Premature Ejaculation

Premature ejaculation is most commonly defined as the inability to control the rapidity or timing of ejaculation. It can also be defined as the inability to last long enough to satisfy your partner or not being happy with the length of time you last. These symptoms are diagnosed and treated by the Urology Division of Premier Medical Group.

Premature ejaculation is a fairly common complaint. Approximately 40% of American men are affected by this form of erectile dysfunction, a larger number than are troubled by impotence. More common in younger men, premature ejaculation can be devastating for the man and frustrating for his partner.

Causes of premature ejaculation

Back to top

Premature ejaculation is rarely a symptom of illness or disease. It can be a sign of prostatitis but it’s very rare. Some of the more common causes of premature ejaculation are:

  • Incapability to control sexual arousal
  • Anxiety
  • Hormonal imbalance
  • Excessive masturbation with the intention to reach climax quickly
  • Depression, some antidepressant medications can cause erectile dysfunction
  • A long period of abstinence
  • Lack of experience


Symptoms of premature ejaculation

Back to top
  • When ejaculation occurs within one minute or less of vaginal penetration
  • When the man is not capable of delaying ejaculation on all or almost all vaginal penetrations
  • Premature ejaculation can happen with any sexual circumstances. It can happen during vaginal intercourse, oral sex, or even masturbation.

How is premature ejaculation diagnosed?

Back to top

The diagnosis of premature ejaculation begins with a detailed medical and sexual history. Sex history will include your past and present sexual relationships. Your physician will ask you about drug use, including over-the-counter, prescription and recreational drug use. He may also take some blood tests to rule out hormonal imbalances. Sometimes, a sex therapist can be helpful with your diagnosis and treatment. Your family background, culture, and values can play a part in your sexual health.

Effects of premature ejaculation

Back to top

Premature ejaculation can become a serious problem if not confronted. A fulfilling love life is what completes a relationship and brings people closer. If your premature ejaculation is on the verge of ruining a relationship, it would probably be a good idea to make overcoming it your first priority. It’s a shame to see good relationships and marriages get destroyed by a preventable problem. This problem can be conquered by any man who puts forth the effort.

Not having the ability to satisfy women can also affect a man’s health and well-being. A lack of confidence and self-esteem can develop if the premature ejaculation persists. The repetitive failure can be detrimental to a man’s confidence and overall happiness throughout life.

Other than the mental effects of premature ejaculation, which can sometimes affect your overall health, there are no known physical problems or illnesses caused by the condition.

What are the types of premature ejaculation?

Back to top

Primary premature ejaculation

This type is a learned behavior and is psychogenic in contrast to physical or organic. Primary premature ejaculation generally starts when the male initially becomes sexually active. Like any learned behavior, it can be unlearned.

Secondary premature ejaculation

This type is characterized by the length of time of intercourse growing increasingly shorter, even after years of normal ejaculation. This is usually due to physical causes, generally involving the penile arteries, veins, or both.

Performance anxiety

This type of premature ejaculation is commonly caused by stress or anxiety.

How is premature ejaculation treated?

Back to top

Treatment for premature ejaculation includes medications, sexual therapy, and psychotherapy. Typically, a combination of these treatments works best for men. Some helpful tips include:

  • For the man to masturbate an hour or two before intercourse which helps delay ejaculation during intercourse
  • To avoid intercourse for short periods of time and focus instead on other types of sexual play. This will take the pressure off the actual sexual act.
  • The squeeze method:This technique has been very successful. The repetition of this process prepares you so you can penetrate your partner without immediately ejaculating. Soon you will learn how to delay ejaculation without needing to squeeze.
    • Step 1. Stimulate the penis just until you feel nearly ready to ejaculate.
    • Step 2. Squeeze the end of your penis, or have your partner do it, and keep holding the head of the penis until the feeling to ejaculate goes by.
    • Step 3. Now release the penis, wait about a minute, and then begin stimulating the penis again.
    • Step 4. Just when you again sense you’re about to ejaculate, squeeze and repeat the process.
  • Medications: Some topical anesthetic creams and certain anti-depressants can be used to treat premature ejaculation. A side effect of some antidepressants can be decreased libido and delayed orgasm.
  • Topical anesthetic creams: Applying an anesthetic cream containing either lidocaine or prilocaine can help to dull the sensation on the penis, which in turn delays ejaculation. To help delay your ejaculation, apply cream shortly before intercourse. Make sure to wipe the penis first so as not to affect your partner’s sensations.
  • Psychotherapy: Finding a good sexual therapist can prove helpful. Discussing your situation can relieve anxiety and stress. Many therapists can also provide useful literature and help you with techniques to guide you through the process to achieve a healthy sexual relationship.