What is premature ejaculation (PE)?

Premature Ejaculation (PE) is when ejaculation occurs with minimal sexual stimulation, before the person wishes it, and is associated with distress or frustration. It is classified as lifelong (since first sexual experience) or acquired (starting later in life). It affects approximately 30-40% of men at some point.

What causes premature ejaculation?

PE can be caused by psychological factors (anxiety, stress, depression, early sexual experiences), biological factors (low serotonin levels, prostatitis, hyperthyroidism, hormone imbalances), or erectile dysfunction. Many men with ED develop PE as a secondary condition.

How can I treat premature ejaculation naturally?

Natural approaches include Kegel exercises (pelvic floor strengthening), the stop-start technique, the squeeze technique, regular exercise, stress reduction, and addressing relationship issues. These behavioral methods can be highly effective, especially when combined with professional guidance from a sexologist.

What medications treat premature ejaculation?

Dapoxetine (Priligy) is the only medication specifically approved for PE. SSRIs like Paroxetine, Sertraline, and Fluoxetine are used off-label. Topical anesthetics (Lidocaine/Prilocaine creams) reduce penile sensitivity. All medications should be prescribed by a doctor.

Is Dapoxetine (Priligy) available in Nepal?

Yes, Dapoxetine (brand name Priligy or generic versions) is available in Nepal with a prescription. A standard 30mg or 60mg tablet taken 1-3 hours before intercourse can significantly increase ejaculation control. Cost: approximately Rs. 300-800 per tablet.

Can premature ejaculation be cured permanently?

While PE may not have a permanent "cure" in all cases, it can be effectively managed long-term with the right combination of behavioral techniques, pelvic floor exercises, and on-demand medication. Most men achieve significant improvement with proper treatment.

Does premature ejaculation affect fertility?

PE does not directly affect fertility or sperm quality. However, if PE prevents successful vaginal ejaculation, it may indirectly affect conception. Treatments for PE can help improve fertility outcomes by enabling proper deposition of semen.

What is the difference between lifelong and acquired PE?

Lifelong PE is present from the first sexual experience and is likely related to biological factors like serotonin receptor sensitivity. Acquired PE develops after a period of normal ejaculation and is often linked to psychological issues, erectile dysfunction, or medical conditions like prostatitis.

Can prostatitis cause premature ejaculation?

Yes, chronic prostatitis is a common cause of acquired PE. Prostate inflammation can affect ejaculatory control. Treating the underlying prostatitis with appropriate antibiotics and anti-inflammatory medications often resolves the PE symptoms.

How do I explain PE to my partner?

Open communication is essential. Explain that PE is a medical condition, not a personal failure. Reassure your partner that effective treatments exist. Invite them to attend consultations with you. Our counselors can help facilitate these conversations.

Premature Ejaculation

Premature Ejaculation — the PE & the Managed the Care The PE — the Behavioural + the Topical + the Dapoxetine + the Supported

Name: Thamel Clinic
Address: Bhagwatibahal, Thamel, Kathmandu, Bagmati Province, 44600, NP
Telephone: +977-9700682800
Price range: NPR 450 - NPR 5000
Rating: 4.9

The premature ejaculation — behavioural, topical, dapoxetine, and supported care at Thamel Clinic.

Book Private Consultation Call +977-9700682800

Medically Reviewed Content

Reviewed by: STD Specialist (MBBS, MD - Medicine)

NMC Registration:

Last medical review: June 1, 2026

This content follows evidence-based medical guidelines and is regularly updated to reflect current medical practices.

The PE in Kathmandu

The common/ treatable — the PE managed.
The behavioural/ pharmacological — correct methods.
The confidential — private, supported.
The supported — counselling/ relational.

The PE — the Common/the Treatable/the Managed

The premature ejaculation (the PE) is the **most common male sexual dysfunction and highly treatable** — early/ uncontrolled ejaculation; managed correctly by behavioural/ topical/ dapoxetine/ supported.

The the PE/ lifelong/ acquired — psychogenic/ physical/ managed/ supported.

At Thamel Clinic, the PE is managed correctly — behavioural, pharmacological, and supported.

The PE — the Common/the Correct

The PE is early/ uncontrolled ejaculation — common/ treatable. The lifelong ( present since first) or acquired; psychogenic/ physical/ managed.

The correct assessment — lifelong/ acquired/ cause — managed/ correct.

The PE/the Common

The early/ uncontrolled — common/ treatable.

The Lifelong/the Acquired

The lifelong/ acquired — correct managed.

The Psychogenic/the Physical

The psychogenic/ physical — assessed/ managed.

The Treatable

The PE — highly treatable/ correct.

The Management — the Behavioural/the Dapoxetine

The PE is managed correctly — the **behavioural** ( stop-start/ squeeze/ techniques/ behavioural training), the **topical** ( anesthetic cream/ spray), and the **pharmacological** ( dapoxetine/the SSRI — evidence-based/ managed).

The relational/ supported — anxiety/ communication/ supported/ managed.

The Behavioural

The stop-start/ squeeze — managed/ correct.

The Topical

The anesthetic cream/ spray — managed.

The Dapoxetine/the SSRI

The dapoxetine/the SSRI — evidence-based/ managed.

The Relational/the Supported

The anxiety/ relational — supported.

The Complete/the Supported

The PE is managed completely — behavioural/ topical/ pharmacological/ supported.

The confidential/ supported — managed/ restored/ supported.

The Confidential

The private, supported.

The Treatable

The PE — treatable/ managed.

The Supported

The behavioural/ pharmacological/ relational.

The Restored

The control/ satisfaction — restored.

PE & Costs

Service	What It Includes	Cost (NPR)
Consultation	The confidential assessment	Rs. 450
Behavioural/topical	The techniques/ topical	Per case
Medication	The dapoxetine/the SSRI	Per case
Counselling	The relational/ supported	Per session

Transparent pricing; confirm current rates on booking.

Why Thamel Clinic the PE

The treatable/ common — the PE managed.
The behavioural/ dapoxetine — correct methods.
The confidential — private, supported.
The managed — correct care/ supported.
The supported — counselling/ relational/ care.

Frequently Asked Questions

Is premature ejaculation treatable?

Yes — highly treatable ( behavioural/ topical/ dapoxetine).

Is it confidential?

Yes — private, non-judgmental, and supported.

Is it common?

Yes — most common male sexual dysfunction/ managed.

Is it managed?

Yes — behavioural/ pharmacological/ supported — managed.

Is it supported?

Yes — counselling/ relational — supported.

Still have questions? Contact us or book an appointment for personalized guidance.

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Last Updated: October 19, 2026 |Clinic: Thamel Clinic |Licensed: Registered