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Introduction to Premature Ejaculation (PE)

Male sexual dysfunction that causes the inability to control or delay semen ejaculation during sexual intercourse is said to be premature ejaculation in medical terms.

Example to know if one suffers from PE disorder:

  • If you always ejaculate within 1 to 3 minutes of penetration.
  • If there is no control over delaying ejaculation during sex nearly all the time.

Yet there are medical studies carried out to know more in detail about the actual cause of male premature ejaculation. However, a lot of doctors classify this under two different categories.

  • Primary: In this case the male experiences premature ejaculation since his first sexual intercourse.
  • Secondary: In this case the male experience premature ejaculation over a period of time.

Medical experts believe the actual cause of premature ejaculation is linked to:

  • Psychological factors include Depression, stress, anxiety, guilt, poor body image, a lack of confidence, or a history of sexual abuse
  • Physiological factors include Erectile Dysfunction, Hypersensitivity of the penis or abnormal levels of neurotransmitters in the brain, Swelling and infection of the prostate or urethra, and at times Inherited traits.

To overcome the problem of PE, males often use the squeeze technique or the start-stop technique, Dapoxetine medicines, pelvic floor exercises, Behavioral techniques, etc. In some cases, a combination of two different approaches helps fetch better results especially when it comes to bringing lifestyle changes.

What causes Premature Ejaculation?

Here are some of the common factors that generally contribute to male premature ejaculation.

Psychological factors: Anxiety, stress, depression, guilt, and relationship issues often cause a lack of desire for sex. Under such conditions engaging in sexual activity may result in premature ejaculation. Especially in younger men performance anxiety often leads to early ejaculation.

Physiological factors: Abnormal levels of neurotransmitters like serotonin, dopamine, and norepinephrine in the brain may lead to premature ejaculation. Alongside hypersensitivity of the penis or prostate, thyroid disorders, inflammation or infection of the prostate gland and erectile dysfunction are some of the common reasons that may contribute to male PE.

Genetics: Family history related to male PE can pass on to their children.

Lifestyle factors: Smoking, Alcohol, and Drug use often result in this disorder and in most cases both PE and erectile dysfunction.

Age: There are chances that with growing age control over ejaculation may lose resulting in PE.

It is important to note that premature ejaculation can be a complex condition, and multiple factors may be contributing to the problem. A thorough medical evaluation and assessment by a healthcare professional can help determine the underlying cause and develop an appropriate treatment plan.

Medical condition: Medical conditions such as erectile dysfunction, Hormonal imbalances: Low levels of testosterone or high levels of prolactin, Thyroid disorders, Neurological disorders such as multiple sclerosis, Parkinson’s disease, and spinal cord injuries are some of the common examples of health disorder that may cause premature ejaculation.

However, to determine underlying cause and develop an appropriate treatment plan it is very important for male to consult a doctor at a very early stage. Treatment at early stage of premature ejaculation may be way effective and help achieve successful results.

Premature Ejaculation Diagnosis

The first and most important step is to find a good urologist nearby. During your first appointment with the urologist make sure you are prepared for answers to the question related to medical histories such as past surgeries, or any medicine consumption.

He may also ask you about your sexual history, questions like when you first experienced PE or whether it occurs with every sexual encounter or only in certain situations.

Psychological evaluation is also conducted in order to understand patients’ stress levels, anxiety, or depression.

Once all the things are in their place doctor may conduct diagnostic tests such as blood tests or imaging studies, to rule out any underlying health problems that could be contributing to your problem.

There is no single test or specific diagnostic criteria that can help determine early ejaculation problem. In fact the diagnosis of male PE is typically made based on a combination of medical history, physical exam, and psychological evaluation.

If you are experiencing premature ejaculation, it is important to speak with a healthcare professional without wasting time.

Ways to Overcome Premature Ejaculation

Behavioral techniques, medications, and lifestyle changes are some good approaches to treating male premature ejaculation.

Behavioral techniques

No other than you can control your body better. Hence adding some good techniques such squeeze technique or the start-stop technique.

  • Squeeze technique: Practicing this method includes stimulation of the penis close to the point of orgasm and squeezing the head of your penis for 30 seconds to stop ejaculation. Repeating this process will help gain control over ejaculation.
  • Start-stop technique: Practicing this method includes stimulation of the penis close to the point of orgasm then stops for about 30 seconds until you regain control and then again start stimulation.
  • Distract Thinking: Practicing this method includes distracting your mind while performing sex. It may include counting numbers in mind while intercourse. This helps distract the mind resulting in a delay in ejaculation.


Several dapoxetine medications such as  Prejac, Super P Force or Super Kamagra may be prescribed in order to control premature ejaculation of semen.


In case of premature ejaculation is caused due to stress, anxiety or depression. Consulting a counseling therapist can help you make things clear.

Lifestyle changes

To overcome premature ejaculation it is important to bring certain lifestyle changes. Avoid alcohol, drugs, and tobacco consumption, get proper sleep, maintain BMI, keep control over diet, and also make sure to claim stress by meditation, exercise or walking.

Communication with your partner

If performance anxiety is causing premature ejaculation during sexual intercourse. It is better you talk to your partner about making things comfortable for both parties during sexual activity.

Other Important things to remember:

Kegel exercises: Kegel exercises help maintain healthy pelvic floor muscles. Such exercise contract and relax pelvic floor muscles, in order to strengthen pelvic floor muscles to improve control over ejaculation.

Using condoms: In most cases, oversensitive skin can lead to quick ejaculation. To avoid direct contact with the skin using condoms is a good option. There are certain cream and gel available that reduces the sensitivity of the penile skin. Lack of oversensitive helps prolong ejaculation.

There are several reasons and different factors that can contribute to male premature ejaculation. Hence to find out the best possible way to treat male premature ejaculation it is always advisable to consult a health specialist.