Premature Ejaculation: Symptoms, Causes and Treatment

Premature Ejaculation: Symptoms, Causes and Treatment
Published : Jun 14, 2024

Premature ejaculation is a male sexual dysfunction that can affect the quality of your sexual life adversely. It is a condition when an orgasm or climax happens sooner than needed. When PE starts to interrupt your sexual pleasure, it might be a cause of concern in your sexual life.

What is premature ejaculation(PE)?

Premature ejaculation is when semen leaves the body sooner than required during sexual activity. It is the most common sexual disorder that affects only males. Several men ejaculate prematurely or too early at some point in their lives. You should know there is no fixed time that you take to ejaculate.

Premature ejaculation is not a cause for concern if it does not happen frequently. But you will be diagnosed with premature ejaculation if you:

  • Are not able to delay ejaculation during sexual activity or nearly all the time.

  • Always or usually having rapid ejaculation within 1 to 3 minutes of penetration.

  • Feel frustrated and distressed due to which you avoid sexual intimacy.

As a man, if you are suffering from premature ejaculation, don’t worry because it is a treatable condition. Medicines, counseling, and lifestyle changes can help delay ejaculation and improve your overall sex life. 

Symptoms of premature ejaculation

When it comes to premature ejaculation, the most common symptom is reaching orgasm and ejaculating quickly during sexual intercourse. Some of the common symptoms experienced while suffering from premature ejaculation include:

Ejaculating soon after penetration

Mild premature ejaculation involves ejaculating within one to two minutes after penetration. On the other hand, severe premature ejaculation involves ejaculating before inserting the male reproductive organ into the sexual partner.

You don’t feel like ejaculating this early

This means you are not in a hurry to finish during sexual intercourse and prefer to indulge in sexual activity for a long time. But doing so is difficult or impossible for you.

You feel distressed due to early ejaculation.

Due to anxiety or awkwardness, you might feel less interested in sexual intercourse. You also feel like you have a low sexual drive or feel like your little time to ejaculate is affecting your quality of life.

Therefore, you might be affected by some form of premature ejaculation if you ejaculate within a minute or two of penetration, feel you don’t have normal ejaculation control, or are unhappy and worried about it.

Causes of premature ejaculation

Several factors can cause premature ejaculation. It might happen when a man becomes too aroused or excited or if the male sexual organ is very sensitive. PE can also occur if a man is nervous or uncomfortable with a new partner.

Here are some causes of premature ejaculation:

Physical causes of premature ejaculation

Certain physical and biological factors might cause or lead to premature ejaculation in men. These include:

Abnormal hormone levels

There are some hormones, like luteinizing hormone, prolactin, and thyroid stimulating hormone, which can contribute to premature ejaculation.

Inflammation or infection

Inflammation or infection that has a negative effect on your prostate or urethra might impact sexual function and lead to premature ejaculation disorder.

Abnormal serotonin levels

The low levels of neurotransmitter serotonin can reduce the amount of time needed to reach orgasm and ejaculate.

Psychological causes of premature ejaculation

Some psychological factors can contribute to numerous types of sexual dysfunction, including premature ejaculation.

Some psychological factors that cause premature ejaculation include:

  • Stress

  • Poor body image

  • Depression

  • Guilt

  • Anxiety

  • A history of sexual abuse

  • Early sexual experiences

  • A lack of confidence

Premature ejaculation can also be caused by performance anxiety, a form of anxiety that is linked to sexual performance. This also plays a role in problems like erectile dysfunction (ED).

How common is premature ejaculation?

Almost 30% to 40% of men suffer from premature ejaculation at some point in their life. With time, Premature ejaculation has become the most common type of sexual disorder in men—almost 1 in 5 men between the age group of 18 to 59 experience premature ejaculation. While some man faces lifelong premature ejaculation, and they face it all or nearly all the time from the beginning of their first sexual encounter.

Risk factors of premature ejaculation

It can be challenging to know the exact risk factors of premature ejaculation. However, physical or mental health disorders that can cause premature ejaculation, like stress or abnormal hormone levels, can put you at an increased risk.

Sometimes, erectile dysfunction is considered a risk factor for premature ejaculation. Men who have erectile dysfunction have problems in getting or sustaining an erection that is required for sexual intercourse. Fear of losing an erection might cause you to hurry through sexual activity. This can happen whether you are aware of it or not.

You should know that emotional or mental strain in any area of your life can play a role in premature ejaculation. Stress might limit your ability to relax and stay focused during sexual activity.

Treatment of premature ejaculation

In some cases, you might be able to treat premature ejaculation disorder by making changes to your sexual routine. You will be advised to masturbate an hour before planned sexual activity because this will help you delay ejaculation with your partner.

There are different treatment options for premature ejaculation, including medicines, behavioral techniques, and counseling.

Medical treatments

Several medical treatments might help you to deal with premature ejaculation conditions. Some antidepressants can help you to delay ejaculation, including antidepressants known as selective serotonin reuptake inhibitors (SSRIs). These antidepressants can be purchased only after a doctor’s prescription.

Medications used to treat erectile dysfunction might help to prevent this condition. Your doctor might prescribe one of these medications alone or in combination with an antidepressant. 

Anesthetic creams can also help to prevent premature ejaculation. These creams are applied to the head of the male reproductive organ to make it less sensitive. Usually, the cream is used almost 30 minutes before sexual activity and then washed off once it has reduced the feeling in your male sexual activity. Before sexual activity, the cream should be washed off properly. But you need to be sexually active to avail the benefits of these medicines during sexual encounters.

Behavioral therapy

Behavioral therapy mainly involves recognizing all the unhealthy and harmful behaviors and then taking effective steps to change them. When this type of therapy is used for treating sexual health problems such as premature ejaculation, it is known as sex therapy.

Behavioral therapy for PE can involve a combination of physical techniques and psychotherapy that delays or prevents ejaculation.


Counseling is considered an effective treatment option for treating sexual dysfunction problems. During the counseling session, you will work with a mental health specialist or sex therapist and discuss all your PE symptoms and factors contributing to it, like sexual problems or relationships.

Counseling plays a vital role in dealing with premature ejaculation and helps you to gain control over your feelings.

How to prevent premature ejaculation?

There are certain tips which can help you to prevent premature ejaculation effectively:

  • Indulge in physical activities regularly

  • Concentrate on mental health

  • Talk to your partner

  • Eat a balanced diet


Therefore, it is easy to deal with premature ejaculation by trying a combination of medicines, counseling, and behavioral techniques. Being supportive and understanding each other’s sexual needs can also help you with premature ejaculation disorder.