Premature ejaculation

By Medically reviewed by hellodoktor

Know the basics

What is premature ejaculation?

Premature ejaculation is a common complaint for many men. It is when the man ejaculates sooner than he or his partner would like during sexual intercourse. May men experience premature ejaculation, but when it becomes frequent, it becomes a concern for the couple.

How common is premature ejaculation?

Although not many men talk about it, premature ejaculation is common. About 1 in every 3 men has this condition at some point in their life. However, it can be managed by reducing your risk factors. Please discuss with your doctor for further information.


What are the symptoms of premature ejaculation?

The first symptom of premature ejaculation is the inability to delay ejaculation for more than one minute, either in masturbation or sexual penetration.

Premature ejaculation can be classified as:

  • Lifelong (primary): You always or almost always ejaculates prematurely in all sexual activities.
  • Acquired (secondary): Acquired premature ejaculation develops after you’ve had previous sexual experiences without ejaculatory problems.

Men often feel insecure about their sexual performance and might think that they have premature ejaculation if their time is shorter compare to others. Don’t worry, ejaculation time varies from man to man, so if your time falls a little short to other, that might be normal for you. If you think you have premature ejaculation,


When should I see my doctor?

Early diagnosis and treatment can stop this condition from worsening and prevent another medical emergency, so talk to your doctor as soon as possible to prevent this serious condition.

If you have any signs or symptoms listed above or have any questions, please consulting with your doctor. Everyone’s body acts differently. It is always best to discuss with your doctor what is best for your situation.


What causes premature ejaculation?

Both psychological and biological factors can play a role in premature ejaculation. Although many men feel embarrassed talking about it, premature ejaculation is a common and treatable condition. Medications, counseling and sexual techniques that delay ejaculation – or a combination of these – can help improve sex for you and your partner.

  • Psychological causes: Psychological factors that might play a role include:
    • Early sexual experiences
    • Sexual abuse
    • Poor body image
    • Depression
    • Worrying about premature ejaculation
    • Guilty feelings that increase your tendency to rush through sexual encounters
    • Erectile dysfunction
    • Anxiety
    • Relationship problems
  • Biological causes: A number of biological factors might contribute to premature ejaculation, including:
    • Abnormal hormone levels
    • Abnormal levels of brain chemicals called neurotransmitters
    • Inflammation and infection of the prostate or urethra
    • Inherited traits

Risk factors

What increases my risk for premature ejaculation?

You seem to have a higher risk of premature ejaculation, if you own some condition listed below:

  • Erectile dysfunction: You might be at increased risk of premature ejaculation if you occasionally or consistently have trouble getting or maintaining an erection. Fear of losing your erection might cause you to consciously or unconsciously hurry through sexual encounters.
  • Stress: Emotional or mental strain in any area of your life can play an important role in premature ejaculation, limiting your ability to relax and focus during sexual encounters.

Diagnosis & treatment

The information provided is not a substitute for any medical advice. ALWAYS consult with your doctor for more information.


How is premature ejaculation diagnosed?

If your doctor suspects that you may experience this condition, a physical examination will be performed; he or she will ask specific questions about your medical history, and some tests will be also recommended by your doctor such as blood test to determine the testosterone level in your blood. In some cases, your doctor might suggest that you go to a urologist or a mental health professional who specializes in sexual dysfunction.

However, you might be diagnosed with premature ejaculation if you:

  • Always or nearly always ejaculate within one minute of penetration
  • Are unable to delay ejaculation during intercourse all or nearly all of the time
  • Feel distressed and frustrated, and tend to avoid sexual intimacy as a result

How is premature ejaculation treated?          

Common treatment options for premature ejaculation include behavioral techniques, topical anesthetics, medications and counseling.

  • Behavioral techniques: In some cases, therapy for premature ejaculation might involve taking simple steps, such as masturbating an hour or two before intercourse so that you’re able to delay ejaculation during sex. Your doctor also might recommend avoiding intercourse for a period of time and focusing on other types of sexual play so that pressure is removed from your sexual encounters.
  • Pelvic floor exercises: Weak pelvic floor muscles might impair your ability to delay ejaculation. Pelvic floor exercises (Kegel exercises) can help strengthen these muscles.
  • Condoms: Condoms might decrease penis sensitivity, which can help delay ejaculation. “Climax control” condoms are available over the counter. These condoms contain numbing agents such as benzocaine or lidocaine or are made of thicker latex to delay ejaculation.
  • Medications: Topical anesthetics, anesthetic creams and sprays that contain a numbing agent, such as benzocaine, lidocaine or prilocaine, are sometimes used to treat premature ejaculation.

Oral medication can also be used such as antidepressants, analgesics, etc.

  • Counseling: This approach involves talking with a mental health provider about your relationships and experiences.

Lifestyle changes & home remedies

What are some lifestyle changes or home remedies that can help me manage premature ejaculation?

Following these useful tips may help you to avoid premature ejaculation:

  • Thick condoms: try these if you think your penis is too sensitive. They can help decrease its sensitivity.
  • Focus on other sexual pleasures: this can decrease anxiety and help you gain better control over your ejaculation.
  • Talk to your doctor is a very treatable condition.
  • Have a proper diet
  • Do exercise regularly.

If you have any questions, please consult with your doctor to better understand the best solution for you.

Hello Health Group does not provide medical advice, diagnosis or treatment.

msBahasa Malaysia

Review Date: February 11, 2017 | Last Modified: September 12, 2019

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