Premature ejaculation (PE) is the most common male sexual dysfunction — affecting approximately 1 in 3 Nigerian men at some point. It is not a character flaw, not a reflection of your masculinity, and in most cases responds well to treatment. At Mascot Healthcare, Akoka, we treat it discreetly and effectively. From ₦5,000.
Present from the first sexual experience. Often has a neurobiological basis — the ejaculatory reflex has a lower threshold than average. Responds well to medication (SSRIs, topical anaesthetic) and behavioural techniques.
Developed after a period of normal ejaculatory control. Causes include: anxiety, new relationship, relationship problems, hyperthyroidism, prostatitis, or withdrawal from medication.
The fear of ejaculating quickly creates a self-fulfilling cycle — anxiety about PE causes hyperarousal which precipitates PE. Very common in young Nigerian men, particularly those with limited sexual experience.
Some men have heightened penile sensitivity contributing to rapid ejaculation. Topical anaesthetic creams or sprays (lidocaine/prilocaine) applied before sex reduce sensitivity and extend time to ejaculation.
The treatment industry around premature ejaculation in Nigeria is vast and largely fraudulent — herbal tablets sold in sachets at bus stops, "delay sprays" of unknown composition, and "sex doctors" advertising on Lagos radio stations. Most are ineffective, some are harmful, and none are evidence-based.
The evidence-based treatments for PE are well established and accessible at Mascot Healthcare:
The most effective pharmacological treatment for PE. Dapoxetine (designed specifically for PE) and off-label use of paroxetine or sertraline significantly increase intravaginal ejaculation latency time (IELT). Dapoxetine is taken on-demand 1–3 hours before sex. Daily SSRI regimens take 1–2 weeks to reach full effect. These are prescription medications and require a proper consultation.
Lidocaine/prilocaine cream or spray applied to the glans penis 15–30 minutes before sex reduces penile sensitivity and extends time to ejaculation. Effective, safe, and accessible with a prescription. The partner does not need to use a condom to avoid numbness transfer — though this is advisable if penetrative sex occurs before the cream is absorbed.
The stop-start technique (pausing stimulation at high arousal) and squeeze technique (compressing the glans to reduce urgency) can be learned and practised — most effective when combined with medication rather than alone.
Acquired PE in a man with previously normal ejaculatory control needs investigation. Hyperthyroidism, prostatitis, and anxiety disorder are all treatable causes — and treating them resolves the PE.
Discreet, effective consultation at Mascot Healthcare, Akoka. By appointment from ₦5,000.