Premature Ejaculation

Table of Contents

What is Premature Ejaculation? 

Premature ejaculation is a condition when a man ejaculates earlier than the man or his partner would like during sexual intercourse. Premature ejaculation is a common sexual problem. According to the Mayo Clinic, as many as 1 out of 3 men say that they have experienced this problem.

Even though it is not a cause for concern, premature ejaculation might frustrate you as this problem can impact the quality of your relationship with your partner.

As long as it occurs infrequently, you do not have to worry. Your doctor may diagnose you with premature ejaculation if you ejaculate frequently within one minute of penetration and cannot delay ejaculation during intercourse. This condition may make you feel depressed, frustrated, and you may tend to avoid having sex with your partner.

If you often experience premature ejaculation, you should consult a urologist or an andrologist. You can use Smarter Health’s service to find the best solution.

Causes of Premature Ejaculation

Until now, the exact cause of premature ejaculation is still unknown. There are several factors involved such as psychological and biological factors:

Psychological Causes

Psychological factors that may contribute to premature ejaculation include:

  • Depression.
  • Sexual harassment.
  • Worry about premature ejaculation.
  • First sexual experience.
  • Not confident about body shape
  • Feelings of guilt that make you rush into sexual intercourse.

Other factors may include:

  • Erectile dysfunction

Men are unable to maintain an erection during sexual intercourse so they tend to rush to ejaculate.

  • Anxiety

Many men who experience premature ejaculation have anxiety disorders, either specifically about sexual performance anxiety or related to other problems.

  • Problems with partners

If you have premature ejaculation frequently, even though you have never experienced it with your previous partner, chances are you may have personal problems with your current partner.

Biological Causes

There are a number of biological factors that can cause premature ejaculation, such as:

  • Genetic reasons.
  • Abnormal amount of hormones.
  • Inflammation and infection of the prostate or urethra.
  • Abnormal levels of brain chemicals called neurotransmitters
  • Abnormal amount of chemical compounds needed to send messages between nerve cells (neurotransmitters)


Although the exact cause of premature ejaculation is unknown, serotonin is likely to have an effect.

Serotonin hormone is a chemical compound that contributes to managing your mood and happiness. High levels of serotonin in your brain can increase the time to ejaculate. On the other hand, low serotonin can shorten the time of ejaculation and cause premature ejaculation.

When to See a Doctor for Premature Ejaculation

If premature ejaculation reduces your sexual pleasure, you should consult a urologist or an andrologist. The specialist doctor will make a diagnosis based on the time of your ejaculation, whether it is too early, too late, or not at all.

In addition to a physical exam, most doctors may ask several questions, such as: 

  • How often does premature ejaculation occur?
  • How is your relationship with your partner?
  • How long have you had this problem?
  • How has this problem impacted your sexual activity?
  • Does this only happen with one partner or all of your partners?
  • What types of sexual activity (such as masturbation, sexual intercourse, etc.) do you engage in and how often?

Apart from asking about your sex life, your doctor may also ask about your medical history and perform a physical exam.

If you experience premature ejaculation and have trouble maintaining an erection, your doctor may recommend blood tests to check testosterone levels or other tests.

Symptoms of Premature Ejaculation

The main symptom of premature ejaculation is the inability of men to delay ejaculation more than one minute after penetration. This problem does not only occur during sex, but also during masturbation. This problem is classified into two categories: 

  • Primary

Premature or lifelong ejaculation occurs most of the time, starting with the first time you have sex.

  • Secondary

Secondary premature ejaculation may develop after you have previous sexual intercourse with no premature ejaculation problems

Treatment for Premature Ejaculation

Speak to your doctor about what medications are best for your condition. There is more than one type of treatment available. Below are several treatment options for premature ejaculation: 

Behavioral Therapy

In some cases, your doctor may recommend that you masturbate 1 or 2 hours before having sexual intercourse. This can delay premature ejaculation during sex with your partner. Your doctor may also recommend avoiding sex for a period of time.

Pelvic Floor Exercises

Weak pelvic muscles can decrease your ability to delay ejaculation. Pelvic exercises (Kegel exercises) can help strengthen these muscles. To do this exercise, you will need:

  • Locate the right muscles

To find your pelvic floor muscles, you can tighten the muscles that keep you from passing gas or stop urinating. After you successfully located your pelvic floor muscles, you can do the exercises in any position.

  • Perfect your technique

Tighten your pelvic floor muscles, hold the contraction for three seconds, then relax for another three seconds. When your muscles get stronger, you can try doing Kegel exercises in a sitting, standing or walking position.

  • Stay focus

For best results, stay focused on toning your pelvic floor muscles. Be careful not to flex your abs, thighs or buttocks. Avoid holding your breath during exercise.

  • Repeat 3 times a day

You are recommended to do three sets of 10 repetitions a day.


Topical anesthetics

Anesthetic creams and sprays that provide a numbing sensation, such as benzocaine, lidocaine, or prilocaine, are sometimes also used to treat premature ejaculation. These products are applied to your penis 10-15 minutes before sex. This is done to reduce sensation and help delay ejaculation.

Oral medications

There are medications that can delay orgasm. The Food and Drug Administration allows oral medications such as antidepressants, analgesics, and phosphodiesterase-5 inhibitors to treat premature ejaculation.

Treatment Cost for Premature Ejaculation

There are various types of premature ejaculation treatment options available. Treatment cost may vary, depending on the type of treatment you choose.

For more details regarding treatment cost for premature ejaculation at home and abroad, contact Smarter Health.

Prevention of Premature Ejaculation

You can prevent premature ejaculation by doing simple activities at home, such as:

  • Masturbate two hours before sex.
  • Take a deep breath to stop the ejaculation reflex.
  • Wear condoms with thicker latex to reduce sensation on the penis.
  • Have sex with your partner on top. This will allow them to pull away when you are almost ejaculating.  

Home Remedies for Premature Ejaculation

For home remedies at home, be sure you take your medications as recommended by your doctor. In addition, you should also do activities as suggested by your doctor, such as Kegel exercises.

If premature ejaculation continues, contact your doctor for other treatments. You can also do tele-consultations with doctors from hospitals at home and abroad through Smarter Health.

Have more questions about premature ejaculation? Write them down in the comment section below.

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