A common sexual dysfunction in men characterized by the inability to control or delay ejaculation, resulting in ejaculation occurring sooner than desired during sexual intercourse.


Premature ejaculation (PE) is a common sexual dysfunction in men where ejaculation occurs sooner than desired during sexual activity. This lack of control can lead to frustration, distress, and difficulties within intimate relationships. PE can affect men of all ages and may be influenced by psychological, physical, or relationship-related factors.

Causes of Premature Ejaculation

Premature ejaculation often results from a combination of factors rather than a single cause. These may include:

Psychological Factors

  • Anxiety or stress, particularly performance anxiety.
  • Depression or emotional distress.
  • Fear of inadequate performance, which can worsen the issue.

Biological Factors

  • Hormonal imbalances or thyroid abnormalities.
  • Neurotransmitter differences affecting sexual response.
  • Genetic predisposition, suggested in some studies.

Erectile Dysfunction (ED)

Men struggling with ED may rush to climax out of fear of losing the erection, which can contribute to PE.

Relationship Factors

  • Poor communication or unresolved conflicts.
  • Sexual dissatisfaction or tension between partners.

Prostate Issues

  • Conditions such as prostatitis (inflammation or infection of the prostate) can impact ejaculation.

Symptoms of Premature Ejaculation

The primary symptom is consistent or recurrent inability to delay ejaculation during sexual activity. Other associated signs include:

  • Ejaculation with minimal stimulation, often before or shortly after penetration.
  • Distress or frustration, leading to reduced sexual satisfaction.
  • Relationship strain due to sexual difficulties.
  • Avoidance of sexual intimacy because of fear or embarrassment.

Management

Premature ejaculation is a treatable condition. Effective approaches may include:

  • Behavioral techniques (e.g., stop–start or squeeze methods)
  • Counselling or therapy, especially for psychological contributors
  • Medications, such as topical numbing creams or certain oral treatments
  • Treating underlying issues, such as ED or prostate conditions

If symptoms are persistent or distressing, consulting a healthcare provider or sexual health specialist is recommended for proper evaluation and support.

Premature Ejaculation
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