Premature Ejaculation

What is Premature Ejaculation

When you experience an orgasm before intercourse or less than a minute into it, it is known as premature ejaculation (PE). There is no defined period of time during sex when a male should ejaculate, but if you do and then lose your erection, you and your partner can feel that there isn't enough time to appreciate it.

It might be annoying and even embarrassing, but it's a problem that many guys deal with. 30% to 40% of people experience it at some point throughout their lives. Therefore, remember that if it only occurs occasionally, it is nothing to be concerned about.

What time frame medically defines a man’s ejaculation as premature?

The American Urological Association describes ejaculation as "premature" if it happens sooner than anticipated, either before or immediately after penetration, distressing one or both partners. Other definitions of premature ejaculation may differ. Mild is defined by the American Psychiatric Association as having an ejaculation time of under one minute, followed by moderate and severe. Many medical professionals define prematurity as ejaculating within a minute of starting sexual contact, if given a deadline. Despite expert judgments, your views regarding what is premature are also taken into account.

What triggers a premature ejaculation?

Premature ejaculation is a result of physical, physiological, and emotional/psychological causes.

Among the physical and chemical issues are:

  • a diagnosis of underlying erectile dysfunction.
  • a physiological issue that affects oxytocin levels, which are important for men's sexual performance. Luteinizing hormone (LH), prolactin, and thyroid stimulating hormone are other hormone levels that affect sexual performance (TSH)
  • Low levels of the brain chemicals dopamine and serotonin, which are associated with excitation and sexual desire.
  • a penis that is more responsive to stimulation than usual.

The following are emotional or psychological causes:

  • Performance anxiety Could be brought on by anxiety about starting a relationship with a new partner, fear of starting a long period of no sex, lack of confidence, guilt, being extremely thrilled or stimulated, or other factors.
  • Relationship difficulties

How is premature ejaculation treated?

Depending on the cause, there are a variety of treatments available for premature ejaculation. Our doctors are available to help you out. These include medication, counseling, and behavioral treatment. First, behavior therapy and/or counseling are typically used to address any underlying emotional issues, performance anxiety, or stressors that may be contributing to the majority of reasons of premature ejaculation. Multiple therapy modalities may frequently be used together.

Behavioral therapy

Behavioral treatment involves experimenting with various techniques to postpone your orgasm. Your body and your emotions will be taught how to be under your control. methods consist of:

  • Start-and-stop: In this method, you or your partner stimulates your penis just before it begins to orgasm, then halts the stimulation for around 30 seconds while you regain control of your reaction. Before allowing yourself to orgasm, use this "start and stop" technique three or four times. Once you have good control, keep using this technique.
  • Squeeze therapy: Using this method, you or your partner stimulates your penis up to the point of climax, followed by a gentle 30 second squeeze of the penis' head to cause you to lose your erection. Before allowing yourself to orgasm, practice this technique several times. Practice this technique often until you can control when your orgasm will happen.
  • Distracted thinking: The goal of the distracted thinking technique is to keep your thoughts on routine, nonsexual things while you are getting sexually stimulated. Using naming patterns can help you concentrate. Imagine, for instance, naming every company you see on your way to the gym, every athlete on your favorite sports team, or every item in the aisles of your favorite supermarket.


You can consult our psychologist, psychiatrist, couples therapist, or sex therapist if your premature ejaculation is caused by psychological, emotional, or relationship concerns such as performance anxiety, sadness, stress, guilt, or a troubled relationship. Our urologist can help you find these medical specialists.


The use of many medication types is possible.

  • Antidepressants can help prevent premature ejaculation, particularly selective serotonin reuptake inhibitors including citalopram (Celexa®), escitalopram (Lexapro®), fluoxetine (Prozac®), paroxetine (Paxil®), and sertraline (Zoloft®), as well as the tricyclic antidepressant clomipramine (Anafranil®). It is being used "off-label" (not approved by the Food and Drug Administration for this use). To ensure that this drug is suitable for you, be careful to discuss the adverse effects with your urologist.
  • The application of anesthetic (numbing) lotions and sprays to the head and shaft of the penis is another treatment option to postpone ejaculation. It is put to the penis and allowed to absorb for 10 to 30 minutes, or until there is a reduction in penis sensitivity. Washing your penis before intercourse is essential to avoid losing your erection or causing numbness in your partner's vagina.
  • Premature ejaculation has also been treated using erectile dysfunction drugs, specifically in men with underlying erectile dysfunction, such as sildenafil (Viagra®), tadalafil (Cialis®), vardenafil (Levitra®), and Avanafil (Stendra®).