Premature Ejaculation - Causes, Symptoms, Diagnosis & Treatment

Premature ejaculation (PE) is a sexual dysfunction characterized by the inability to control or delay ejaculation. It is considered to be premature if ejaculation occurs before or shortly after penetration, causing distress to the individual or his partner. 

Now the question comes How common is premature ejaculation? PE is one of the common sexual dysfunctions, affecting an estimated 20-30% of men at some point in their lives.

There are two types of Premature Ejaculation 

  • Primary Premature Ejaculation – The reason behind primary premature ejaculation is often linked to psychological aspects wherein the male has been facing with a traumatic sexual experience at an early age. 
  • Secondary Premature Ejaculation – This type of PE condition can be caused by both of the factors, i.e., psychological and physical influences. This is acquired premature ejaculation, where a man goes years without any PE condition but then gradually or suddenly starts to experience it. Reasons can be diabetes, high blood pressure, drinking, or drug use can all contribute to it. 

Premature Ejaculation Causes – 

The causes of PE are not fully understood, but a combination of physical and psychological factors are thought to be involved. Physical causes may include hormonal imbalances, nerve damage, and certain medical conditions such as diabetes or prostate problems. Psychological causes may include anxiety, stress, depression, and relationship problems.

  • Psychological Cause 

One of the most common psychological premature ejaculation causes is anxiety or stress. Men who are anxious about their sexual performance or who have a history of sexual trauma may experience PE as a result. Other psychological causes of PE include depression, low self-esteem, and relationship problems.


  • Physiological Cause 

Physiological premature ejaculation causes include abnormal hormone levels, abnormal nerve function, and certain medical conditions such as diabetes, high blood pressure, and prostate problems. Certain medications, such as antidepressants, can also contribute to PE.

  • Hyperthyroidism

One of the other possible premature ejaculation causes is a condition called hyperthyroidism (usually this condition happens when the male thyroid gland makes too much thyroid hormone), which is an overactive thyroid gland. This condition can upsurge the levels of certain hormones, such as adrenaline, which can lead to PE.


Other Factors – Low dopamine levels or serotonin can also be one of the premature ejaculation causes, these are chemicals in the brain that are engaged in sexual desire and pleasure. Additionally, some studies have proposed that there may be a genetic component to PE, as the condition tends to run in families. In some cases, premature ejaculation cause can be a combination of psychological and physiological factors. For example, a man who has a history of sexual trauma and also has a medical condition that affects his nerve function may be more likely to experience PE. 

It's important to note that Premature Ejaculation is a complex condition that can have multiple contributing factors, and it is recommended to consult with a medical professional to get the underlying premature ejaculation cause in order to get the most effective treatment. To know the reason behind your premature ejaculation click here. 

Symptoms of Premature Ejaculation – 

Premature Ejaculation symptoms include a lack of control over ejaculation, experiencing ejaculation before or shortly after penetration, and distress or disappointment related to the premature ejaculation. PE can also cause relationship problems and a lack of sexual satisfaction for both partners. 


It is important to note that PE is not the same as having an orgasm quickly, but it is the inability to delay ejaculation that causes distress and interferes with sexual satisfaction. 

How to Cure Premature Ejaculation?

Premature ejaculation can be treated using various methods including behavioural therapy, medication, and counselling. Behavioral therapy involves techniques such as the "stop-start” “squeeze “and distracted thinking methods, which help the individual, learn to control ejaculation. Behavioural approach includes the "squeeze technique," wherein a male or his partner applies firm pressure behind the head of the penis when the male is about to ejaculate. 

Medication options comprise selective serotonin reuptake inhibitors (SSRIs) and topical anesthetics; best ssri for premature ejaculation is Dapoxetine. Counselling can also be helpful in addressing any underlying psychological causes of PE.

Some of the best and highly recommended best premature ejaculation treatments and techniques that can help prevent premature ejaculation are mentioned:

  • Behavioural techniques: These include the "squeeze technique," in which the man or his partner applies firm pressure just behind the head of the penis when ejaculation is imminent.
  • Medications: Dapoxetine can be one of the best premature ejaculation treatments and is a selective serotonin reuptake inhibitor (SSRI) which has been specifically approved for the treatment of premature ejaculation.
  • Pelvic floor muscle exercises: These exercises, also known as Kegel exercises, can help strengthen the muscles that control ejaculation and can be an effective way to prevent premature ejaculation, thereby counting it as one of the best premature ejaculation treatments.
  • Therapy: Couples therapy or behavioral therapy can help address any underlying psychological issues that may be contributing to the problem.
  • Self Help: This could be also a better option if you are looking for the best premature ejaculation treatments. Self-help techniques include – 
    • Masturbating few hours (usually 1-2) before the intercourse 
    • Use thick condom that will help you to decrease sensation
    • Take breaks during the sexual intercourse and distract yourself thinking something different so that you can control the ejaculation

It's important to note that it may take some time to find the right method or combination of methods that would work for you. Hence, it is always important to consult with a healthcare provider before trying any new treatment. Need free experts’ advice; click here!

What’s the Difference between PE and ED?

The male cannot achieve or sustain an erection if he has erectile dysfunction. You have an erection but reach climax and ejaculate early than you or your partner would have preferred if you suffer premature ejaculation.

But premature ejaculation can arise as a result of erectile dysfunction. This occurs when a man knows that he is facing with poor erectile so he develops the practise of ejaculating right away after getting an erection. Because of this reason, the specialist wants to determine whether the male has erectile dysfunction and treat that first if it is found to be.

The Effects of Premature Ejaculation- 

PE is not harmful but can cause personal issues in couples’ life like relationship issues, stress, ashamed or upset. Premature ejaculation makes many guys uncomfortable; therefore some of the men prefer to be in silent mode. As a result, it may drastically harm a man's relationships and quality of life. Males having PE can also develop low self-esteem, feelings of depression, anxiety, anger, and helplessness, as well as difficulty forging new romantic relationships as a result.

Many men think that it's just a minor problem that will go away with time. But, it should not be done. Speak to the specialists about the issue because they are the one who can give apt advice giving you the best premature ejaculation treatment.


Premature ejaculation should be discussed with a healthcare provider to rule out any underlying medical conditions and to determine the best premature ejaculation treatment. With appropriate approach, most men with PE can improve their ability to control ejaculation and improve their sexual satisfaction. If you are also facing with premature ejaculation, fill the form now to know how to decipher PE using the best approach or medication if needed.