Understanding Premature Ejaculation: Causes and Treatment
Premature ejaculation (PE) is a common sexual concern that can affect confidence and relationships. Learn about its causes, types, effects on health, and effective treatment options including therapy, lifestyle changes, and medications.
Written by Dr. Siri Nallapu
Reviewed by Dr. D Bhanu Prakash MBBS, AFIH, Advanced certificate in critical care medicine, Fellowship in critical care medicine
Last updated on 1st Sep, 2025
Premature ejaculation (PE) is a common sexual health concern that affects many men at some point in their lives. While it can be frustrating and embarrassing, it’s important to know that you’re not alone, and effective treatments are available. This article will help you understand what premature ejaculation is, its causes, and how it can be managed or treated.
What Is Premature Ejaculation?
Premature ejaculation occurs when a man ejaculates (releases semen) sooner than he or his partner would like during sexual activity. While there’s no strict time frame, doctors often consider it PE if ejaculation happens within one minute of penetration or if it causes distress.
Types of Premature Ejaculation
1. Lifelong (Primary) PE – This means the condition has been present since the first sexual experiences.
2. Acquired (Secondary) PE – This develops later in life after previous normal sexual experiences.
What Causes Premature Ejaculation?
The exact cause of PE isn’t always clear, but several factors can contribute:
1. Psychological Factors
- Stress & Anxiety – Performance anxiety, relationship issues, or general stress can trigger PE.
- Depression – Mental health conditions may affect sexual function.
- Guilt or Past Trauma – Negative sexual experiences can lead to PE.
2. Biological Factors
- Hormonal Imbalance – Abnormal serotonin levels (a brain chemical) may affect ejaculation control.
- Inflammation or Infection – Conditions like prostatitis (inflammation of the prostate) can contribute.
- Genetic Factors – Some men may have a natural tendency toward quicker ejaculation.
3. Lifestyle & Habits
- Lack of Sexual Experience – Inexperience can lead to poor control.
- Irregular Sexual Activity – Long gaps between sexual encounters may increase sensitivity.
- Substance Use – Excessive alcohol or smoking can affect sexual performance.
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How Does Premature Ejaculation Affect Health?
While PE is not a serious medical condition, it can impact:
- Self-esteem & Confidence – Many men feel embarrassed or inadequate.
- Relationship Strain – Partners may feel unsatisfied, leading to tension.
- Avoidance of Intimacy – Fear of PE may cause men to avoid sex altogether.
How Can Premature Ejaculation Be Managed or Treated?
The good news is that PE can often be improved with lifestyle changes, therapy, or medical treatments.
1. Behavioral Techniques
- The Start-Stop Method – Pausing stimulation when nearing climax and resuming after calming down.
- The Squeeze Technique – Gently squeezing the tip of the penis to delay ejaculation.
- Pelvic Floor Exercises (Kegels) – Strengthening these muscles can improve control.
2. Psychological Support
- Counseling or Sex Therapy – Helps address anxiety, stress, or relationship issues.
- Cognitive Behavioral Therapy (CBT) – Teaches techniques to manage negative thoughts about sex.
3. Medications
- Topical Numbing Sprays/Creams – Reduce sensitivity (must be used carefully to avoid partner numbness).
- Oral Medications – Some antidepressants (like SSRIs) can help delay ejaculation.
- Prescription Treatments – A doctor may recommend specific medications if needed.
4. Lifestyle Changes
- Regular Exercise – Improves blood flow and reduces stress.
- Healthy Diet – Foods rich in zinc, magnesium, and omega-3s support sexual health.
- Limit Alcohol & Smoking – These can worsen PE.
- Open Communication with Partner – Reduces performance pressure.
When to See a Doctor?
If PE is causing distress or affecting your relationship, consider consulting a doctor or a urologist. They can:
- Rule out underlying medical conditions.
- Suggest personalized treatments.
- Provide reassurance and guidance.
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Final Thoughts
Premature ejaculation is a common issue, and there’s no need to suffer in silence. With the right approach—whether through behavioral techniques, therapy, or medical treatments—you can regain control and enjoy a fulfilling sex life. Remember, seeking help is a positive step toward better sexual health and well-being.
If you have concerns, don’t hesitate to reach out to a healthcare provider. You deserve support and effective solutions.
Consult a Specialist for Personalised Advice
Consult a Specialist for Personalised Advice
Dr. Mohamed Azeem
General Physician/ Internal Medicine Specialist
2 Years • MBBS,MD(Internal Medicine) CCEBDM
Karaikudi
Apollo Hospitals Karaikudi, Karaikudi
Dr. Dhanraj K
General Physician/ Internal Medicine Specialist
25 Years • MBBS, MD Internal Medicine - Osmania Medical College, Hyderabad
Hyderabad
Apollo Hospitals Jubilee Hills, Hyderabad
(375+ Patients)
Dr. Anand Ravi
General Physician
2 Years • MBBS
Bengaluru
PRESTIGE SHANTHINIKETAN - SOCIETY CLINIC, Bengaluru
Dr Syed Mateen Pasha
General Physician
2 Years • MBBS
Bengaluru
PRESTIGE SHANTHINIKETAN - SOCIETY CLINIC, Bengaluru
Dr P Sai Avinash
General Physician/ Internal Medicine Specialist
5 Years • MBBS
Bengaluru
Apollo Medical Center, Marathahalli, Bengaluru
Consult a Specialist for Personalised Advice
Dr. Mohamed Azeem
General Physician/ Internal Medicine Specialist
2 Years • MBBS,MD(Internal Medicine) CCEBDM
Karaikudi
Apollo Hospitals Karaikudi, Karaikudi
Dr. Dhanraj K
General Physician/ Internal Medicine Specialist
25 Years • MBBS, MD Internal Medicine - Osmania Medical College, Hyderabad
Hyderabad
Apollo Hospitals Jubilee Hills, Hyderabad
(375+ Patients)
Dr. Anand Ravi
General Physician
2 Years • MBBS
Bengaluru
PRESTIGE SHANTHINIKETAN - SOCIETY CLINIC, Bengaluru
Dr Syed Mateen Pasha
General Physician
2 Years • MBBS
Bengaluru
PRESTIGE SHANTHINIKETAN - SOCIETY CLINIC, Bengaluru
Dr P Sai Avinash
General Physician/ Internal Medicine Specialist
5 Years • MBBS
Bengaluru
Apollo Medical Center, Marathahalli, Bengaluru
