Complete Guide to Premature Ejaculation Treatment in Kenya

Premature ejaculation (PE) is the most common sexual dysfunction in men, affecting up to 30% of Kenyan men at some point in their lives. This comprehensive guide provides everything you need to know about PE and its treatment options available in Kenya.

Understanding Premature Ejaculation

PE is defined as ejaculation that occurs sooner than desired, either before or shortly after penetration, causing distress to one or both partners. It's a medical condition that can be effectively treated.

Types of PE

Lifelong (Primary) PE

• Present from first sexual experience
• Occurs with nearly all partners
• Ejaculation within 1 minute
• Often has biological causes

Acquired (Secondary) PE

• Develops after normal sexual function
• May be situational
• Often related to psychological or medical factors

Common Causes in Kenya

Psychological Factors

• Performance anxiety
• Relationship stress
• Cultural pressure and expectations
• Past sexual trauma
• Depression or anxiety

Physical Factors

• Hypersensitive penis
• Abnormal hormone levels
• Inflammation of prostate or urethra
• Neurological problems
• Erectile dysfunction

Treatment Options Available

Behavioral Techniques

• Stop-Start Method: Pause stimulation before climax
• Squeeze Technique: Apply pressure to reduce arousal
• Pelvic Floor Exercises: Strengthen control muscles
• Distraction Techniques: Mental exercises during sex

Medical Treatments

• Dapoxetine (Priligy): First medication specifically for PE
• SSRIs: Antidepressants that delay ejaculation
• Topical Anesthetics: Numbing creams and sprays
• Tramadol: Off-label use for PE

Lifestyle Modifications

• Regular exercise to reduce anxiety
• Stress management techniques
• Limiting alcohol consumption
• Avoiding miraa (khat) use
• Improving overall health

Where to Get Help in Kenya

• Urologists in major hospitals
• Sexual health clinics
• Private medical centers
• Telemedicine platforms
• Registered pharmacies (with prescription)

Cost Considerations

Treatment costs vary widely:

• Behavioral therapy: KES 2,000-5,000 per session
• Medications: KES 200-900 per dose
• Topical treatments: KES 500-1,500
• Consultation fees: KES 1,500-5,000

Breaking the Stigma

PE is extremely common and treatable. It doesn't reflect on your masculinity or worth as a partner. Many Kenyan men suffer in silence due to cultural taboos, but seeking help is a sign of taking responsibility for your health and relationships.

Partner Involvement

Including your partner in treatment:

• Improves communication
• Reduces performance pressure
• Enhances treatment success
• Strengthens relationship bonds

When to Seek Help

Consult a healthcare provider if:

• PE causes distress or relationship problems
• You ejaculate before penetration
• The problem persists for more than 6 months
• PE is affecting your mental health