Problem Details | Webdoctor.ie

For how long have you been sexually active?Fewer than six monthsSix months to a yearOne year to five yearsMore than five years

For how long has your Premature Ejaculation (PE) been a problem?Ever since I started having sexThis is a recent problem

How often do you experience PE?Everytime I have sexOnly when I have sex with a new partnerOther

Please give us more information in the text box.

When does ejaculation occur?During foreplayAt attempted penetrationJust after penetrationFewer than two minutes after penetrationMore than two minutes after penetration

What is your gender?FemaleMale

Are you in a relationship at this time?Yes, I amNo, I'm not

Does this condition affect your relationship?Yes, it doesNo, it doesn't

Please tell us more about how this affects your relationship (have you discussed with your partner?, does your partner understand? , etc.).

During masturbation, does PE occur?Yes, it doesNo, it doesn't

Please select an option below.Fewer than two minutesMore than two minutes

Do you know what might be the cause of your PE?Yes, I doNo, I do not

Please give us more information in the text box (e.g. do you have any particular stress currently?, etc.)

Have you ever tried any therapy or medicine for PE?Yes, I haveNo, I've not

Which therapy or medicine did you receive?EMLA CreamPriligy 30 mgPriligy 60 mgPsychoSexual Therapy

Was this therapy or medicine effective?Yes, it wasNo, it wasn't

Do you have any problems getting or maintaining an erection before ejaculation?Yes, I doNo, I do not

Have you ever received or are you currently receiving treatment for erectile dysfunction?Yes, I haveNo, I've not

Please give more details: was it effective and did it help your PE?

Which medication would you like to apply for?EMLAPriligy

When did you last have your blood pressure taken?In the last 6 monthsMore than 6 months agoNever

Whom have you last have your blood pressure taken by?DoctorPharmacyPersonal MonitorGym or ClubOther

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Are you currently or in the last two months have you taken any medicine (prescribed or not), alternative medicines or recreational drugs other than those you have mentioned previously?Yes, I amNo, I'm not

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