premature ejaculation medication australia

Medication for Premature Ejaculation

Unpacking the causes and treatments available

what is premature ejaculation


Premature ejaculation (PE) is a common sexual health issue for men. It is caused by a lack of control over ejaculation so that it happens sooner than the man or his partner wants, or an inability to control the delay of ejaculation. Sometimes PE happens at the beginning of sexual encounters, or mid-way through.

It can be classified into two categories:

1) Lifelong (primary) occurs all or nearly all the time, beginning with your first sexual encounter.

2) Acquired (secondary) develops over time.

Occasionally losing control over ejaculation is normal. Premature ejaculation is only a problem if it happens frequently or is starting to impact your quality of life and relationships.

What causes Premature Ejaculation?

The exact cause of premature ejaculation is still not known. However, some studies indicate there are numerous psychological and biological factors can be linked.

Psychological causes

There are many psychological causes that impact premature ejaculation, including:

Biological Causes

There are several biological factors that may contribute to premature ejaculation, including:

Other factors

Age and Premature Ejaculation

PE can occur at any age, however as a man gets older the prevalence for erectile dysfunction to occur increases. This means the erection isn’t as strong or does not stay hard for as long as he would like. This may cause him to finish too early in fear of the erection stopping.

PE and your partner

If a man doesn’t experience premature ejaculation with his last partner or sexual experience and then experiences it with his current partner, this could be a sign that something is occurring in the relationship that needs to be identified.


What treatments are available for Premature Ejaculation?

There are many types of treatments available to overcome premature ejaculation. It is important to speak to a health care provider to uncover the root cause of the issue so they can help provide the best course of action. Here are some treatments available to overcome premature ejaculation.


Oral medications

The medications available must be prescribed by a medical doctor and can be prescribed in combination with each other. The dosage can either be on demand or daily use. These medications include:

  • SSRIs: a common side effect of antidepressants is delayed ejaculation. The medication generally comes in the form of serotonin reuptake inhibitors (SSRIs), this includes Clomipramine, Paroxetine or Dapoxetine.
  • Phosphodiesterase-5 inhibitors: some medications used to treat erectile dysfunction can also be used to treat premature ejaculation, these include sildenafil (Viagra), tadalafil (Cialis), phentolamine and vardenafil (Levitra).

Compounding medication involves the process of combing, mixing, or modifying ingredients to create a medication that is specifically tailored to the individual needs.

The benefits of compounding medication include:

  • Personalised specifically for you
  • A unique treatment, not easily found anywhere else
  • Dosage is more precise and effective compared to other medications
  • Convenience of taking one compounded capsule for multiple issues, versus a separate capsule for each issue
  • Made on demand and in Australia
  • Increased shelf life


Pause squeeze method

This method works by rewiring pathways in your brain, so this becomes a learned behaviour. This process is as follows:

Begin by either masturbating or starting to have sex with your partner, until you are almost ready to ejaculate.
  1. Either have you or your partner squeeze the end of your penis, this at the point where the head (glans) joins the shaft, and maintain the squeeze for several seconds, until the urge to ejaculate subsides
  2. Repeat this exercise three times or as desired before ejaculating

If the squeeze technique causes pain or discomfort, you can stop sexual stimulation for as long it takes for the need to ejaculate subsides. Follow this exercise three times or as desired.

Consistency with this practice will provide the best results in rewiring the brain until it becomes a natural response.

Pelvic floor exercises

A weak pelvic floor may reduce a man’s ability to delay ejaculation. Pelvic floor exercises are designed to strengthen these muscles. The best way to perform these exercises is to follow the below steps:

Find the right muscles: to identify the right muscles to use within the pelvic floor exercise, you can stop urinating mid-stream or stop yourself passing gas. When the muscles have been identified you can practice this sitting or lying down.

Perfect your technique: Once you are in position, tighten the pelvic muscles for three seconds and release for three seconds, complete a few rounds a couple of times a day to strengthen the muscles. Once you feel confident you can also incorporate Kegel exercises while sitting, standing, or walking.

Maintain your focus: it’s important to isolate the right muscles, and not use your abdomen, thighs, or buttocks. Also, equally important to ensure you breathe through the exercises and don’t hold your breath.

Repeat 3 times a day: consistency reaps the best results, completing these exercises three times a day will not only strengthen the pelvic floor but create a sustainable habit.


Condoms generally reduce sensitivity when having sex. Some condoms have been produced with numbing agents to decrease sensitivity further and include benzocaine or lidocaine. Popular brands include Durex Performax Intense and Trojan Extended.

How it Works

We’ll take you through a guided process to understand your symptoms, lifestyle factors and needs. Sexual health is complex, but where here to make the process simple.



Take our quick 3-minute quiz so we can understand your severity, symptoms, and your concerns.



Our doctor will call you to discuss your experience and prescribe a personalised treatment plan for you.



Once your prescription is delivered discreetly, this isn’t the end of the journey. Your dedicated treatment plan manager will check in regularly to provide ongoing support and help you achieve your goals. You can also call us anytime.
men's sexual health check

Feel in control

Start with a 3-minute assessment

Take our quick 3 minute quiz to understand the severity of your issue and how we can help.

How it works

Do I see someone face to face?

We are a telehealth company. All our communication is done over the phone. Our patients have told us they prefer it this way so they can speak to someone discretely and it can work around their busy lives.

Do I speak to a real Doctor?

Yes, and all our doctors are Australian qualified and registered with AHPRA with extensive in-practice experience.

Is your treatment the same thing I can get from my GP?

No, ours are completely personalised solutions that our compound pharmacists will create just for you based on the recommendation from the doctor. Your treatment will depend on the severity of the issue, age and medical background.

Do I need to get a referral to speak to your doctors?

No, you don’t need a referral. You can contact us directly and speak to an Australian doctor.

Where are you located?

We are in Sydney, Australia, but as a telehealth company, we provide help over the phone and online. There is no need to see someone in person, we can help men located across the whole country.

What if I don’t agree with my treatment plan?

You can communicate any concerns you have to your Treatment Plan Manager or doctor, and they will find another suitable treatment for you. We want you to be comfortable with your treatment and work collaboratively towards your goals.

What if my treatment doesn’t work?

We are committed to ensuring your treatment works for you. If your treatment isn’t working or you have concerns, contact your Treatment Plan Manager and they will either change the dosage or find another suitable treatment for you.

Orders/Treatment Plans

How quickly can I receive my treatment?

When you commit to our treatment programs you will speak to a doctor within 24 hours. Your treatment will then be compounded at our pharmacy and delivered out to you.

Where can I learn more about the side effects and risk?

During your doctor’s consultation, you will be informed of the potential side effects and risks associated with your treatment. After your medication has been prepared, this information will be sent via email, and the pharmacy will enclose a hard copy of the CMI (Consumer Medicine Information) sheet in the shipment.

How long are treatment plans?

Treatment plans range from 3 months, 6 months and 12 months. During this time, you will be regularly supported by your Treatment Plan Manager to help with any adjustments needed to your treatment and ensure you are satisfied with the program.

Can I change my treatment?

You can contact your Treatment Plan Manager via email He will be able to assist you with any changes that need to be made.

What compound pharmacy do you use?

Our treatments are compounded through Nex Gen Pharmacy.

How do I cancel my treatment plan or make changes?

You can cancel or make changes to your treatment plan by emailing Louie at Cancellation fees may apply.


What payment method is accepted?

We accept Visa, Mastercard and Amex. All transactions are powered by Stripe which uses best in class security measures for your peace of mind. We also offer Zip, which allows you to buy now and pay later with no interest for up to 12months.

How is payment made?

Payment can be made over the phone with your treatment plan manager or through your account online with Optimale Health.

Can I get a refund?

If you wish to request a refund, you will need to provide a 30-day written notice to the Treatment Plan Manager at Depending on your subscription program you may be charged a cancellation fee.

How much does it cost?

The cost of your treatment plan varies depending on the duration and type of treatment. You can contact your Treatment Plan Manager to find out more and discuss your options.

Can I claim on Medicare

Because we are a private health company, unfortunately you cannot claim on Medicare.

Can I use my private health insurance?

It’s best to speak to your provider to see what you may be able to claim and what your insurance covers.


How can I change my shipping address?

You can update your address by emailing your Treatment Manager via

Where do you deliver to?

Australia Wide. We use several different delivery services. Typically, shipping takes 2-3 days in metro areas, and up to a week for regional. In busy periods please allow more time.

Is order tracking available?

Yes, you should receive your tracking details from the chosen company that we courier with.

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1. Do you have issues with…
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2. How old are you?
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4. When you are sexually aroused how often are you able to remain hard enough for penetration? (ED)
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Pie chart

40% of patients experience PE for 0-6 months before seeking treatment

*Indicative sample size of 1,250 men
8. Since you’ve noticed a decline in sexual performance, how much of a decrease has there been in your desire to have sex?
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Optimale Health specialises in safe and healthy weight loss programs, testosterone optimisation programs and sexual dysfunction therapies.