Too busy to read reams of information? Here’s a simple chart to help you compare premature ejaculation treatment options, including costs and possible side effects.
|PRΩLONG™ Climax Control Programme||LOCAL ANAESTHETIC||PSYCHOSEXUAL THERAPY||DAPOXETINE (PRILIGY)|
|Cost of the treatment per week||€40 per week for 6 weeks only (device and Start-Stop technique 6 week training programme)||Around €2-15 per week for life||€100-150 per session for 4-6 sessions of Behaviour Therapy programme with Start-Stop technique||€210-280 per week if used daily (€30-40 per pill) for life|
|Effect||Effect starts from week 1, maximum at week 6||On demand effect, after 5-10 minutes of using spray or cream||Effect at week 4-6||Same day effect|
|How long does the effect of the treatment last||Effects are thought to be permanent as they were found to have improved further 6 months after stopping treatment
|Stopping the use of the local anaesthetic agent will result in the problem returning||At least 3 months (same clinical trial comparing therapy to PRΩLONG™ prototype)
|Stopping the drug will result in the problem returning|
|Side Effects||None||Possible skin irritation. Numbness of sexual sensation both to man and woman if no condom is used. Loss of erection was found in 16 out of 40 men in a study.
|None||Common Side Effects: dry mouth, stomach pain, anxiety or restlessness, weakness, clenching teeth, fatigue, tremors, sweating, bloating, stuffy nose|
improvement during intercourse in 61% of men, to an average of 9 minutes from less than 1 minute before treatment
improvement in 20% of men, to 4 minutes from less than 1 minute before treatment
improvement in 40% of men, to almost 3 minutes from less than 1 minute before treatment.
improvement in 58.4% of men, to almost 3 minutes from less than 1 minute before treatment
|Access||No prescription needed. Internet or over the counter purchase.||No prescription needed. Internet or over the counter purchase.||Specially trained sexual therapist||Doctor / Nurse prescription|
|Alcohol||No interaction||No interaction||No interaction||Must not use alcohol with the drug, due to interactions and side effects.|
|Does your partner need to know?||No.
The device is not used during intercourse but for training on your own 3 times per week, for a total of 6 weeks.
You must inform your partner in case he/she is allergic to local anaesthetics.
This is due to the fact that going to therapy with a partner gives better results.
The drug can be used without the partner knowing.
PRΩLONG™ Climax Control Programme is recommended as a first line treatment for premature ejaculation (PE). (Ref 8,9,10,11)
A) PRΩLONG™ Climax Control Programme (Prototype Device + Start-Stop Technique):
1. Wise ME and Watson JP: ‘A new treatment for premature ejaculation: a case series for a desensitising ring.’ Sexual and Relationship Therapy. 15(4): 345-50, 2000.
2. Wise M E J, Pujol M, Baggaley M, Crowe M: ‘A novel treatment for premature ejaculation: a randomised controlled trial.’ Poster presentation, Royal College of Psychiatrists Annual Conference 2004 and American Psychiatric Association Annual Conference, Washington DC 2004.
3. Zamar A: ‘Premature Ejaculation: A new treatment using a stimulating device in conjunction with the Start-Stop technique.’ Abstract: A-354-0008-01237: Symposium, 20th World Congress for Sexual Health, Glasgow 2011.
8. Zamar A.C: (2011). Desensitizing Apparatus, World Intellectual Property organisation, European Patent Office, Geneva, PCT/GB2011/050847, April 28.
9. Zamar A: ‘Premature ejaculation: A new treatment using a stimulating device in conjunction with the start-stop technique.’ World Meeting on Sexual Medicine, Chicago 2012.
10. Zamar A: ‘Premature ejaculation: A new treatment using a stimulating device in conjunction with the start-stop technique.’ Proceedings of the World Meeting on Sexual Medicine, J Sex Med 2012: 9 (suppl4): 183-298
11. Zamar A: ‘Prolong (TM): review of a newly approved treatment for premature ejaculation in Europe.’ European Society for Sexual Medicine (ESSM ) conference, Amsterdam 2012.
12. Jern P: Evaluation of a behavioral treatment intervention for premature ejaculation using a hand-held stimulating device, Journal of Sexual and Marital Therapy: accepted online 28 October 2013 DOI : http://dx.doi.org/10.1080/0092623X.2013.857376
B) Local Anaesthetics:
4. Atikeler MK, Gecit I, Senol FA: ‘Optimum usage of prilocaine-lidocaine cream in premature ejaculation.’ Androlog 2002; 34: 356–9* (study referred to in side effects of local anaesthetics)
5. Henry R, Morales A: ‘Topical lidocaine- prilocaine spray for the treatment of premature ejaculation: a proof of concept study.’ Int J Imp Res 2003; 15:277–81
C) Psychosexual Therapy (Cognitive Behavioural Therapy + Start-Stop Technique):
6. Wise M E J, Pujol M, Baggaley M, Crowe M: ‘A novel treatment for premature ejaculation: a randomised controlled trial.’ Poster presentation, Royal College of Psychiatrists Annual Conference, Harrogate UK 2004 and American Psychiatric Association Annual Conference, Washington DC 2004.
D) Dapoxetine (Priligy):
7. A M Feige, M R Pinsky, W J G Hellstrom: ‘Dapoxetine for Premature Ejaculation.’ Clinical Pharmacology & Therapeutics (2011) 89 1, 125–128.