valuable in treatment success.