Causes And Treatment For Premature Ejaculation


Premature ejaculation (ED) is an issue related to sexual health that occurs in males of any age. It is a difficulty, characterized by early ejaculation, sooner than desired during sexual intercourse.

In this case, the ejaculation or the passing of semen happens too early during penetration. The semen gets released as the individual attains the peak of pleasure or orgasm very early.    

The good thing is, that PE can be treatable. The treatment can be done through diagnostic evaluation and remedies.

Types of premature ejaculation  

The condition can cause sexual distress among couples. It leads to a lack of sexual satisfaction and pleasure. A person may experience this difficulty for some time and return to normal.

However, when the difficulty persists for too long then it becomes a matter of concern. Premature ejaculation is classified into two forms, including, acquired PE and lifelong PE.  

Men with acquired PE may develop ejaculation difficulties temporarily. They may experience it for some time, but the condition improves over time and ejaculation function restores to normal.

Men having PE as a lifelong condition may continue to experience ejaculation dysfunction permanently for a lifetime. Lifelong ED does not have a cure. However, it can be alleviated with treatments.

How does ejaculation happen early?

During ejaculation, seminal fluid containing sperm cells gets propelled out from the tip of the penile. This happens after achieving an orgasm, which is the peak of sexual pleasure.

For releasing semen, the pelvic muscles contract and push the semen through the ducts. As the semen reaches the tip of the penile, it gets expelled.

The process begins with the transfer of sperm cells from the testes to the prostate gland. The ducts collect the sperm from the testes and transfer it to the prostate gland.

During an orgasm, the semen gets transferred to the penile tip by the tubes. All this happens because of pelvic contractions and muscle spasms. When the semen reaches the penile tip, it gets propelled outwards with force. 

Causes of premature ejaculation

Ejaculatory dysfunction can happen due to several reasons, which are as follows:

Physiological factors

Biological factors such as hormonal imbalances, genetics, abnormal neurotransmitter levels, and changes in reflex activity can lead to PE. It is essential to have hormonal balance for the regulation of sexual function.

A decline in testosterone and serotonin levels can contribute to ejaculatory problems. The imbalances in the neurotransmitter hormones like serotonin, norepinephrine, and dopamine can affect ejaculation function.

Since neurotransmitter chemicals regulate the ejaculation function, their imbalance can lead to PE. Besides, the hyperactivity of the ejaculatory reflex can also impact ejaculation function.

Moreover, in some men, premature ejaculation can occur because of genetic predisposition.

Biological factors

Factors like stress, anxiety, performance anxiety, trauma, depression, etc. can trigger the ejaculatory disorder. Persistent stress can take the form of anxiety, which can negatively impact sexual function.

All these issues can be managed through yoga, meditation, deep breathing exercises, daily physical activity, or by seeking expert help. A mental health expert or therapist can help you overcome such difficulties.

Health conditions

Conditions like thyroid problems and prostate-related issues such as benign prostatic hyperplasia (BPH) and prostatitis can lead to PE.  

Besides, men experiencing erectile dysfunction (ED) or impotence are very likely to develop PE symptoms too. ED symptoms can be overcome with ED medicines like Fildena Strong.

The difficulty in ejaculating on time can arise because of sexual performance anxiety faced due to the inability to get or sustain erections.  

Neurological disorders

Men with neurological disorders such as Parkinson’s disease, spinal cord injuries, multiple sclerosis, etc. are more prone to develop ejaculatory disorders. Their nerve function gets damaged, which triggers ejaculation problems.

Lifestyle factors

Unhealthy habits such as bad diet, lack of physical activity, substance abuse like alcohol and drugs, etc. can be detrimental to your sexual health.

Premature ejaculation treatment 

To extend the ejaculation time and prolong the duration of erection, one can try the following remedial solutions:


Mostly Selective Serotonin Reuptake Inhibitors (SSRIs) are prescribed for treating ejaculatory problems.

Besides, there are over-the-counter (OTC) options available, which include topical creams, gels, and lotions, which can help delay erections. They work by numbing the penile and making it less sensitive to sexual stimulation.  

Behavioral techniques

This has to be done by oneself by stop and start techniques. The method involves stimulating the penile to the point where you feel like ejaculating.

Once the point is reached, the stimulation has to be stopped to subside ejaculation.

Couples therapy  

You can opt for couples therapy sessions. This can heighten your intimacy and help manage ejaculation problems.  

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