Premature Ejaculation Treatment in Abu Dhabi
Premature ejaculation is ejaculation that consistently occurs sooner than the man wishes, causing distress. It is one of the most common male sexual complaints and one of the most treatable, yet it is among the least often brought to a doctor — and it responds better when the cause is identified rather than assumed to be psychological.
- Confidential consultation
- Consultant Urologist & Andrologist
- NMC Royal Hospital, Abu Dhabi
Dr. Juan Uría González-Tova · Consultant Urologist & Andrologist · NMC Royal Hospital Khalifa City, Abu Dhabi
Medically reviewed by Dr. Juan Uría · August 19, 2026
Take the self-assessmentTwo minutes. Nothing is sent or saved.A distinction matters clinically. Lifelong premature ejaculation has been present since the first sexual experiences, while acquired premature ejaculation develops after a period of normal function. Acquired cases in particular often have an identifiable cause — erectile dysfunction, thyroid disorder, prostatitis or anxiety — and treating that cause is what resolves the symptom.
The relationship with erectile dysfunction is frequently misread. Some men ejaculate quickly because they are unconsciously hurrying to finish before losing an erection, meaning the underlying problem is erectile rather than ejaculatory. Treating the ejaculation in isolation in that situation does not work, which is why both are assessed together.
Check your own symptoms
Premature ejaculation self-assessment (PEDT)
These are the five items of the Premature Ejaculation Diagnostic Tool (PEDT), a validated questionnaire developed against the ISSM definition of premature ejaculation.
Answer for the last month. The PEDT asks about control, frequency and distress — because premature ejaculation is defined by all three, not by the stopwatch alone.
Question 1 of 6
Choose the closest answer
What the assessment involves
The consultation distinguishes lifelong from acquired presentation, looks for the treatable causes associated with the latter, and establishes whether erectile function is contributing.
History establishing whether the pattern is lifelong or acquired, and its timing
Assessment of erectile function, which is frequently the actual driver
Thyroid function testing, since hyperthyroidism is an established and reversible cause
Evaluation for prostatitis or lower urinary tract symptoms where suggested by history
Discussion of anxiety, relationship context and expectations
Treatment
The first step is deciding what is actually being treated. Lifelong premature ejaculation, present since first sexual experience, behaves differently from acquired premature ejaculation, which appears after a period of normal control and usually has a reason — most often erectile dysfunction, sometimes thyroid disease, prostatitis or a relationship or anxiety context. Where erectile dysfunction coexists, it is treated first: men who are rushing because they are afraid of losing the erection do not respond to treatment aimed at the ejaculation.
Behavioural technique and topical treatment are the starting point and are more effective than their reputation suggests. The stop-start and squeeze methods work, particularly with the partner involved, and they build control that does not depend on a drug. Topical anaesthetic applied to the glans before intercourse reduces sensitivity measurably; it is used with a condom or wiped off before penetration so the partner is not numbed, which is the usual reason men abandon it.
Where medication is needed, SSRIs delay ejaculation reliably — dapoxetine taken on demand a few hours beforehand, or a daily SSRI where intercourse is frequent or on-demand dosing is impractical. Both are prescribed with their side effects stated plainly, and daily use is reviewed rather than continued indefinitely. Where the pattern is clearly situational or the distress outweighs the physiology, psychosexual therapy alongside medication does considerably better than medication alone, and the couple is included wherever they are willing.
Common questions
01Is premature ejaculation psychological?
Sometimes, but assuming so is the most common error. Anxiety plays a role in many cases, yet thyroid disease, prostatitis and erectile dysfunction are recognised organic causes, particularly when the problem is new. Assessment is what separates the two, and it changes what treatment will work.
02Do the sprays and creams sold without prescription work?
Topical anaesthetics can delay ejaculation, but they treat the symptom without addressing why it is happening, and they can transfer to the partner and reduce sensation for both. They are also no substitute for excluding a thyroid or prostate cause when the problem started recently.
03Is this treatable?
Yes, and generally well. Premature ejaculation is among the more responsive conditions in andrology, particularly the acquired form where a specific cause can be found and corrected. The main obstacle is not the treatment but the delay in seeking it.
Book a consultation
Consultations take place at NMC Royal Hospital, Khalifa City, Abu Dhabi, in English, Spanish or Catalan.
Related topics
This page is general medical information and does not replace individual medical advice, diagnosis or treatment. If you have symptoms, seek assessment from a licensed physician.