Premature Ejaculation

Premature ejaculation is ejaculation that occurs much sooner than a person wants and feels beyond control. It is one of the most common male sexual concerns and is treatable.

Premature ejaculation is ejaculation that happens shortly after penetration in a way the person cannot control and that causes distress. It can be lifelong (primary) or acquired (secondary).

Diagnosis is based less on a fixed time and more on loss of control and the distress it causes for the person and the relationship. Most cases improve markedly with a combination of behavioural and medical approaches.

Symptoms

• Ejaculation that usually occurs involuntarily and quickly
• A feeling of being unable to delay ejaculation
• Anxiety, frustration or avoidance of intimacy this causes
• In some cases, accompanying erection-related anxiety

Causes

• Neurobiological / serotonin-related factors
• Performance anxiety and stress
• Local conditions such as prostatitis
• Co-existing erectile dysfunction
• Hormonal factors such as thyroid disorders

When Should You Seek Help?

If the situation recurs or negatively affects you or your relationship, assessment is recommended. Premature ejaculation is common and treatable; do not hesitate to seek help.