Premature ejaculation

Stop rushing. Start lasting.

Clinically proven treatment, prescribed by a UK-registered clinician.

From £14.30 / month

Based on EMLA. Your price depends on the treatment a clinician prescribes.

  • Two routes — a tablet or a cream
  • From 0.9 to 3.3 minutes on average in trials1
  • Delivered free, in plain packaging

Takes 4 minutes · If a clinician doesn’t prescribe, you’re refunded in full

A couple relaxed and close together in bed
Medication options

More than one route.

Priligy tablets

Priligy dapoxetine

From £27.98 / month

1 to 3 hours before sex

A prescription tablet for premature ejaculation, and the option most prescribers start with.

  • Taken 1 to 3 hours before sex
  • A tablet, not a cream
  • Reviewed by a registered clinician
EMLA cream

EMLA lidocaine and prilocaine

From £14.30 / month

Applied before sex

A numbing cream rather than a tablet.

  • A cream applied before sex
  • No tablet to take
  • Reviewed by a registered clinician

There isn’t a single “best” treatment, the right one depends on you. Here’s what a clinician may consider, though the final choice, and whether treatment is suitable at all, is always theirs to make with you.

The whole programme

Your treatment journey

1
A clinician reviewing an online assessment
Before you start

Your assessment

  • A four-minute online assessment
  • Reviewed by a clinician, not a form
  • Your wider health, not just the scale
2
Starting treatment at home
Week 1–2

Getting started

  • A low starting dose, by design
  • Support if you feel off while adjusting
  • Free delivery, in plain packaging
3
Reviewing progress during treatment
Month 1–6

The weight-loss phase

  • Your dose reviewed and adjusted
  • Portions start to feel smaller
  • Refills arrive automatically
4
Ongoing support from the care team
Ongoing

Ongoing support

  • Any wind-down is gradual, never abrupt
  • No contract or minimum term
  • A care team a message away
The people behind your care

Clinicians, not chatbots.

Dr. Feroz Zafar, Medical Director at Manova

Medical Director

GMC 7266874
Naeem Teni, Clinical Lead at Manova

Clinical Lead

GPhC 2215591
Saiyma Zafar, Head of Clinical Operations at Manova

Head of Clinical Operations

GPhC 2052120

The bit that isn't marketing.

The assessment took about ten minutes and I heard back from a clinician the next day. Really straightforward from start to finish.

EExample reviewWeight loss · Sample

I was nervous about doing this online, but the questions were clear and nothing felt rushed. The team checked in after my first month, and every delivery arrived discreetly and on the day they said it would.

EExample reviewWeight loss · Sample

What I valued most was being able to message someone whenever a question came up. The replies felt personal rather than scripted, and I never felt pushed into anything.

EExample reviewWeight loss · Sample
FAQs

Asked more often than you'd think.

There are published numbers for this, so here they are rather than a vague reassurance.

Across the dapoxetine phase 3 trials, average time to ejaculation started at 0.9 minutes. After twelve weeks it was 3.6 minutes on the 60 mg dose, 3.1 minutes on 30 mg, and 1.9 minutes on placebo.

For the lidocaine/prilocaine spray, the two main studies recorded averages of 2.6 minutes and 3.8 minutes against 0.8 and 1.1 minutes on placebo.

Note how much the placebo groups improved too — a reminder that expectation plays a real part here. And “longer” is not automatically the goal: for most couples the thing that genuinely improves is the anxiety surrounding it.

Faster than most treatments — this is not something you build up over weeks. Dapoxetine is taken one to three hours before sex and works that same occasion. A topical spray goes on about five minutes beforehand.

So you will know quite quickly whether it suits you. Which also means it is worth trying on more than one occasion before deciding, since a single attempt tells you as much about the evening as the treatment.

It should not — these treatments act on ejaculation, not erection.

There is one caveat with a topical spray: too much of it, or leaving it on too long, can dull sensation more than you want and occasionally make an erection harder to maintain. Washing off the excess before sex is part of the instructions for a reason, and it is the step people skip.

Often, yes — and it is far more common than people assume. The two frequently coexist, and sometimes premature ejaculation is downstream of worrying about losing an erection rather than a separate problem.

Whether they can be treated together depends on the specific combination and your health, so raise it in your assessment rather than ordering both separately and hoping they get along.

That the medicine is licensed for a different condition, but there’s enough evidence for a clinician to prescribe it for this one. It’s normal, legal and common in medicine, and your clinician should tell you when they’re doing it, and why.
Every case is read by a registered clinician. They can and do say no when treatment isn’t appropriate, that’s the point of having a clinician rather than a checkout button.
Then you’re not charged. The clinician might suggest a different option, ask for more information, or refer you back to your GP. We’d rather lose a sale than push the wrong treatment.

References

  1. Pryor JL, Althof SE, Steidle C, et al. Efficacy and tolerability of dapoxetine in treatment of premature ejaculation: an integrated analysis of two double-blind, randomised controlled trials. The Lancet, 2006;368(9539):929–937 — DOI: 10.1016/S0140-6736(06)69373-2. Integrated analysis of two 12-week randomised, double-blind, placebo-controlled trials (n=2,614). Figures are mean intravaginal ejaculatory latency time at study endpoint. Results are from a clinical trial population; individual results will vary.