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Premature ejaculation: Causes and Treatments

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Premature ejaculation

Sex is a commonly discussed topic in the society. For men, one of the common questions that arise as regards sex is “how long should a man last in bed?”

This article will address men’s health, particularly premature ejaculation, its causes and treatments.

Premature ejaculation is a type of sexual dysfunction prevalent in men. However, it is not the same as erectile dysfunction (which is the inability to achieve and maintain an erection firm enough for sexual intercourse). Let’s first explain what premature ejaculation means.

What is premature ejaculation?

Ejaculation occurs when a man releases semen from the penis during orgasm, following a sexual act. Premature ejaculation is when a man attains orgasm and ejaculates sooner than he or his partner would like during sexual intercourse.

Premature ejaculation is considered the most common sexual dysfunction in men. According to a review article in the International Journal of Impotence Research, premature ejaculation affects approximately 30% of men worldwide.

There are different criteria for diagnosing premature ejaculation. You can be diagnosed with premature ejaculation if you always ejaculate within one minute of penetration or if you are always unable to delay ejaculation during intercourse. 

Premature ejaculation is a common sexual complaint among men. However, you should note that if it doesn’t occur frequently, it’s no cause for alarm. An infrequent premature ejaculation will hardly be diagnosed as sexual dysfunction. Also, you don’t have to be embarrassed to seek medical attention as this condition is common and treatable.

Causes of premature ejaculation

Physicians don’t seem to know the exact cause of premature ejaculation. However, they know that the condition is caused by a combination of biological and physiological factors. 

Biological causes of premature ejaculation

Some biological factors that might contribute to premature ejaculation include:

  • Genetics
  • Abnormal hormonal levels
  • Infection and inflammation of the male reproductive organs- urethra or prostate
  • Abnormal level of neurotransmitters (neurotransmitters are brain chemicals that pass impulses or messages to the rest of the body)

Psychological causes:

Emotional and psychological factors can also play a role in causing premature ejaculation. Examples of such factors include:

  • Depression
  • Stress
  • Anxiety
  • Guilt
  • Relationship problems
  • Life issues
  • Low self-esteem or lack of self-confidence
  • Worries over sexual performance
  • Sexual repression (when you have negative feelings or outlook towards sex)
  • Early sexual experiences

Erectile dysfunction is another factor that can cause premature ejaculation. Men who feel anxious about attaining or maintaining an erection during sex might form the habit of rushing to ejaculate. This habit might be difficult to change. 

Furthermore, a bad experience with sex can lead to repeated premature ejaculation during sexual intercourse. For instance, a history of sexual abuse can cause premature ejaculation.

It is worthy to note that Premature ejaculation can be temporary, especially in cases where psychological factors are the remote cause. For instance, premature ejaculation caused by anxiety about little or no sexual experience would likely stop when the person gets older, have had several sexual experiences and have learnt strategies to delay ejaculation and last longer in bed. 

When do you seek help for premature ejaculation?

Since premature ejaculation is common among men and is usually not considered a severe health condition, how do you know when to seek help? When should premature ejaculation become a cause for worry?

See a Doctor if:

  • You experience premature ejaculation frequently
  • It has caused your relationships problems
  • If it hinders you from pursuing intimate relationships
  • If it makes you feel overly self-conscious

Premature ejaculation treatment

As noted earlier, premature ejaculation can resolve on its own. It can also be treated. The good news is that this condition is not life-threatening. Most times, adjustments in sexual routine helps treat it.

Some of the strategies that might help stop premature ejaculation include:

Pelvic floor exercise

Pelvic floor exercise is an exercise that involves the tightening and relaxation of the pelvic floor muscles. These muscles are the key muscles that control the release of faeces, urine and gas and also delay emptying until when it is convenient for you. 

The idea behind this exercise is that you train those muscles so they can assist in delaying ejaculation.

To find these muscles is not hard. Here is what to do; when urinating, stop urination in midstream and concentrate on the pelvic muscles you are using to do that. Once you discover these muscles, try the pelvic floor exercise, also known as Kegel manoeuvres.

Here is how to do Kegel manoeuvres:

  • Tighten the pelvic floor muscles and count up to three
  • Relax them and count up to three
  • Repeat the process several times daily

Decreasing sensitivity

Reducing penile sensitivity during intercourse might help delay ejaculation. One way to do this is by wearing a condom during sex. 

You will find in the market condoms designated for ‘climax control’. Such condoms reduce slightly the sensitivity of nerves in the penis. The idea is to help maintain an erection for a longer duration without ejaculating. 

Feel free to discuss this option with your doctor. Your doctor might even prescribe you numbing agents you can apply directly to your penis before intercourse. 

Erectile dysfunction medications 

Some medications for erectile dysfunction, such as sildenafil (Viagra), might help. Such medications might help treat premature ejaculation by helping maintain an erection which can, in turn, lead to delayed ejaculation.

Erectile Dysfunction medications typically take about an hour to start working, and you will need to work with the right dose. It is important that you don’t self-medicate. Talking to one of our doctors is a safer way of treating your condition.

Talk with your partner

All the treatment options mentioned above might not help as much as talking to your partner. This is because many cases of premature ejaculation are psychological, and there is no better person to talk to about them all than your partner.

You don’t have to deny that you have an issue. You can work on the problem with your partner. Both of you need to understand that premature ejaculation does not cause infertility; it is common and treatable.

When you both understand the condition, you can devise means of helping treat it. You can repeatedly try the start-and-stop method where your partner stimulates your penis until you are close to ejaculation and then stops until you feel in control again. Remember, communication is vital here. 

Go for counselling

Seeing a counsellor is imperative and beneficial for faster recovery. When it comes to health conditions like premature ejaculation, talking about the problem is the first step towards overcoming the weakness. 

When other methods you have tried failed, talking to a psychologist could help. The psychologist would help you work through psychological issues like anxiety, depression, trauma or stress, which might be factors contributing to your condition.

In conclusion, You are not meant to allow premature ejaculation put a strain on your sexual relationship. It is very important that it is tackled through the help of health professionals instead of relying on unsafe drugs, sex enhancers and unapproved herbal mixtures. With the right care, the problem can be solved appropriately and completely. Do not suffer in silence. Sometimes, slight changes in sexual routine, use of prescribed medication or other strategies as suggested by your doctor, could effectively bring the condition to an end. Struggling with premature ejaculation? Speak to an Expert today!

Medical DisclaimerKompleteCare™ aims to improve the quality of life for everyone with fact-based content about the nature of diseases, preventive care, behavioral health conditions, treatment options and their related outcomes. We publish material that is researched, cited, edited and reviewed by licensed medical professionals. The information we provide is not intended to be a substitute for professional medical advice, diagnosis or treatment. It should not be used in place of the advice of your physician or other qualified healthcare provider

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1 comment

October 25, 2022 - 12:39 pm

[…] Premature Ejaculation: Causes and Treatments […]

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Joy Chioma Emeh graduated with a B.Sc in Anatomy. She is a health enthusiast and prolific writer with years of experience in the writing industry. She is also the senior content editor at

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