What Causes Premature Ejaculation and How to Deal With it

Premature Ejaculation

What is Premature Ejaculation? 

Premature ejaculation is a common ejaculation problem, where a man ejaculates (comes) too quickly during sexual intercourse. 

Many men are unsure of how long ‘normal’ sexual intercourse should last before ejaculation. Although it is generally up to the individual and his partner to decide whether or not they are satisfied with the time it takes for him to achieve orgasm, however most men present with Premature Ejaculation (PE) regularly ejaculate before or within one minute of penetration.

Studies have found the average time for ejaculation is around five and a half minutes after starting sex but it varies a lot and is very much down to the individuals. 

The inability to control and delay ejaculation for as long as both partners desire, in more than 50% of the sexual activities, is usually regarded as a severe disruption to quality of life and therefore requires professional intervention. PE can be very distressing and confidence-destroying. It can create extreme performance anxiety during sexual activity and therefore more frequent occurrences of PE in return.

Many men find it extremely difficult to come out of this vicious cycle alone without any professional help, medication are sometimes necessary to break the cycle and to give back control of their sex lives. If left untreated, PE can cause feeling of shame, frustration, and lack of self-esteem. It may lead to a man avoiding sexual intimacy all together. 

There are two different types of premature ejaculation; primary premature ejaculation is where a man has always had the problem and it affects around 1 in 50 men in England. A number of recent studies suggest biology may play a role in some cases of primary premature ejaculation, with the nerve supply to the penis being extra sensitive, and therefore it takes much less stimulation to climax.

Secondary premature ejaculation (or acquired Premature Ejaculation) develops in a man who has previously had a history of normal ejaculation and can be caused by psychological and physical factors. Secondary PE is far more common than primary PE, although it could be temporary, in some cases it becomes life-long.

Causes of Premature Ejaculation

Much like erectile dysfunction, the causes of premature ejaculation can be both physiological and psychological. Most causes of primary premature ejaculation are psychological and could be linked to, for example, having a traumatic sexual experience at a younger age. Causes of secondary premature ejaculation can be both physical and psychological. 

It can be caused by hypersensitivity of the skin of the penis but also by relationship issues, stress and performance anxiety. PE is more common in under 35s and often occurs when men are dealing with new situations, including stressful situations in a relationship, new relationships and new experiences. 

Psychological causes of premature ejaculation include: 

  • Stress
  • Erectile dysfunction (i.e. being anxious to lose erection causing the man to ‘rush’ the intercourse)
  • Performance anxiety (i.e. start of a new sexual relationship, or when a man has had previous problems with PE or ED)
  • Depression
  • Unresolved problems, conflicts or issues within a sexual and emotional relationship
  • Strict upbringing where sexual activity is only considered appropriate in marriage and for procreation purpose only. One may find it difficult to relax during sex or be unable to let go of the belief that sex for pleasure is wrong or sinful.
  • Early sexual experience where a teenager conditions himself to ejaculate quickly to avoid being caught masturbating may later find it difficult to break the habit
  • Previous traumatic sexual experiences

Physical causes of premature ejaculation include:

  • Diabetes mellitus
  • Prostate disease
  • High blood pressure
  • Hypothyroidism (under active thyroid hormone)
  • Use of recreational drugs (i.e. cocaine, ecstasy)
  • Alcohol in excess

How to deal with premature ejaculation: 

There are a number of possible treatment options to try. Whether your PE is caused by physical or psychological issues, our expects at Harley Street MD will work with you and work on a solution to get your confidence, mojo and sexual satisfaction back. 

We’ve also gathered some great self help techniques together for you to try too: 

  • Use a thicker condom to decrease sensitivity 
  • Couples therapy 
  • Masturbate an hour or two beforehand 
  • Choose a position that will allow your partner to pull away when you are close to ejaculation
  • Take deep breaths to briefly shut down the ejaculatory reflex, or take short breaks to distract yourself and think about something different

At Harley Street MD, we have years of experience in treating Premature Ejaculation successfully. We understand the extent of distress you are in, and we can assure you of the utmost empathetic, confidential and professional consultation. We will give you a solution and a plan. We will discuss in detail the various sexual techniques, topical and oral medical treatments that are available to you.

Book an appointment today with one of our experienced doctors.

Dr. Chia Tan
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