Premature Ejaculation

Premature ejaculation is a sexual dysfunction that affects the quality of a man’s sex life. A man facing premature ejaculation experiences orgasm sooner than wanted. The condition can occasionally cause complications with reproduction, but premature ejaculation primarily affects sexual satisfaction of both men and their partners.

With the recognition and understanding of male sexual dysfunction being improved, physicians now have a better understanding and approach to address the condition.

In most cases of premature ejaculation, the inability to control ejaculation is rarely due to medical conditions, however a physician is required to out the possibilities.

Premature ejaculation can also lead to secondary conditions including embarrassment, distress, anxiety and depression.

Cause of Premature Ejaculation

Premature ejaculation majorly involves psychological factors but there can also be medical factors to the condition:

Psychological Causes
  • Sexual inexperience
  • Issues with how one perceives body image
  • The newness of a relationship
  • Too much stimulation or overly excited
  • Stress in the relationship
  • Anxiety
  • Negative emotions such as guilt or inadequacy
  • Depression
  • Facing issues with control and intimacy

The above listed psychological causes can affect men who had previously had no issues with ejaculation. Such cases are often considered to be secondary PE or acquired PE.

Although rare but some primary or lifelong PE is also believed to be caused by psychological factors.

PE caused by psychological factors can be traced back to early trauma, which may include:

  • Strict upbringing and strict sexual teaching
  • Traumatic sexual experiences


Medical Causes

Although rare, a man can also experience premature ejaculation due to medical conditions, which may include:

  • Diabetes
  • Multiple sclerosis
  • Thyroid diseases
  • Prostate disease
  • Use of illicit drugs
  • Alcohol abuse

Premature ejaculation can be a sign of underlying condition needing treatment.

Symptoms of Premature Ejaculation

The symptoms of persistent or lifelong PE are characterized by following three features:

  • A man will always or nearly always ejaculate before sexual penetration or within about a minute of penetration.
  • Inability to delay ejaculation nearly always when penetration occurs.
  • Facing negative consequences including distress, frustration, or avoidance of sexual intimacy.

Symptoms arising from psychological factors are considered secondary to physical ejaculatory events. These symptoms can be experienced by the man, his partner or both. The psychological symptoms of premature ejaculation include:

  • Confidence drops within the relationship
  • Interpersonal difficulties
  • Distress
  • Anxiety
  • Depression