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Premature Ejaculation – Causes and Symptoms


When a man ejaculates sooner during sexual intercourse than he himself or his partner would like to, it is called as premature ejaculation. It is a very common sexual complaint and almost one out of every three males have faced this problem at some point of their lives.

A diagnosis of premature ejaculation occurs when a man always or almost always ejaculates within a minute or two of penetration or is unable to delay the process of ejaculation during intercourse always or almost always, or when the person is distressed or frustrated due to ejaculatory issues and hence is afraid of sexual intimacy.

Both biological and psychological factors play a role in the condition. Males usually avoid discussing this issue; however, this is very common and can be treated easily. Certain medications, counselling sessions and some sexual techniques that can help in delaying the process of ejaculation can help in improving sexual intimacy for both the partners.

Symptoms of a premature ejaculation

The symptom of a premature ejaculation is the inability to delay the process of ejaculation for longer than a minute after penetration. It can also occur during masturbation. The condition can be classified as primary and secondary.

A primary condition is one where one undergoes a premature ejaculation always or nearly always since the first ever sexual encounter.

Secondary premature ejaculation is a condition that has developed later on where the man has been able to experience intercourse previously without any ejaculatory issues.

Sometimes, men do feel that they have premature ejaculation, but the symptoms do not classify as premature ejaculation.

The exact reason for premature ejaculation remains unknown. Earlier it was believed that the condition is only psychological, but lately it has been stated that it is a condition where the psychological and biological factors both play a significant role.

Psychological reasons for premature ejaculation are:

  • Bad sexual experiences early in life
  • Sexual abuse
  • Poor self-body image
  • Depression
  • Stress about premature ejaculation
  • Guilty feelings leading to rush through sexual encounters
  • Other factors might include erectile dysfunction, anxiety and relationship problems

Biological causes of premature ejaculation are:

  • Abnormal hormonal levels
  • Low levels of neurotransmitters
  • Infection or inflammation of the prostate
  • Inherited traits

It is important to talk to a doctor that you are suffering from this condition. At times, counselling by a doctor and reassurance that it is normal to have premature ejaculation tends to reduce stress among males.

Some males, while going for treatment of the condition might feel awkward to initiate a conversation during the first interaction with the doctor. It is important to discuss and share the necessary information that the doctor might require about the patients’ current and past sexual and relationship history. Managing stress is important as stressing more about the condition can only worsen it over time.

Based on your symptoms our doctors will prescribe you some medicines which can help increase serotonin levels in your brain and help you ejaculate on time. Once the habit to ejaculate is changed the new habit of ejaculating on time takes precedence and the internal clock is restored to normal. It is then that the problem is cured permanently.

If premature ejaculation is causing stress in your relationship or affecting you, it is time to break the silence and consult a urologist today.

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