Premature Ejaculation: Here Is Everything You Need to Know

Premature Ejaculation: Here Is Everything You Need to Know
Published : Aug 21, 2023
Last Updated : Jan 25, 2024

Premature ejaculation is a type of sexual dysfunction that affects the quality of your sexual life adversely. This disorder happens when an orgasm or “climax” occurs sooner than preferred.

It is a common condition that affects almost 20-30% of men and makes them ejaculate sooner. PE can occur due to various psychological or physical medical reasons like high blood pressure, diabetes, or alcohol.

This sexual disorder can be a frustrating experience for you and your partner and make sexual life less enjoyable.

How common is premature ejaculation disorder?

At some point in life, 30% to 40% of men suffer from premature ejaculation problems.With time, premature ejaculation has become a common type of sexual dysfunction in men.

Almost one in five men between the ages of 18 and 59 suffer from premature ejaculation problems.

Is premature ejaculation also considered a type of sexual dysfunction?

Premature ejaculation is also contemplated as a type of sexual dysfunction in men. Sexual dysfunction means a type of disorder that keeps a couple from completely enjoying sexual intercourse.  

Nevertheless, premature ejaculation is not the same as erectile dysfunction.   ED or erectile dysfunction is an inability to attain and maintain hard erections required for sexual intercourse. 

Though some men might experience premature ejaculation along with erectile dysfunction.

Premature ejaculation: Know about its symptoms

Being unable to ejaculate for longer than three minutes after penetration is the main symptom of premature ejaculation.Still, this problem can occur in all kinds of sexual conditions, including during masturbation.

Premature ejaculation is classified into two categories stated below:


Premature ejaculation occurs constantly or almost always after your first sexual experience.


After previous sexual encounters without ejaculation problems, acquired premature ejaculation occurs.

A number of men feel that they experience symptoms of premature ejaculation but symptoms don’t meet standards for diagnosis.

What are the different causes of premature ejaculation?

You can suffer from premature ejaculation due to various physical, emotional, or psychological factors.

Different physical and emotional issues include:

  • An underlying erectile dysfunction identification
  • A hormonal issue with oxytocin levels which plays a role in sexual function in men.

Other hormone levels that play a role in men’s sexual function are:

  • Luteinizing hormone (LH)
  • Prolactin and thyroid-stimulating hormone (TSH)
  • Low serotonin or dopamine levels are chemicals in your brain that are indulged in sexual desire and excitement.
  • A male sexual organ that is extra sensitive to encouragement

Various emotional or psychological causes include:

  • Performance anxiety: This problem can happen due to nervousness about being with a new partner, lack of confidence, or others.
  • Depression
  • Stress
  • Relationship issues

Some physical causes can also play a main role in your premature ejaculation disorder.

If you struggle to keep an erection due to ED, you might speed through intercourse to complete it before the erection goes away.

Diagnosis of premature ejaculation

Your doctor will diagnose PE by asking if you had this problem or if it’s a new thing.

They might even ask about your sexual life or relationship. A doctor might even ask for a physical exam.

In case, a doctor thinks emotional problems are contributing to your premature ejaculation then mental health expert will be referred.

Mental health professional often works with men who find trouble in having sexual activity with a partner. 

If a physical problem is causing premature ejaculation, then you might be referred to a urologist.

You need to know that a urologist specializes in treating conditions that affect your urinary system.

Risk factors linked to premature ejaculation

A number of factors can increase your risk of suffering from premature ejaculation including:

Erectile dysfunction

If you have trouble attaining or keeping an erection then you will be at an increased risk of experiencing premature ejaculation.

Fear of losing an erection can cause you to hurry through sexual activity or intercourse with a partner.


In premature ejaculation, emotional or mental strain in your life plays a vital role.

Also, stress can restrict your ability to relax and concentrate during sexual activity.

How to treat premature ejaculation?

Depending upon the cause, there are different treatment options for premature ejaculation including counseling, medicines, and behavioral therapy.

Most causes of premature ejaculation are first treated with counseling to address emotional concerns or stressors which might be contributing. 

Here are some effective treatments for premature ejaculation:

Behavioral therapy

When it comes to behavioral therapy, includes diverse methods to delay your orgasm.

The main motive of behavioral therapy is to teach you how to control your body and feelings effectively.

Start and stop

With this method, you stimulate your male sexual organ close to point of orgasm and then stop arousal for 30 seconds.

This stimulation is stopped unless you are able to resume control over your response.

Continue practicing this method unless you are able to gain good control once again.


Counseling can help you if the cause of PE is psychological, or emotional issues due to depression or performance anxiety.

You can go through counseling sessions given by a psychologist, psychiatrist, or couples therapist.


Depending upon your condition, a doctor might recommend you some medications.

Some effective medicines include antidepressants like selective serotonin reuptake inhibitors which delay PE.

Before starting your treatment with any medicines, make sure to consult a doctor and know if it’s safe for you.

Numbing creams and sprays applied on the head and shaft of the male reproductive organ is another medicine to delay ejaculation.

ED drugs like sildenafil, tadalafil, vardenafil, and avanafil can also treat premature ejaculation in men.

Therefore, treating premature ejaculation is now possible and easy with the right treatment.