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Premature Ejaculation – Causes, Symptoms and Treatment

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Also called rapid ejaculation, premature climax, or early ejaculation, premature ejaculation is a term used to describe the premature or untimely release (ejaculate) that occurs sooner than either the man or his partner would like. It usually occurs prior to or immediately after penetration when having intercourse.

Premature ejaculation can be a frustrating experience for both sexual partners. Psychological and biological factors play a major role. Though it is an embarrassing topic to talk about for many , it is treatable. A combination of medications, sexual techniques, and counseling can help treat and improve the sexual experience of you and your partner.

What is premature ejaculation?

The semen that is released from the penis during an orgasm is called ejaculation. Though there is no fixed time for how long a man should last before ejaculation, it occurs faster than what either you or your sexual partner would have expected. It is a type of sexual dysfunction, which prevents a couple from completely enjoying the sexual activity.

What are the Symptoms of Premature Ejaculation?

The inability to hold ejaculation for more than one minute after penetration is the main symptom. This problem may also occur during masturbation evidenced by rapid climax and ejaculation. Based on the symptoms, it is of the following types:

  • Lifelong (primary) – in which premature ejaculation occurs right from your very first sexual encounter
  • Acquired (secondary) – in which you may have had previous normal sexual experiences and have lately developed the problem
  • Natural variable premature ejaculation – in which you may alternate between periods of normal ejaculation and rapid ejaculation.

What are the Causes of Premature Ejaculation?

The exact cause is not known. It is believed that a combination of physical, psychological, and chemical factors plays a role in causing the issue.

Physical and chemical factors include

  • Hormonal disorders 
  • Low levels of certain chemicals in the brain like serotonin or dopamine that cause sexual desire and pleasure
  • An overly sensitive penis

Emotional or psychological causes include

  • Sexual experiences at an early age
  • Poor body image
  • Depression
  • Performance anxiety
  • Stress
  • Sexual abuse
  • Problems in your relationship
  • Feelings of guilt which may make you rush through your sexual encounter
  • Constant worrying

Biological causes include

  • Inherited traits
  • Inflammation or infection of your urethra and prostate

When Should you Consult a Doctor?

In case it is causing relationship problems, making you feel self-conscious, or is preventing you from pursuing future relationships, you need to consult a doctor. You may approach a primary care doctor, a urologist, or a mental health care professional depending on the cause. You can –

Call 1860-500-1066 to book an appointment

What is the Treatment for Premature Ejaculation?

A combination of treatments exists for premature ejaculation which includes behavior therapy, counseling, or medications.

  • Behavioral Therapy: This involves employing different methods to help you control your body and feelings and delay your orgasm. In the start and stop method, your partner may start stimulation till you reach orgasm and then cease it. This is continued three to four times till you finally achieve an orgasm. In squeeze therapy, your partner stimulates your penis till you almost reach orgasm and then squeeze your penis so that you lose your orgasm. In distracted thinking, while you are being stimulated you need to think of non-sexual things. These methods help you to achieve control over your orgasm.
  • Counseling: A relationship therapist, psychologist, psychiatrist, or sex therapist can help you if your premature ejaculation is due to psychological or emotional causes.
  • Pelvic floor exercises: Exercises like Kegel exercises can help strengthen your pelvic floor muscles.
  • Condoms: In case you have penis sensitivity, “climax-control” condoms can help.
  • Medications: In case the above methods fail, topical anesthetics or oral medications like analgesics and antidepressants may be advised. These might delay orgasm. If you have further doubts, you can


Premature ejaculation can be treated with a number of remedies. Support and understanding from your partner are essential in overcoming the condition.

Frequently Asked Questions (FAQs)

What are the risk factors? 

Erectile dysfunction and stress are the major risk factors for premature ejaculation.

What are the complications?

Stress, relationship issues, and fertility problems are some of the complications of premature ejaculation.

Can you prevent or avoid premature ejaculation?

Depending on the cause, you can prevent premature ejaculation. Usually, behavioral methods can help prevent it.

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At Apollo, we believe that easily accessible, reliable health information can make managing health conditions an empowering experience. AskApollo Online Health Library team consists of medical experts who create curated peer-reviewed medical content that is regularly updated and is easy-to-understand.
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