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Dapoxetine is the only oral medication specifically approved for premature ejaculation in Spain. Sold as Priligy, it is a short-acting selective serotonin reuptake inhibitor. The Spanish Agency for Medicines and Health Products also approves topical lidocaine or prilocaine sprays for this condition.

• Regulatory approval: The Spanish Agency for Medicines and Health Products (AEMPS) regulates all approvals.
• First-line oral: Dapoxetine is available in 30 mg and 60 mg tablets.
• Topical options: Lidocaine/prilocaine sprays reduce sensitivity and are approved for lifelong cases.
• Prescription status: All approved medications require a formal consultation with a licensed professional.

Bookimed Expert Insight: Spain ranks highly for urological care with 83 specialized clinics available. Patients seeking treatment should target directors of urology like Dr. Antonio Allona at Hospital Ruber Internacional. These specialists hold European Board of Urology (FEBU) certification. They often provide more nuanced care than general practitioners for complex male health cases.

Patient Consensus: Patients note that while medications like Dapoxetine are approved, finding a doctor willing to prescribe them varies. Many mention that timing and side effects are just as important as the medication itself.

For treatment in Spain, you should consult a Urologist or an Andrologist specializing in male sexual dysfunction. These specialists manage physiological causes like prostate issues or hypersensitivity. Private clinics often offer direct specialist access, while the public system requires a general practitioner referral.

• Urologist (Urólogo): Evaluates prostate health and reproductive function to rule out organic causes.
• Andrologist (Andrólogo): Focuses specifically on male sexual health, vitality, and multimodal therapy plans.
• Sex therapist: Addresses performance anxiety, stress, or psychological triggers through targeted behavioral techniques.
• Endocrinologist (Endocrino): Investigates hormonal imbalances, such as thyroid disorders, that may contribute to symptoms.

Bookimed Expert Insight: Spain ranks third globally on Bookimed for patient inquiries, reflecting high medical standards. Leading centers like Hospital Ruber Internacional integrate 40+ specialized departments. Experts like Dr. Antonio Allona hold Fellow of the European Board of Urology (FEBU) credentials. This depth of expertise ensures comprehensive care for complex urological concerns.

Patient Consensus: Patients emphasize starting with a urologist to rule out physical causes. They note that adding a psychologist is often vital when stress or anxiety impacts performance.

Spain's public healthcare system covers diagnostic consultations and specialist urology referrals for premature ejaculation. However, the system does not subsidize specific medications like Dapoxetine or private psychosexual therapies. Patients must pay full market price for specialized drugs at pharmacies even with a public prescription.

• Diagnostic coverage: Public general practitioners provide baseline assessments and hormone testing.
• Specialist access: Referrals to public urologists are covered for physical examinations.
• Medication costs: Patients pay out-of-pocket for primary treatments like anesthetic sprays.
• Therapy limits: Long-term sex therapy usually requires private clinics due to wait times.

Bookimed Expert Insight: Patients often use a hybrid approach to navigate the Spanish system. Private specialists like Dr. Antonio Allona at Hospital Ruber Internacional offer faster access for complex cases. Using public centers for initial bloodwork while choosing private experts for treatment plans can save time. This balance ensures clinical quality without the long public waiting lists for sexual health.

Patient Consensus: Many patients find public doctors may minimize sexual health concerns as non-urgent. They often suggest being persistent or seeking private care for more dedicated specialty focus.

Spanish urologists diagnose premature ejaculation primarily through a comprehensive sexual history and clinical evaluation. Doctors assess ejaculation latency, perceived control, and personal distress. Specialists like Dr. Antonio Allona at Hospital Ruber Internacional utilize standardized diagnostic criteria to differentiate between lifelong and acquired conditions during consultations.

• Clinical history: Doctors evaluate ejaculation timing, control, and distress level.
• Acquisition patterns: Specialists distinguish between lifelong issues and newly developed symptoms.
• Physical examination: Urologists may check for underlying prostatitis or thyroid issues.
• Mental health: Assessments often include screening for performance anxiety or relationship stress.

Bookimed Expert Insight: Spanish private centers like Hospital Ruber Internacional offer highly efficient diagnostic pathways. While public wait times can be long, private urology units often provide same-day consultations with experts like Dr. Antonio Allona. These specialists use their 40+ years of experience to skip unnecessary lab tests and move directly to personalized behavioral or medical treatment plans.

Patient Consensus: Patients note that consultations are direct and practical. Doctors focus on specific questions about penetration timing and emotional impact rather than ordering complex medical imaging or blood work.

Non-pharmacological therapies in Spain include behavioral techniques, psychosexual counseling, and pelvic floor rehabilitation. Spanish urology centers follow European Association of Urology guidelines. They offer methods like start-stop exercises. Specialists also perform hyaluronic acid injections. These treatments focus on improving ejaculatory control without reliance on medication.

• Behavioral techniques: Practice the start-stop and stop-squeeze methods to manage reflexes.
• Psychosexual therapy: Cognitive behavioral therapy targets performance anxiety and stress reduction.
• Pelvic physiotherapy: Kegel exercises and biofeedback strengthen muscles for better endurance.
• Minimally invasive: Hyaluronic acid glans girth infiltration reduces sensitivity physically.

Bookimed Expert Insight: Spain ranks third globally on Bookimed for specialized medical requests. High-volume centers like Hospital Ruber Internacional employ cross-functional teams. Dr. Antonio Allona has over 40 years of experience in andrology. He leads a unit that integrates surgery with specialized functional diagnostics. This multidisciplinary approach often yields better results than seeing a generalist.

Patient Consensus: Patients emphasize that adding a partner to therapy sessions improves outcomes. They note that muscle control and behavioral changes take consistent daily practice.