Premature Ejaculation: Causes, Symptoms, and Treatments 

Urology Care Foundation suggests that premature ejaculation, or PE, is a sexual problem that affects approximately 1 out of 3 men living in the United States. PE may also result in poor sexual experiences, which is becoming very common in males. PE is different from ED or erectile dysfunction. PE is early climaxing, and ED is the inability to get firm penile erections. A few men also suffer from both PE and ED, but medications for the dual-action are available.  

Counseling, medications, and various methods may help delay ejaculation, which will boost sexual performance. The article underlines premature ejaculation problems, treatment, and causes.  

What is premature ejaculation?

When a man ejaculates earlier than expected at the time of sexual intimacy, it may indicate a sexual concern of premature ejaculation. There can’t be any time or duration for ejaculation of a man, but it is believed that ejaculating within a minute of foreplay, before or without penetration, can leave a void in the sexual encounter, and couples may not be able to enjoy the experience to the maximum.  

Premature ejaculation treatment is available in the form of medicines such as antidepressants, such as Citalopram, Sertraline, Paroxetine for PE, and Dapoxetine. Apart from the use of such antidepressants, surgeries might also be opted for as one of the major treatments intended to treat ED and PE.  

Symptoms of premature ejaculation

If the episodes of premature ejaculation are not frequent, it really is not an issue. However, if PE is frequent, consulting a physician is the best thing to do.  

PE can be divided into:

• Lifelong (primary) PE: It refers to the condition that a man may have had since the first encounter in sexual intimacy.  
• Acquired (secondary) PE: It refers to the condition where a male had healthy ejaculations in the past but now is ejaculating faster than expected and suspects having ED.  

A few common symptoms of ejaculation may be:

• Ejaculation within a minute after penetration 

• Rare on-time ejaculation or inability to ejaculate completely during sexual activity.  

Causes of premature ejaculation  

Common premature ejaculation causes include medical factors, physical factors, and relationship issues. It can affect male ejaculation. Ejaculation is common in men with a sensitive penis and those who are quickly aroused. Psychological and biological factors do play a vital role in the development of premature ejaculation.  

Psychological and physical factors

Psychological factors affect sexual desire, erections, and libido. Male sexual performance and Sexual performance anxiety related to it may be triggered by PE. Poor sleep patterns are also responsible for decreasing serotonin levels within the brain. It disrupts the body’s metabolism and is a major cause of early ejaculation in men.  

Here are some of the psychological factors that are responsible for PE:  

• Early sexual experiences 

• Tension and anxiety  

• Sexual abuse 

• Negative image of the body 

• Depression 

A few physical conditions that can affect and aggravate PE are:  

• Poor hormone levels 

• Poor neurotransmitters levels 

• Genetic traits that one establishes from parents 

• Infection or inflammation of the urethra or the man’s prostate  

Medical Causes

In a few men, a medical cause of PE is possible, such as:  

• High blood pressure 

• Diabetes 

• Thyroid  

• Alcohol overconsumption  

• Recreational use of drugs  

• Multiple Sclerosis 

Relationship Issues

Interpersonal relationships are highly responsible for causing Premature ejaculation or PE. Early ejaculation or climax problems may lead to the loss of emotional and sexual intimacy in partners.  

The outcome of the health condition is that it not only affects the male partner but also the female, leading to anxiety and suffering on both ends.  

Withdrawal from a spouse may also take place arising from upsetting, furious, and shamefulness associated with the situation.  

How is age related to premature ejaculation?  

Age is not directly related to premature ejaculation, as it can also impact men of a younger age. With growing age, a man is prone to health conditions like diabetes, which is also a crucial factor for PE. Since the bodies of most men do change as they grow in age, fluctuations in chemical levels are possible. These chemical changes may cause changes in penile erections and ejaculations. With age, the ability of a man to keep and maintain an erection for sexual activity also changes and deteriorates.  

Erectile Dysfunction and Premature Ejaculation

Erectile dysfunction is among the primary causes of PE. Erectile dysfunction is the incapability of a male to sustain or even achieve firm penile erections during sexual action. Hence, some men worry about getting erections or whether they would be able to maintain them, causing them to ejaculate earlier than they expect. It leads to premature ejaculation.  

Treatment for PE

How to Stop Premature Ejaculation? There is really not a fixed treatment for PE. Modification of sexual behaviour can help improve PE. Masturbating an hour before a planned sexual activity may also be helpful. Do not engage in alternative sexual activities or avoid sexual intercourse completely. Strain related to intercourse may be avoided.  

Here is some more information on prescription and topical medications, exercises, and natural remedies that may help improve PE in males.  

Prescription Medications 

Premature ejaculation prescription pills may include ED medicines and antidepressants.  

Dapoxetine works as an SSRI and is short-acting. Antidepressants are responsible for the treatment of only anxiety and depression. A few of them, like Sertraline and Dapoxetine, might be prescribed by a physician for the management of PE.  

Sertraline may increase the time required by the male for ejaculation. 25–50 mg of Sertraline may be the daily recommended dose for almost three weeks.  

Not only Antidepressants, but PDE5 inhibitors are also responsible for the treatment of ED and may also cause PE. 

A few PDE5 inhibitors include the names such a Sildenafil (also found in Viagra), Avanafil, Vardenafil, and Tadalafil.  

Counseling and addressing the issue with couples therapy can be helpful. Counseling may work well with medications and other therapies.  

Topical medicines

First-line treatment for conditions like PE, topical medicines are more frequently used than oral drugs. Sprays and numbing creams can be used for the penis. Efficacy, side effects, and budget can be the guiding factors before use. These topical medications may have side effects, too.  

Topical creams

These topical creams are applied 20-30 minutes ahead of sexual activity and can be washed 5-10 minutes before the activity. The creams are used for decreasing the sensitivity in the genitals so that the process of ejaculation can be slowed down and sexual satisfaction can be achieved to a higher level. Burning sensations and mild pain are common side effects or aftermath of such topical creams. Temporary sensitivity loss and reduction in libido is also possible.  

Ejaculation wipes for PE 

These wipes contain Benzocaine and are topical anesthetics that can help delay ejaculation by reducing the sensitivity right at the tip of the penis. A doctor should be consulted as topical anesthetics may come with certain side effects and Possible premature ejaculation symptoms.  

Male delay condoms

Delayed condoms do contain numbing agents, are thick, and help target higher sensitivity. These are used as OTC condoms for climax control and are commonly available. These condoms can help delay ejaculation effectively.  

Male delay spray

Lidocaine spray helps in delaying sensitivity and delaying ejaculation. The spray must be used 15 minutes before sexual activities for the optimum results.  

Home remedies for premature ejaculation

Few home remedies have been found successful in preventing PE and help men last longer than they expect or stay longer in bed naturally. 

Start-and-stop method

Ejaculatory control can be improved with this method. Stimulation of the penis by self or with the help of a partner is what defines the method. When a man is going to have an orgasm, they need to stop and resume all of it again after the passing of the sensation.  

Squeeze method

The partner will stimulate the penis, and squeeze method should also be used by them. The tip of the penis should be squeezed for 30 seconds when the man is about to ejaculate.  

Diet changes

Diet changes can also help improve PE. Zinc and magnesium are supplements that help delay the climax. It means you must consume more of spinach, oysters, and dark chocolate and witness improvement in sexual health. By increasing the time taken for climax, these foods can offer the best nutrients to cure premature ejaculation. These foods can, hence, be useful in delaying ejaculation.  

Exercises For Controlling PE

Different physical workouts and Exercises that may help manage Premature Ejaculation and delay PE may include pelvic floor and Kegel exercises.  

Here are some of the exercises that can help with the improvement of PE: 

Back squeeze 

Lie on your back, palms should lie flat on the floor, knees must be bent, and they should be pointing upwards. The genitalia need to be drawn towards the body, held for 5 seconds, and allowed to exit thereafter. After this, anus muscles should be contracted, held for 5 seconds, before releasing.  

Floor Squeezes

Use your side to lie on the floor by inserting cushions between the toes. The pillow should be large so that you can stretch out well. Constrain legs for around 5 seconds before they are released.  

Chair Squeezes

Be comfortable and sit in a chair. Use muscles and squeeze your penis like one stops urine from exiting. The patient must preserve or hold for 5 seconds and release.  

Surgical process for the prevention of PE 

There are a variety of surgeries for Premature Ejaculation. Here are a few more insights on the same:  

Glans Augmentation 

The process involves the injection of hyaluronic acid by a physician and some bulking agent into the glans for the reduction of sensitivity. Few patients who used the  Glans Augmentation process saw improvements in ED. 

Varicocelectomy 

The process is a surgical one that includes the removal of enlarged capillaries within the scrotum. The individual witnessed an increase in testosterone and noticed that they were more physically efficient.  

Pulsed Radio Frequency Neuromodulation 

Radio frequency is used for the treatment of penile nerves. People who underwent this procedure did see improvements in PE with minimal side effects.  

Key Takeaways

Premature ejaculation is a sexual disorder that impacts at least 1 out of 3 men in the United States aged 15-59. Psychological factors also contribute to PE, a condition in which a man ejaculates before the expected time. High BP and diabetes are also major factors that lead to PE. Home remedies, sprays, prescription drugs, creams, along with SSRIs (Sertraline and Dapoxetine) can help treat PE. Consult your physician for more. Browse medicines for sexual health on Medzpalace.com

FAQs.