♂ Patient - Premature Ejaculation Treatment

Premature Ejaculation

Have you been experiencing premature ejaculation? Complete a short questionnaire and choose your treatment, then our doctors will review your responses and advise you on your chosen medicine.

If medically suitable, our doctors will offer the most suitable treatment. ​

How we work for you

  •  €25 / consultation

Dr. Jody is online now

  • Dr. Jody Shanahan-Prendergast


Did you ever receive any medication or therapy to treat your PE? *

What medical treatment for PE would you like to apply for? *

When did you first notice your Premature Ejaculation (PE) was an issue of concern to you? *

How often would you experience an episode of PE? *

At what point does an ejaculation occur? *

When you masturbate, does an episode of PE happen? *

Have you an idea of what might cause you to have an episode of PE? *

Have you noticed any difficulty while initiating or maintaining an erection prior to an ejaculation? *

Did you ever receive a diagnosis or treatment for erectile dysfunction? *


Have you ever been advised to avoid or abstain from sexual intercourse (either by a Doctor, Nurse or Pharmacist)?? *

Do you notice any pain or discomfort in your genitals, after you pass urine or ejaculate? *

Apart from conditions already mentioned in this form, do you suffer from any other medical conditions or have you had any surgical procedures in the past that you feel our Doctors should be aware of? *

Have you a history of low blood pressure, dizziness, or feeling faint when you stand up from a sitting position? *

Have you been diagnosed as suffering from any heart conditions, for example angina, irregular heart rhythm, etc.? *

Have you been diagnosed as having a bleeding or clotting disorder? *

Do you suffer from either migraines or severe headaches? *

Have you ever been diagnosed or received treatment for epilepsy or have you ever has a seizure? *


Are you Male or Female? *

What is your height (enter as centimeters)?

What is your weight (enter as kg)?

What age are you? *

The prescription is digitally sent to a pharmacy of your choosing (place Pharmacy details below eg: Stacks Pharmacy / Bettystown) *

I confirm that I fully understood and have read completely all questions in this form and all of my answers are true and accurate, to the best of my knowledge. *