Premature Ejaculation Treatment · Singapore
Premature ejaculation: assessed properly, treated to the pattern.
Confidential consultation with an SMC-registered doctor at Hisential Clinics. Evidence-based options matched to your specific pattern. Appointments are often available same day or next day, subject to clinic capacity.
Ejakulasi dini adalah salah satu masalah kesehatan seksual yang paling umum - dan paling mudah diobati.
- SMC-registered doctors
- MOH-licensed clinic (HCSA)
- Mandarin Gallery
- Weekdays 10am-7pm · Sat-Sun 10am-5pm
- Pramutamu kesehatan pribadi
Jawaban Singkat
Ejakulasi dini (ED) adalah masalah seksual yang paling umum pada pria, yang dialami oleh sekitar 1 dari 3 pria pada suatu waktu.1 At Hisential Clinics, our SMC-registered medical team offer evidence-based options including behavioural techniques, topical anaesthetics, dapoxetine, and treatment of any underlying medical or psychological cause. Confidential consultation with appointments often available same day or next day, subject to clinic capacity, and structured follow-up.
Diverifikasi oleh Dr. Julian Ng, MBBS (University of Sydney), MSc Microbiology (NUS), Cert. Men's Health (SMHS) · Terakhir ditinjau 14 Mei 2026 · Tinjauan berikutnya 14 November 2026
Kondisi terkait: Erectile Dysfunction Treatment in Singapore, Testosterone Deficiency Treatment in Singapore, dan Prostatitis Treatment in Singapore.
How premature ejaculation care works
Hubungi concierge pribadi Anda
Online or over WhatsApp. Tell us what you would like to address and your preferred timing.
Konsultasi rahasia
Evaluasi diskret dengan riwayat terfokus di Klinik Hisential.
Rencana perawatan yang dipersonalisasi
Dikoordinasikan oleh pramutamu kesehatan pribadi Anda menyeluruh, dengan tindak lanjut terstruktur pada minggu ke-4 dan ke-12.
Sekilas pilihan pengobatan
Pemeriksaan kendiri
Bisakah ini berlaku untuk Anda?
Pemeriksaan mandiri yang rahasia dalam 30 detik. Jawaban Anda tetap di perangkat ini saja - disimpan di browser Anda, tidak pernah dikirim ke Hisential. Jika dua atau lebih berlaku, evaluasi klinis adalah langkah selanjutnya yang tepat.
This is not a clinical diagnosis. Consult an SMC-registered doctor for evaluation.
Mengapa orang memilih Hisential
Pramutamu kesehatan pribadi
Satu kontak khusus yang mengoordinasikan dokter, pemeriksaan, dan tindak lanjut Anda dari awal hingga akhir.
SMC-registered doctors
Pengalaman terfokus dalam andrologi dan pengobatan seksual.
Rahasia berdasarkan desain
Pemesanan rahasia, ruang konsultasi pribadi, catatan terenkripsi.
Prompt availability
Appointments are often available same day or next day, subject to clinic capacity, arranged by the concierge.
Ejakulasi dini (ED) is reaching climax sooner than desired during sexual activity, on a persistent basis, causing distress to one or both partners. The AUA/SMSNA Guideline defines lifelong (primary) PE using two criteria: ejaculation within about 2 minutes of initiation of penetrative sex and the perceived inability to delay it.5
ED adalah masalah seksual paling umum yang dilaporkan oleh pria. Sekitar satu dari tiga pria mengalami ED pada suatu saat dalam hidup mereka, dan sekitar 20-30% mengalaminya secara terus-menerus.1 Meskipun prevalensinya tinggi, hanya sebagian kecil yang mencari pengobatan - sebagian karena rasa malu, sebagian karena banyak yang tidak menyadari adanya pengobatan yang efektif.
PE diklasifikasikan menjadi empat jenis: lifelong (primary) PE, present from first sexual experiences, acquired (secondary) PE, which develops after a period of normal control, variabel PE (irregular occurrence in otherwise normal-functioning men), and subjektif PE (perceived PE in men with objectively normal ejaculation time). The type matters, because treatment approaches differ.
The distinction that changes management most is primary versus secondary. Primary (lifelong) PE has been present since a man became sexually active and is more biologically driven, so treatment is directed at ejaculatory control itself: behavioural techniques, topical anaesthetics and on-demand dapoxetine. Secondary (acquired) PE represents a change from previously normal control, and usually has an identifiable medical or psychological cause. In secondary PE the first step is to find and treat that cause.5
PE sangat dapat diobati. Sebagian besar pasien melihat peningkatan yang berarti dengan pengobatan berbasis bukti, terutama ketika teknik perilaku dikombinasikan dengan pilihan farmakologis.
PE memiliki kontributor biologis dan psikologis, dan sebagian besar kasus melibatkan kombinasi keduanya. Memahami faktor dominan akan menentukan pendekatan pengobatan.
Perbedaan serotonergik are the strongest biological contributor to lifelong (primary) PE. Lower serotonin signalling in specific brain regions reduces the threshold for ejaculation. This is why SSRI such as on-demand dapoxetine, which raise serotonin signalling, are used for PE.
Sensitivitas penis can contribute to lifelong (primary) PE, because heightened sensory feedback triggers ejaculation more readily. Topical anaesthetics directly address this mechanism.
Kecemasan dan faktor psikologis are the strongest contributors to acquired (secondary) PE. Performance anxiety, relationship stress, depression, and life pressure all reduce ejaculatory control. The pattern is often "fast → anxious → faster" - a self-reinforcing cycle that responds well to combined behavioural and pharmacological treatment.
Terjadi bersamaan erectile dysfunction is present in a meaningful proportion of patients with acquired (secondary) PE. Treating ED often improves the PE, and treating one without the other can worsen the other. Clinical evaluation always considers both.
Faktor hormonal termasuk testosterone deficiency and thyroid dysfunction can contribute. Hyperthyroidism in particular is associated with PE, so thyroid function is included in evaluation where indicated.6
Peradangan prostat (prostatitis) is associated with acquired (secondary) PE in some patients. Where pelvic discomfort or urinary symptoms accompany PE, prostatic evaluation is part of the workup.
Penggunaan zat termasuk beberapa obat rekreasi dan alkohol berlebihan dapat memengaruhi kontrol ejakulasi. Tinjauan pengobatan adalah bagian dari setiap konsultasi.
General health factors matter too, so comprehensive health screening is part of the men's sexual health workup, particularly for acquired (secondary) PE in patients over 40.
Sebelum kunjungan Anda. Your personal health concierge shares a brief intake form covering symptom history, type of PE (primary or secondary), sexual history including partner context, current medications, and any co-occurring concerns. The intake helps focus consultation time on assessment rather than data collection.
Selama kunjungan Anda. The consultation lasts 30-45 minutes. Our medical team takes a focused history covering symptom pattern, onset, situational variability, partner perspective if helpful, and screening for co-occurring conditions (ED, anxiety, depression, prostatic symptoms). Physical examination is brief and usually limited to general assessment unless other concerns emerge.
Investigations are not usually needed for straightforward primary PE. Where secondary PE or co-occurring concerns are present, bloodwork may be added (testosterone, thyroid function, prolactin, glucose). Urinalysis if prostatic symptoms.
Setelah kunjungan Anda. Opsi pengobatan dibahas pada konsultasi pertama, dan pendekatan awal biasanya segera dimulai. Tindak lanjut dijadwalkan pada minggu ke-4 (penilaian respons), minggu ke-12 (penyempurnaan), dan jangka panjang sesuai kebutuhan. Teknik perilaku diperkuat melalui tindak lanjut.
Kerahasiaan. Records are encrypted. Hisential does not share information with employers, family, or insurers without your explicit consent, except where required by regulations or law. Partner involvement is encouraged but always at your discretion.
Pilihan pengobatan secara mendalam
Terapi perilaku adalah pendekatan lini pertama yang mendasar bagi banyak pasien, terutama mereka dengan PE ringan hingga sedang, tanpa kondisi penyerta, atau yang memilih untuk tidak menjalani pengobatan farmakologis. Terapi ini juga merupakan pelengkap yang kuat jika ditambahkan ke pengobatan farmakologis.
Teknik start-stop: Selama aktivitas seksual, stimulasi dihentikan sebelum titik ejakulasi yang tak terelakkan. Setelah 30 detik istirahat, stimulasi dilanjutkan kembali. Melatih hal ini membangun kesadaran akan ambang ejakulasi dan melatih tubuh untuk mentoleransi gairah yang lebih tinggi tanpa mencapai klimaks.
Teknik remasan: Prinsip serupa, tetapi tekanan kuat diberikan pada pangkal penis tepat sebelum titik ejakulasi, sehingga mengurangi gairah. Digunakan selama latihan pada awalnya, kemudian semakin jarang diperlukan seiring berkembangnya kontrol.
Penguatan dasar panggul: Latihan khusus (Senam Kegel untuk pria) memperkuat otot-otot yang terlibat dalam kontrol ejakulasi. Studi menunjukkan pelatihan dasar panggul meningkatkan latensi ejakulasi sekitar 60% pada banyak pasien selama 12 minggu (lihat sumber 2 di bawah).
Effectiveness: Behavioural techniques alone improve PE in 50-60% of patients over 8-12 weeks of consistent practice. Combined with topical anaesthetics or on-demand dapoxetine, outcomes improve further.
Eligibility: Suitable for almost all patients. Most effective when partner is involved and supportive. Less effective for severe lifelong (primary) PE in the absence of pharmacological support.
Anestesi topikal mengurangi sensitivitas penis melalui tindakan lokal - pendekatan farmakologis paling sederhana dengan efek sistemik minimal.
Krim lidokain-prilokain (EMLA, off-label): Dioleskan 15-20 menit sebelum hubungan intim, lalu dibersihkan sebelum menggunakan kondom. Tersedia dalam formulasi krim atau semprot.
Semprotan lidokain (TEMPE, berlisensi): Disemprotkan 5-10 menit sebelum hubungan intim. Nyaman dan tidak mencolok; onset lebih cepat daripada krim.
Cara kerja: Mengurangi sensitivitas pada glans, meningkatkan ambang batas ejakulasi tanpa memengaruhi libido, ereksi, atau sensasi pasangan (bila dioleskan dan dibersihkan dengan benar).
Efektivitas: Studi menunjukkan peningkatan latensi ejakulasi 2-3 kali lipat bagi sebagian besar pengguna (lihat sumber 3 di bawah). Efeknya dapat diandalkan dan sesuai kebutuhan.
Potensi efek samping: Jika tidak dibersihkan sebelum hubungan intim, dapat menyebabkan mati rasa atau berkurangnya sensasi pada pasangan. Beberapa orang mengalami penurunan sensitivitas atau kenikmatan - penyesuaian dosis dan waktu biasanya mengatasi hal ini. Reaksi alergi jarang terjadi.
Eligibility: Suitable for most patients. Particularly useful when preferring non-systemic treatment, occasional use, or where oral medication is unsuitable.
Dapoxetine adalah satu-satunya SSRI yang dilisensikan khusus untuk PE. Obat ini bekerja singkat - diminum sesuai kebutuhan 1-3 jam sebelum aktivitas seksual, dengan efek yang memudar dalam beberapa jam.
Cara kerja: Meningkatkan sinyal serotonin di area otak yang mengontrol ejakulasi, meningkatkan ambang batas ejakulasi. Dirancang khusus untuk waktu paruh yang singkat agar tidak menyebabkan efek SSRI yang persisten.
Dosis: 30 mg atau 60 mg, 1-3 jam sebelum hubungan intim. Bukan untuk penggunaan harian.
Efektivitas: Peningkatan latensi ejakulasi sekitar 2-3 kali lipat dalam uji klinis (lihat sumber 4 di bawah). Efektif bagi sebagian besar pasien dalam beberapa dosis pertama.
Efek samping: Mual (paling umum, biasanya berkurang seiring penggunaan), sakit kepala, pusing. Kurang umum: hipotensi ortostatik. Umumnya dapat ditoleransi dengan baik.
Kontraindikasi: Penggunaan MAOI secara bersamaan, kondisi jantung berat, gangguan hati berat. Hati-hati dengan antidepresan lainnya.
Kelayakan: Cocok untuk sebagian besar pasien yang lebih memilih kontrol farmakologis sesuai kebutuhan. Sangat berguna ketika acara telah direncanakan atau diantisipasi.
In secondary (acquired) PE, an identifiable contributor is often present. Where one is found, treating it is the priority, and symptomatic options are used alongside it where the doctor considers that appropriate.
Medical and physical contributors: erectile dysfunction is common in acquired PE, and treating the ED often improves the PE. Thyroid dysfunction, particularly hyperthyroidism, is associated with acquired PE and thyroid function is checked where indicated (see source 6 below). Prostatitis and lower urinary tract symptoms are assessed where pelvic discomfort or urinary symptoms accompany PE.
Medication and substance review: some prescribed medications, recreational drugs and heavy alcohol use affect ejaculatory control. A full medication review is part of every consultation.
Psychological and relationship contributors: performance anxiety, stress, low mood and relationship difficulty are frequent drivers. These are addressed through structured counselling and partner-inclusive behavioural work, with onward referral where formal psychosexual therapy or mental health care is indicated.
How it works in practice: history, focused examination and targeted investigations (testosterone, thyroid function, glucose, urinalysis where prostatic symptoms are present) identify what is contributing. The plan then treats the cause rather than the symptom alone.
Eligibility: relevant to any patient whose PE began after a period of normal control, and to patients with primary PE who also have a treatable co-occurring condition. The doctor advises at consultation which elements apply to you.
Bagaimana Hisential menangani ejakulasi dini
At Hisential, we treat PE as a multi-mechanism condition rather than a single problem with a single answer. Every patient receives a structured assessment that distinguishes primary (lifelong) from secondary (acquired) PE, screens for co-occurring erectile dysfunction dan testosterone deficiency, and identifies any contributing psychological factors. Treatment is matched to the pattern: behavioural techniques and pelvic floor work as foundation for most patients, topical anaesthetics for reliable on-demand control, dapoxetine for stronger pharmacological effect when needed, and treatment of any medical or psychological cause where the PE is secondary. Combination therapy is used where appropriate. Follow-up at 4 weeks and 12 weeks ensures treatment is working and adjusted promptly when it isn't - coordinated by your personal health concierge.
Jawaban cepat
T:
Apakah ED bersifat permanen?
Tidak - ED sangat bisa diobati. Sebagian besar pasien melihat peningkatan yang berarti dalam beberapa minggu hingga bulan setelah memulai perawatan berbasis bukti.
T:
Berapa lama perawatan bekerja?
Topical anaesthetics work on-demand. Dapoxetine within 1-3 hours per dose. Behavioural techniques build over 8-12 weeks. Where a secondary cause is being treated, timing depends on that condition.
T:
Apakah PE hanya ada di pikiran saya?
Tidak - PE memiliki mekanisme biologis yang jelas yang melibatkan pensinyalan serotonin dan sensitivitas penis. Faktor psikologis memang berkontribusi, namun PE bukan "hanya" masalah psikologis.
T:
Bisakah pasangan saya terlibat dalam pengobatan?
Ya - dan keterlibatan pasangan sering kali meningkatkan hasil, terutama untuk teknik perilaku. Hal ini selalu sesuai dengan kebijaksanaan dan kenyamanan Anda.
T:
Apakah saya perlu pengobatan selamanya?
Belum tentu. Banyak yang berhasil mengurangi atau menghentikan pengobatan farmakologis setelah membangun keterampilan dengan teknik perilaku. Yang lain lebih memilih pengobatan dosis rendah yang berkelanjutan demi keandalan.
T:
Bisakah ED dan PE diobati bersamaan?
Yes - combination therapy with PDE5 inhibitors and topical anaesthetics or on-demand dapoxetine is well-established and often more effective than treating either condition alone.
Pertanyaan yang sering diajukan
Jawaban yang jelas, ditulis oleh tim klinis kami. Ketuk pertanyaan apa pun untuk mendapatkan permalink langsungnya, atau hubungi Personal Concierge Anda untuk hal lainnya.
ED didiagnosis secara klinis berdasarkan riwayat, dengan tiga fitur utama: waktu ejakulasi yang singkat (sekitar 2 menit atau kurang sejak dimulainya hubungan seksual penetratif untuk ED seumur hidup, menurut Pedoman AUA/SMSNA, 2022), ketidakmampuan untuk menunda ejakulasi, dan tekanan pribadi atau kesulitan interpersonal. Tidak diperlukan tes khusus untuk diagnosis, meskipun pemeriksaan dapat ditambahkan jika dicurigai adanya kondisi penyerta.
Primary (lifelong) PE has been present from the first sexual experiences and is more biologically driven (serotonin signalling, penile sensitivity), so treatment is directed at ejaculatory control itself. Secondary (acquired) PE develops after a period of normal control and usually has an identifiable medical or psychological cause, so treatment starts by finding and addressing that cause.
Yes - psychological factors are significant contributors, particularly to secondary (acquired) PE. Performance anxiety creates a self-reinforcing cycle: anxiety leads to faster ejaculation, which increases anxiety. Treatment frequently combines structured counselling, partner-inclusive behavioural work and, where appropriate, on-demand medication.
Produk berbasis lidokain topikal biasanya meningkatkan latensi ejakulasi 2-3 kali lipat. Produk ini dapat diandalkan, digunakan sesuai kebutuhan, dan memiliki efek samping sistemik minimal. Sebagian besar pasien dapat menggunakannya dengan sukses setelah edukasi singkat mengenai waktu aplikasi.
Common contributors include erectile dysfunction, thyroid dysfunction (particularly an overactive thyroid), prostatitis or lower urinary tract symptoms, certain medications, recreational drugs and heavy alcohol use, and psychological factors such as performance anxiety, stress, low mood or relationship difficulty. History, examination and targeted tests identify which apply.
By treating the underlying cause first. That may mean treating erectile dysfunction, correcting thyroid dysfunction, managing prostatitis or urinary symptoms, reviewing medications and substance use, or addressing anxiety, mood and relationship factors through structured counselling and partner-inclusive behavioural work, with referral where formal psychosexual therapy or mental health care is indicated. Behavioural techniques, topical anaesthetics or on-demand dapoxetine may be used alongside, as advised by your doctor.
The two are assessed together. Treating the erectile dysfunction often improves the PE, and treating one without the other can make the other worse. PDE5 inhibitors for ED are combined with topical anaesthetics or on-demand dapoxetine where the doctor considers that appropriate. Treatment plans are individually tailored.
Yes - every aspect of your treatment at Hisential is confidential. Records are encrypted and accessible only to your treating clinician and personal health concierge, except where required by regulations or law. We do not share information with employers, family, or insurers without your explicit consent, except where required by regulations or law.
Fees are private and payable in full at the visit. MediSave, CHAS and Healthier SG subsidies do not apply. Some insurance plans cover consultations and investigations on a reimbursement basis: you pay the clinic and claim back from your insurer afterwards. The concierge provides the documentation you need and helps with the claim paperwork. Instalment payment is available: ask the concierge about the options before your visit.
Masih punya pertanyaan?
Concierge Pribadi Anda akan membalas dalam satu hari kerja - secara rahasia.
Glosarium
- PE (Ejakulasi Dini)
- Pencapaian klimaks yang terus-menerus lebih cepat dari yang diinginkan, sekitar 2 menit atau kurang dari dimulainya hubungan seksual penetratif untuk PE seumur hidup (Pedoman AUA/SMSNA, 2022), dengan tekanan yang menyertainya.
- IELT (Waktu Latensi Ejakulasi Intravaginal)
- Ukuran klinis waktu dari penetrasi hingga ejakulasi, digunakan dalam penelitian dan pemantauan pengobatan.
- Lifelong (primary) PE
- PE present from first sexual experiences. More biologically driven; usually managed with behavioural techniques, topical anaesthetics and on-demand dapoxetine.
- Acquired (secondary) PE
- PE that developed after a period of normal control. Usually has an identifiable medical or psychological contributor; treatment addresses that underlying cause.
- Dapoxetine
- SSRI kerja singkat yang dilisensikan khusus untuk PE, diminum sesuai kebutuhan 1-3 jam sebelum berhubungan intim.
- SSRI (Selective Serotonin Reuptake Inhibitor)
- Class of medications that increase serotonin signalling. Dapoxetine is the short-acting SSRI licensed specifically for PE and taken on-demand.
- Pelatihan dasar panggul
- Latihan khusus untuk memperkuat otot dasar panggul guna meningkatkan kontrol ejakulasi. Gratis, berbasis bukti, tanpa efek samping.
Sumber
- 1. Carson C & Gunn K. Ejakulasi dini: definisi dan prevalensi (International Journal of Impotence Research, 2006). PubMed
- 2. Pastore AL dkk. Rehabilitasi otot dasar panggul untuk pasien dengan ejakulasi dini seumur hidup (Therapeutic Advances in Urology, 2014). PubMed
- 3. Wyllie MG & Hellstrom WJ. Hubungan antara hipersensitivitas penis dan ejakulasi dini (BJU International, 2011). PubMed
- 4. McMahon CG et al. Oral agents for the treatment of premature ejaculation: review of efficacy and safety in the context of the recent International Society for Sexual Medicine criteria for lifelong premature ejaculation (Journal of Sexual Medicine, 2011). PubMed
- 5. Shindel AW, Althof SE, Carrier S et al. Gangguan Ejakulasi: Panduan AUA/SMSNA (Journal of Urology, 2022). PubMed
- 6. Carani C et al. Multicenter study on the prevalence of sexual symptoms in male hypo- and hyperthyroid patients (Journal of Clinical Endocrinology and Metabolism, 2005). PubMed
Siap untuk memulai?
Ambil langkah rahasia pertama Anda hari ini.
Your personal health concierge will match you with the right SMC-registered doctor - appointments often available same day or next day, subject to clinic capacity, at Hisential Clinics.
Kunjungi Hisential Clinics
Hisential Orchard Clinic
333A Orchard Road, #04-13 Mandarin Gallery,
Singapore 238897
Phone: +65 3125 6028
WhatsApp: +65 8963 5233
Jam operasional: 10.00-20.00 setiap hari
Parking available at Mandarin Gallery. Public transit: Somerset MRT (NS23), two minutes' walk, or Orchard MRT, five minutes' walk.
Kondisi dan layanan terkait
Perawatan disfungsi ereksi
Pilihan pengobatan ED berbasis bukti. PE dan ED sering terjadi bersamaan.
Perawatan testosteron rendah
Evaluasi hormonal. Testosteron rendah dapat berkontribusi pada PE.
Pengobatan prostatitis
Peradangan prostat dapat menyebabkan PE yang didapat pada beberapa pasien.
Pemeriksaan kesehatan menyeluruh
Evaluasi metabolik dan hormonal lengkap.
Ditinjau secara medis oleh Dr. Julian Ng, MBBS (University of Sydney), MSc Microbiology (NUS), Cert. Men's Health (SMHS)
Terakhir ditinjau 14 Mei 2026 · Tinjauan berikutnya 14 November 2026