Priligy (Dapoxetine) 101: Where To Buy Priligy For Premature Ejaculation In Hong Kong, Potential Side Effects And Alternatives

What Is Premature Ejaculation?

Premature ejaculation (PE) can refer to any instance when a man faces endurance issues during sex, where the man reaches orgasm and ejaculates faster than desired. PE affects 1 in 3 men across their lifetime, and is one of the most common sexual disorders for men in Hong Kong.

There are two types of premature ejaculation — lifelong and acquired.

Lifelong PE refers to the condition where you have not been able to control your ejaculation since your first sexual encounter. Without treatment, some men may struggle with PE throughout their entire life.

Acquired PE is like the name suggests, acquired at a later time after their first sexual encounter, meaning that the man has experienced a time where he was able to control orgasm, before having an issue with PE.

What Causes Premature Ejaculation?

Causes of PE vary between people, and can be due to a variety of factors from biological to psychological reasons. The cause can also vary between lifelong PE and acquired PE.

Lifelong PE can be caused as a result of chemical imbalances in areas of the brain responsible for controlling ejaculation (Andrology Australia, n.d.). With less stimulation needed to reach orgasm, ejaculation happens faster than you would like.

As for acquired PE, performance anxiety, or ‘stage fright’, is often the cause. This could stem from any fears you might have surrounding sex, whether it’s your performance, being caught in the act, or even sometimes as a result of religious or cultural pressures (Andrology Australia, n.d.). Erectile dysfunction may also be a cause of acquired PE.

What Is Priligy (Dapoxetine) And How Does It Treat Premature Ejaculation?

PE medication like Priligy belong to a classification of drugs called Selective Serotonin Reuptake Inhibitors (SSRIs), which are used in the treatment of anxiety and depression. When Priligy is taken to treat premature ejaculation, the serotonin levels are boosted in the body. This leads to a delayed reaction in parts of the brain that controls ejaculation and prolongs the time it takes to orgasm.

This prescription-only pill is usually taken 1-3 hours before sexual activity.

Potential Side Effects Of Priligy (Dapoxetine)

The common side effects of Priligy can include dizziness, light-headedness, headache and nausea.

If you experience symptoms of a drug allergy, which can include swollen face, breathing difficulties or hives, seek immediate medical attention. Always consult a doctor before taking medication for PE. Consult your doctor if you experience side effects that do not go away or persistently bother you.

Alternative Treatments For Premature Ejaculation

Here are the other common PE treatments available in Hong Kong:

PE Creams and Gels

Some over the counter creams are also used to help those with PE troubles, such as mild anesthetics like lidocaine or benzocaine. These creams and gels are applied topically to the tip of the penis and have a numbing effect and reduces sensation for the man, which can help to delay ejaculation.

Lidocaine Spray

Lidocaine is a local anesthetic used to numb specific areas of the body. You might have come across it before during visits to the dentist as it is very common for lidocaine (or other similar anaesthetics) to be applied to the gums as pain relief.

Not just an effective pain reliever, lidocaine's numbing effect can help you last longer in bed by reducing the sensitivity of your penis when applied topically (either as a cream or a spray). By slightly limiting the sensations you experience during foreplay and penetrative sex, this makes it less likely for you to ejaculate prematurely.

It is important to know that while lidocaine does decrease your sensitivity slightly during sex, when used correctly, it will not completely numb your penis or hinder your sexual experience.

In a study done by Queen's university, its test group comprised men with PE and had an average IELT (Intravagina Ejaculation Latency time) of 84 seconds. When the lidocaine spray was introduced and applied by the test subjects, researchers saw a significant increase to the IELT that averaged 11 minutes. No negative effects on either their sexual experience or orgasm quality was reported by the men who used the lidocaine spray.

Besides prolonging the time it takes to ejaculate, the lidocaine spray had also improved the sexual satisfaction experienced by the men and their partners.

How Do I Use Lidocaine Spray For Premature Ejaculation?

So how exactly do you use lidocaine spray down there? Here's a step-by-step guide to ensure you get the best results.

Step 1: Lidocaine should be applied 10 to 15 minutes before intercourse and can be applied to either a flaccid or erect penis. Position the spray bottle about 10cm away, with the spray nozzle pointed to the area of application.

Step 2: Press the button several times to spray. Ensure that you follow the instructions given by the manufacturer and use the recommended dosage. Be sure to spray it towards the head and the shaft of your penis, as these are the areas that are the most sensitive.

Step 3: Spread the medication evenly and in a circular motion so it is better absorbed by the skin.

Step 4: Wipe off any excess after about 10 to 15 minutes. You will need to ensure that you wipe all of the lidocaine off so that you reduce the transference to your partner and potentially affect their level of sensitivity during sex.

The numbing effects of the lidocaine spray can last up to 3 hours, depending on the individual's sensitivity level. For most men, they typically experience the numbing effects for about an hour after application.