Premature ejaculation in men happens when he ejaculates sooner or before he intend to during sexual intercourse. Most men experience it at some time in their life and as long as it doesn’t happen frequently, it can’t be considered as a major problem. It may be diagnosed as premature ejaculation if you are:

  • Always or nearly always ejaculate within one minute of penetration
  • Are unable to delay ejaculation during intercourse all or nearly all of the time
  • Feel distressed and frustrated, and tend to avoid sexual intimacy as a result

Several factors play a major role in developing this condition, including:

  • Psychological
    • Stress
    • Sexual abuse
    • Anxiety
    • Depression
    • Relation problems
    • Guilty feelings
    • Early sexual experiences
    • Poor body image
    • Fear of premature ejaculation
  • Biological
    • Erectile dysfunction
    • Abnormal hormone levels
    • Abnormal levels of brain chemicals called neurotransmitters
    • Inflammation and infection of the prostate or urethra
    • Inherited traits

Premature ejaculation can be classified as:

  • Lifelong (Primary) – Premature ejaculation happens all or nearly all of the time beginning with the first sexual encounters.
  • Acquired (Secondary) – Premature ejaculation develops after previous sexual experiences without ejaculatory problems.

The key symptoms of this condition include:

  • Ejaculation that routinely occurs with little sexual stimulation and with little control
  • Decreased sexual pleasure because of poor control over ejaculation
  • Feelings of guilt, embarrassment or frustration


To diagnose premature ejaculation, your doctor may examine your symptoms. He or she might also ask for your medical history to determine if there are biological factors that causes problem with ejaculation.  Laboratory tests may rule out any other diseases or conditions that cause the symptoms.



Most premature ejaculation gets better over time and does not require treatment. Relaxation techniques and distraction methods may help to delay ejaculation. Stopping or cutting down on the use of alcohol, tobacco, or illegal drugs may improve how well they can control ejaculation. For more serious cases of premature ejaculation, there is a variety of techniques and treatments that can be used.

Some of the treatments include:

  • Counselling – It may help reduce anxiety related to premature ejaculation. Since premature ejaculation may happen because of psychological factors, counselling would help to track down the causes of your anxiety and stress, and learn how to manage it.
  • Medications –To reduce sensation, anaesthetic creams and sprays that has numbing agent like benzocaine may be used 10 to 15 minutes before sex to help delay ejaculation. However, these products may bring side effects and some even resulted to unsatisfied sex.

A variety of drugs can help delay orgasm. Some antidepressant drugs and analgesics are believed to have delayed orgasm as part of their side effects. Phospodiesterase-5 inhibitors or medications that treat erectile dysfunction are also used for premature ejaculation. These drugs, however, doesn’t really treat premature ejaculation and might bring some unwanted side effects. It is important to talk with your doctor before trying anything.

  • Behavioral Techniques– Some of the behavioural techniques that can be used to delay ejaculation are:
    • Squeeze Technique- Whenever a man is about to experience premature orgasm, he or his partner may squeeze the shaft of his penis between a thumb and two fingers. He or his partner must hold it for about 20 seconds then let go, and then resume sexual relations. This technique can be repeated as often as needed.
    • Pelvic Floor exercises- Weak pelvic floor muscles might impair your ability to delay ejaculation. Pelvic floor exercises (Kegel exercises) can help strengthen these muscles.

Some other techniques that may delay premature ejaculation are masturbating 1 to hours before the real intercourse and using condom.



There is no specific way to prevent the development of premature ejaculation. However maintaining a healthy mind and body are some of the advice that can be considered.

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