PE is a medical condition that can be treated, but self-medication should be avoided because it does not contribute to the correct diagnosis of the underlying etiology and bears the risk to take the wrong treatment.
Obtaining information about a medical condition is very important but you must select a reliable source. Internet website of scientific associations or supported by them can provide useful and reliable information about medical conditions. Anyway, only a doctor can identify the causes (whether it is a primary or a secondary PE) select and prescribe the most appropriate treatments. So, a doctor’s consultation is fundamental and should be considered mandatory. Also, please notice that many available treatments are prescription medicines only and so, be aware of the website that sell those treatment without asking for the prescription, since they may be illegitimate online pharmacies that sell counterfeit medications.
Taking genuine medication is important, first of all for your health and wellbeing and also for your safety, since fake medicines have been found to contain very dangerous substances. Because of these facts, you should always buy the prescribed products from a reputable pharmacist whom you know and trust or from an authorised and certified online Pharmacy (be aware that online pharmacies are legitimated and so, certified and safe, only in some countries).
Internet is the biggest and the most unregulated market in the World where besides licensed online pharmacies (note: selling prescription drug online isn’t legal in all countries) there are also many unlicensed pharmacy websites to conceal their fake drugs amongst legal medicines. In over 50% of cases, medicines purchased over the Internet from illegal sites that conceal their physical address have been found to be counterfeit, while a report prepared by the European Alliance to Access for safe Medicines (EAASM) found that 62% of medicines bought online were either substandard or counterfeit and quite often contain not declared substances which have the potential to harm your health.
Latest estimates suggest that global sales of counterfeit medicines are worth more than $75 billion, having doubled in just five years between 2005 and 2010. Numerous studies have also reported large numbers of websites supplying prescription only drugs without a prescription and people buying internet drugs despite being aware of the dangers.
"Counterfeit medicines are part of the broader phenomenon of substandard pharmaceuticals. The difference is that they are deliberately and fraudulently mislabelled with respect to identity and/or source. Counterfeiting can apply to both branded and generic products and counterfeit medicines may include products with the correct ingredients but fake packaging, with the wrong ingredients, without active ingredients or with insufficient active ingredients". (Definition by the World Health Organization, WHO)
"Substandard medicines are products whose composition and ingredients do not meet the correct scientific specifications and which are consequently ineffective and often dangerous to the patient. Substandard products may occur as a result of negligence, human error, insufficient human and financial resources or counterfeiting". (Definition by the World Health Organization, WHO)
What risks are involved with taking counterfeit drugs? An individual who receives a counterfeit drug may be at risk for a number of dangerous health consequences. Patients may experience unexpected side effects, allergic reactions, or a worsening of their medical condition. A number of counterfeit products do not contain any active ingredients, and instead contain inert substances, which do not provide the patient any treatment benefit. Counterfeit drugs may also contain incorrect ingredients, improper dosages of the correct ingredients, or they may contain hazardous ingredients
The safest way to obtain genuine prescription only medicines is to get a prescription from a doctor and to fill it at licensed street pharmacy, while if you want to buy online you must do it from a legitimate online pharmacy. Look for a list of approved online pharmacies from your local Authorities (please note that online pharmacy are not legitimate in many countries) and refrain to buy from online website that don’t provide pharmacy registration number, physical address and phone number as fake online pharmacies won’t have this information.
References
1
Althof SE et al. J Sex Med. 2010;7(9):2947-2969.
2
Atikeler MK, Gecit I, Senol FA. Andrologia 2002;34(6):356-359.
3
Broderick GA. J Sex Med 2006;3(4):295-302.
4
Buvat J. J Sex Med 2011;8(suppl 4):316–327.
5
Donatucci CF. J Sex Med. 2006;3(Suppl 4):303-308.
6
EAU Guidelines on ED and PE 2012.
7
El-Nashaar A, Shamloul R. J Sex Med. 2007;4(2):491-496.
8
Gallo L, Perdonà S, Gallo A. J Sex Med. 2010;7(3):1269-1276.
9
Giuliano F et al. BJU International 2008;102 (6):668-675.
10
Giuliano F, Clement P. Eur Urol 2006;50 (3):454-466.
11
Graziottin A, Althof S. J Sex Med 2011;8 Suppl 4:304-309.
12
Halvorsen JG et al. J Am Board Fam Pract 1992;5:51-612.
13
http://www.fda.gov/Drugs/DrugSafety/ucm169898.htm
14
http://www.sciencedaily.com/releases/2012/02/120222093503.htm
15
Jannini EA et al. Sessuologia Medica. Trattato di psicosessuologia e medicina della sessualità. Elsevier Masson Ed. 2007
16
Jannini EA, Lombardo F, Lenzi A. Int J Androl 2005;28 Suppl 2:40-45.
17
Jannini EA, Porst H. J Sex Med 2011;8 Suppl 4:301-303.
18
Jannini EA, Simonelli C, Lenzi A. J Endocrinol Invest 2002;25(11):1006-1019.
19
Laumann EO, Paik A, Rosen RC. JAMA. 1999; 281 (6) :537-544.
20
Limoncin E, Tomassetti M, Gravina GL et al. J Urol 2012 Nov 6. Epub ahead of print.
21
Lindau ST, Schumm LP, Laumann EO et al. NEngl J Med 2007;357:762–74.
22
Masters WH, Johnson VE. Human sexual inadequacy. Boston: Little Brown; 1970:92–115.
23
McCarty EJ. Core Evidence 2012;7:1-14.
24
McMahon CG et al. J Sex Med 2008;5:1590–1606.
25
McMahon CG et al. J Sex Med 2011;8:524-539.
26
McMahon CG, Jannini E, Waldinger M, Rowland D. J Sex Med 2013;10(1):204-229.
27
Montorsi F. J Sex Med 2005;suppl 1:8, ABS PS-3-1.
28
Porst H et al. Eur Urol 2007;51(3):816-824.
29
Porst H. “Premature Ejaculation”. In: Porst H, Reisman Y (eds):The ESSM Syllabus of Sexual Medicine.Medix Publishers,Amsterdam 2012; pp 547-595.
30
Revicki V et al. Health and Quality of Life Outcomes 2008;6:33.
31
Rosenberg MT, Sadovsky R. Identification and diagnosis of premature ejaculation. Int J Clin Pract. 2007;61(6):903-908.
32
Screponi E, Carosa E, Di Stasi SM et al. Urology 2001;58(2):198-202.
33
Shabsigh R, Rowland D. J Sex Med 2007;4 (5):1468-1478.
34
Sotomayor M. J Sex Med 2005;2(2):110-114.
35
Waldinger MD. Premature Ejaculation Definition and Drug Treatment. Drugs 2007;67 (4):547-568.
36
World Health Organisation. ICD-10;1992. p. 355–356.
37
www.eaasm.eu "The Counterfeiting Superhighway" report