What You Must Know About Premature Ejaculation & How To Deal With It?

Premature Ejaculation
Editor's Note: This article has been recently updated with latest information and research studies.
 

Introduction

Sexual intercourse might well be one of the most pleasurable acts of mankind, delivering a powerful blast of satisfaction to both partners involved in the activity.

In a normal situation where both partners are healthy, sex tends to last for some time before both partners usually experiences an orgasm. During an orgasm, a man usually ejaculates, which means sperm is expelled through his penis.

At the same time, many things happen in the man’s body, causing him to experience an immense level of satisfaction. This is one of the main reasons why men participate in sexual intercourse – to experience the sensations of having sex, as well as for that final urge of muscle contractions and emotions, which occurs during an erection.

Unfortunately, not everyone experiences normal ejaculatory function. Numerous issues can arise with a man’s ejaculatory control and function, which can lead to numerous problems developing in the man’s life – especially his sex life.

In turn, these effects may also reflect problems in the man’s relationship with his partner – when the man ejaculates too quickly, it could mean his partner may be left unsatisfied in the bedroom, and if the man takes too long to ejaculate, it could cause the sexual activity shared by the man and his partner to become unpleasant when continuous stimulation is required by the man without him reaching orgasm or ejaculating.

Even though ejaculatory problems can cause havoc on a man’s sex life, as well as the relationship he shares with his partner, it is important for men to realize that it is possible to obtain treatment – there are numerous pharmaceutical approaches available to help relieve the symptoms of ejaculatory disorders, as well as many alternative remedies that can be utilized.

Many of these treatment options are able to restore optimal ejaculatory function; thus alleviating the problems a particular ejaculatory dysfunction is causing a man to experience.

While there are different types of ejaculatory dysfunctions that can affect a man, we would like to primarily focus on premature ejaculation in this article.

Premature ejaculation is the most common type of ejaculatory disorder that men experiences, and can cause them to develop numerous symptoms due to the problems they are experiencing during sex.

We will start by looking at the four primary types of ejaculatory dysfunctions men can suffer from, then shift our focus to premature ejaculation. We will discuss the symptoms and causes, as well as consider how premature ejaculation is diagnosed by a medical professional.

Furthermore, we will also consider the particular treatment options that can be utilized by men experiencing premature ejaculation to delay their ejaculations and restore optimal ejaculatory control.

Fast Facts About Premature Ejaculation

Fast Facts About Premature Ejaculation

Before we get started with our in-depth overview of premature ejaculation, as well as look at the other types of ejaculatory issues a man may experience, we would like to first provide a quick fast fact sheet for our readers.

We would like to share some of the most vital facts that we will share in this post about premature ejaculation, offering a quick overview of what every man should know about premature ejaculation.

  • Out of the four main ejaculatory problems, which includes premature ejaculation, delayed ejaculation, inhibited ejaculation and retrograde ejaculation, premature ejaculation is the most commonly experience issue when it comes to the ejaculatory function in men.
  • Premature ejaculation causes a man to ejaculate quickly after initiating sexual penetration with a sexual partner.
  • While a man was initially diagnosed with premature ejaculation when he is unable to satisfy his partner during sex prior to reaching orgasm, new specifications suggest a man who ejaculates within one minute following penetration should be considered to be suffering from premature ejaculation.
  • Even though premature ejaculation can have a detrimental effect on a man’s sex life, it is important to know that this ejaculatory dysfunction is often not caused by an underlying medical problem like it is with erectile dysfunction.
  • Anxiety and relationship problems are some of the most common factors that cause a man to experience premature ejaculation, but when these factors are not causing premature ejaculation, this particular sexual dysfunction may cause a man to experience anxiety during sex and may even lead to problems in a man’s relationship as consequences.
  • Premature ejaculation is often only measured or considered plausible when a man reaches orgasm too soon during sexual intercourse, but, in reality, this particular sexual dysfunction can affect a man when he masturbates as well.
  • Many scientific research studies have been conducted on premature ejaculation, yet no exact cause has been identified to date. Instead, scientists have only been able to identify certain risk factors that may men determine if they might be at a higher risk of experiencing the condition.
  • Many people experience symptoms of erectile dysfunction from time-to-time. This is considered normal and is usually caused by factors that should not worry a man. The condition should only be considered serious or problematic when the symptoms become more frequent.
  • Premature ejaculation can cause problems when a man and woman is trying to become parents due to the fact that it can interfere with fertility.
  • Many different approaches can be taken to help a man delay the time it takes for him to have an orgasm and ejaculate while having sexual intercourse or while he masturbates.

While some of these treatment options may not be pleasant, there are many techniques that are easy and able to provide effective results without exposing the man to any particular side-effects or risks.

Common Ejaculatory Problems In Men

Ejaculatory Problems In Men

Let’s start our article by first describing the four main ejaculatory problems a man can experience.

Even though the primary focus of our article is to provide men with a better overview of what premature ejaculation is, why they may be experiencing the symptoms of the condition and how they can improve* their control over their ejaculatory function, it is still important for men to know about the different types of problems that may affect their ejaculatory control.

Thus, let’s take a quick look at premature, delayed, inhibited and retrograde ejaculation separately before we proceed to discussing premature ejaculation in more detail.

Premature Ejaculation

Premature ejaculation is an ejaculatory dysfunction that describes a condition where ejaculation occurs too quickly for a man while he is having sexual intercourse with his partner. Some men experience premature ejaculation only occasionally, while others tend to experience the symptoms of this particular sexual dysfunction more frequently.

When experiences at a frequent basis, it can cause a significant amount of problems in a man’s sex life, as well as cause problems outside of the man’s sexual wellbeing – such as lead to the development of symptoms associated with anxiety.

Many factors are considered to contribute to the development of premature ejaculation. We will explore this sexual dysfunction in more details later on in this article.

Delayed Ejaculation

In premature ejaculation, a man ejaculates too quickly after he has penetrated his sexual partner. With delayed ejaculation, the opposite scenario occurs. The term “delayed ejaculation” refers to a condition where the man takes a significant amount of time before he is able to ejaculate.

In many cases, the man’s sexual partner may even have an orgasm before he is able to reach an orgasm himself.

This can be problematic as the sexual partner of the man suffering from delayed ejaculation may have to provide the man with continued sexual stimulation even after they have had an orgasm – should this not occur, the man suffering from this ejaculatory problem may be left unsatisfied during sexual intercourse.

Delayed ejaculation can be caused by a variety of factors[1], including the use of some recreational drugs, excessive alcohol intake and damage to certain nerves within the man’s body.

It should be noted that some medication, including antidepressants classified as SSRIs (selective serotonin reuptake inhibitors), are also known to cause delayed ejaculations as a side-effect.

There are also some psychological causes of delayed ejaculation – a man may fear that he could get his partner pregnant, he could have been neglected by his parents at a young age, he could have had negative sexual experiences while growing up, or it could be due to a religious belief. Fear, performance anxiety and low self-confidence levels are also known to contribute to delayed ejaculations.

Premature Ejaculation Delayed Facts

Inhibited Ejaculation

Inhibited ejaculation is often referred to together with delayed ejaculation. This is because some men may experience delayed ejaculation sometimes, and inhibited ejaculation at other times.

Between premature, delayed and inhibited ejaculation, this particular one may be the most unpleasant to suffer from for some men. Inhibited ejaculation means a man is not able to ejaculate during sexual intercourse.

The man may still be able to experience satisfactory sensations, but not the muscle contractions and other processes that occur when he ejaculates. Even with continued stimulation by himself or his sexual partner, ejaculation seems like an impossible goal to reach.

Since inhibited ejaculation is usually thought to be closely connected to delayed ejaculation, the two also share very similar causes and risk factors. In some men, inhibited ejaculation may become a serious long-term problem, while other men are still able to ejaculate and have an orgasm from time-to-time.

Retrograde Ejaculation

Retrograde ejaculation, being the fourth main ejaculation dysfunction that a man can experience, is much rarer than the other three types of ejaculatory problems that we have mentioned in this section.

This type of ejaculatory dysfunction is also very different from the other three types we have mentioned. In retrograde ejaculation, a man may reach an orgasm without any delays and also not too soon after initiating penetration, but, the problem with this particular sexual dysfunction lies within the part of the body where semen is expelled to.

When a man normally ejaculates, sperm is pushed out the head of his penis, through the urethra. A man who suffers from retrograde ejaculation[2] will find that when he reaches an orgasm and “ejaculates”, he may experience all the emotions that come with an ejaculation, but no sperm is expelled from the tip of his penis.

At the bladder’s opening of the male body, a circular muscle, called a sphincter, is located. This muscle can contract and relax, depending on the action that is needed from it. When a man normally ejaculates, this particular muscle contracts to avoid the semen from entering the bladder.

With retrograde ejaculation, however, the muscle does not contract properly for some reason, which then leads to the sperm entering the man’s bladder instead of being expelled through the tip of his penis.

Symptoms Of Premature Ejaculation

For most men, the term “premature ejaculation” is pretty much self-explanatory; thus they do not pay much attention to the particular symptoms that might have been associated with the development of this particular ejaculatory disorder.

This can be problematic as it may cause a man to freak out when he suddenly finds that he ejaculates too quickly, yet there may really be nothing to worry about for the man. In other cases, however, this sexual dysfunction may present itself with more worrisome symptoms.

Premature ejaculation as a sexual dysfunction is associated with a condition where a man tends to ejaculate too fast when he participates in sexual intercourse, but only when the man experiences such symptoms at a frequent interval.

It is very important to note that, according to Mayo Clinic[3], at least 33% of the male population throughout the planet will experience symptoms that are associated with premature ejaculation at some point in their lifetime.

When these symptoms become present, it does not guarantee that a man is actually suffering from premature ejaculation as a sexual dysfunction. It is in many cases rather caused by a psychological issue in a man’s life that is contributing toward temporary erectile dysfunction.

When this is the case, the man will not be diagnosed with premature ejaculation, but rather advised to take on the particular problems in his life that are contributing toward premature ejaculation.

Premature Ejaculation Features

Types Of Premature Ejaculation

While there is only one particular definition of premature ejaculation, being that this condition refers to a scenario where a man ejaculates too soon when he is having sexual intercourse with a partner, or when the man finds that he ejaculates too quickly when he masturbates, it is important to note that there are two different types of premature ejaculation[4] that a man can suffer from.

Men should know about these two types of this particular sexual dysfunction, and know more about what it means for them if they are suffering from a specific type of premature ejaculation.

Lifelong Premature Ejaculation

Lifelong premature ejaculation is rarer than acquired premature ejaculation. The term “lifelong premature ejaculation” is used to describe a condition where the man has experienced premature ejaculation since his very first sexual encounter with a partner in the bedroom or, sometimes, even from his very first ejaculation through masturbation at a younger age.

In most cases where a man is diagnosed with lifelong premature ejaculation, a healthcare provider would find that the problems the man is suffering from are most likely caused by certain types of genetic factors.

Acquired Premature Ejaculation

The other main type of premature ejaculation a man can suffer from is known as acquired premature ejaculation.

While lifelong premature ejaculation means a man has experienced the symptoms related to this particular sexual dysfunction since the very first sexual activity he participated in, acquired premature ejaculation rather refers a condition where the man experienced normal ejaculatory function during his first sexual act and even during sexual activities after that very first experience, but later on developed the symptoms of premature ejaculation and found that he started to have ejaculations too quickly during sexual intercourse or while masturbating.

Between lifelong and acquired premature ejaculation, acquired seems to be the most prevalent, mostly due to the fact that this particular type of premature ejaculation can be brought on by numerous factors in a man’s life.

It is important to know that, even though the two types of premature ejaculation described above, being both lifelong and acquired premature ejaculation, are considered the main types of this sexual dysfunction, some publications do tend to mention two other types of premature ejaculation.

Subjective Premature Ejaculation – This type of premature ejaculation is quite complicated. When a man suffers from subjective premature ejaculation, it means he thinks that he is ejaculating too quickly when participating in sexual intercourse and other sexual activities, but, in reality, it does not really ejaculate prematurely.

A doctor or therapist who oversees the medical treatment of the man suffering from Subjected premature ejaculation will not be able to provide the man with an official diagnosis for premature ejaculation as they would not be able to find anything wrong with the man’s ejaculatory function.

Some men experience symptoms of subjective premature ejaculation only occasionally, while others tend to experience symptoms related to this particular condition more frequently.

Variable Premature Ejaculation – Another type of premature ejaculation that is less frequently mentioned and does not gain as much attention as both acquired and lifelong premature ejaculation.

This term is often used to describe the relatively normal flow of a man’s sexual wellbeing – being that they usually experience normal sexual function, but occasionally he may experience premature ejaculation.

Variable premature ejaculation may become present at any time, often unexpectedly; thus it is important for men to uncover what situations are causing them to experience the symptoms of this premature ejaculation type, which may help them overcome the problem in some cases when they take precautionary measures or avoid the particular factors that are causing them to experience premature ejaculation.

Causes Of Premature Ejaculation

Thyroid System

Premature ejaculation has been thoroughly studied by medical scientists over the past years, yet no specific cause has been identified to date.

Thus, it is often difficult for a man to determine what may be causing him to experience this particular sexual dysfunction while he is participating in sexual activities. Medical experts have determined that certain types of medical-related issues can cause a man to ejaculate prematurely during sexual intercourse.

Medical Problems That Causes Premature Ejaculation

Medical problems with the thyroid system are one particular issue in men that can lead to the development of premature ejaculation.

According to Herballove[5], an overactive thyroid, which causes the thyroid to produce too many thyroid hormones (the condition is known as hyperthyroidism), is known to deactivate other parts of the body’s endocrine system.

Parts of the endocrine system is deactivated when an excess amount of thyroid hormones are contained in the blood circulatory system. In turn, this can affect the hormone production by the testes, the pituitary gland and the hypothalamus. These parts of the male body produce vital hormones that are needed for sexual wellbeing.

Out of all the men who have problems with an overactive thyroid, at least 72% experiences symptoms premature ejaculation as well.

In fact, the hormonal imbalances caused by hyperthyroidism does not only contribute to premature ejaculation, but also causes a lot of men to experience difficulties with their erectile function; thus contributing to the development of erectile dysfunction.

Another hormonal issue that can lead to the development of premature ejaculation symptoms, according to the National Male Medical Clinics[6], is low testosterone levels in the male body – it is important to note that, even though hyperthyroidism can cause these symptoms to develop, a man can still experience low testosterone levels even when they do not have problems with their thyroid.

Low testosterone levels are known to cause fatigue, weakness and a loss of muscle mass in men, while also contributing to excess fat accumulation in the abdominal region. In addition to these symptoms, a lot of men also find that they develop problems with their sexual function when their testosterone levels decline too much.

This could include erection problems; thus causing them to experience symptoms of erectile dysfunction. Furthermore, premature ejaculation is another problem that men often experiences when they have low levels of this vital sex hormone in their blood circulatory system.

Other Risk Factors That Contributes To Premature Ejaculation

Performance anxiety

It is relatively rare for a man to experience premature ejaculation due to a thyroid problem or low testosterone. The prevalence of these particular two medical-related causes of premature ejaculation is significantly lower than the prevalence of premature ejaculation.

Thus, it is important to consider the fact that there are other factors that can also contribute to a man ejaculating too soon when he is participating in sexual intercourse with a partner, or when masturbating.

One of the most common reasons why a man experiences premature ejaculation is usually as the result of a psychological problem he is experiencing. In many cases, this is due to a condition termed “performance anxiety”.

Performance anxiety refers to scenario where a man becomes anxious during sexual intercourse. There are many different factors that can lead to the development of performance anxiety.

If a man is already experiencing premature ejaculation, he could develop performance anxiety due to the fact that he is anxious about ejaculating before he is able to satisfy his sexual partner. This, in turn, could simply make things worse for him and further contribute to premature ejaculation.

A lot of men who experiences erectile dysfunction also develops performance anxiety. In such a case, the man would be anxious about the fact that he may not be able to have an erection during sexual intercourse. When the man does gain an erection, he would stay anxious about the fact that his erection may go away during sex.

This could cause him to experience performance anxiety. A man may also try to reach orgasm and ejaculate as fast as possible during sexual intercourse when he fears he may lose* his erection; thus causing him to force premature ejaculation in order to prevent his sexual partner from uncovering the fact that he is suffering from erectile dysfunction.

Age also seems to greatly affect a man’s risk of experiencing premature ejaculation. Erectile dysfunction is a sexual disorder that is mostly associated with older men – usually those over the age of 40.

Premature ejaculation, however, is rather associated with younger men. According to DrEd.com[7], the majority of men who experiences premature ejaculation seems to be younger than the age of 35 – in fact, a lot of these men tend to be much younger than 35.

Men are also at a risk of premature ejaculation if they are suffering from high levels of stress. The stress may be brought on by an important meeting coming up at the workplace. Perhaps a person’s career is at risk, which can cause him to experience premature ejaculation as a side effect due to the stress levels.

A large number of men also tend to experience premature ejaculation when they are going through a tough time in their relationship. Feelings of guilt are also known to contribute to this particular sexual dysfunction, which can be the result of a man cheating on his life partner in many cases.

In addition to the potential risk factors for premature ejaculation that we have listed above, we should also note that some men may experience this particular condition due to hypersensitivity of their penis’s skin.

This causes the man to experience a higher level of sensation on his penis during sex, which may lead to him ejaculating quickly after penetrating his sexual partner.

Premature Ejaculation Diagnosis Info

Diagnosis Of Premature Ejaculation

Before a man can obtain adequate treatment for his premature ejaculation, the man should first be officially diagnosed with this sexual dysfunction by a healthcare provider. Previously, premature ejaculation was diagnosed when a man was unable to satisfy his partner during sex due to him ejaculating too soon.

No other criteria were provided to help a healthcare professional diagnose a man with this condition. In recent times, however, medical experts have done more thorough research on the topic of premature ejaculation, which has led to the compilation of a more accurate set of criteria for diagnosing this sexual dysfunction in men.

When a man sees a healthcare provider for a diagnosis with premature ejaculation, the healthcare provider will conduct a thorough examination of the male patient before they officially diagnose the man with the condition.

The healthcare provider will ask the man about the symptoms he is experiencing and take a look at the man’s sexual history. The man’s medical history will also be brought up. This will be followed by a physical examination.

A doctor may request certain tests to be conducted in order to determine whether there is a medical-related cause behind the man’s premature ejaculation.

Such tests may take a look at thyroid hormone levels, as well as testosterone levels in the male patient’s blood circulatory system. This can help the healthcare provider determine if hyperthyroidism or andropause may be to blame for the symptoms he is experiencing.

Remedy’s Health Communities[8] explains that, in addition to undergoing a physical examination and possibly some medical tests, many male patients are also referred to a psychologist or sex therapist for a mental examination.

This can help such a healthcare professional determine if the premature ejaculation experienced by the man may rather be caused by issues relating to his psychological wellbeing, instead of his physiological wellbeing.

Treatment Options For Premature Ejaculation

Treatment Options For Premature Ejaculation

As explained, the first step to providing an appropriate treatment plan for a man is to obtain a thorough physical and mental examination. This will help a healthcare professional determine whether the man is experiencing premature ejaculation due to a physical or a psychological matter.

It will also help the healthcare professional come up with the most appropriate treatment plan to help the man overcome the symptoms he is experiencing without providing him with treatments that may rather cause him to experience side-effects.

The healthcare professional taking care of the male patient experiencing premature ejaculation will first look for underlying medical problems that may be causing the man to experience the symptoms he is experiencing.

Should the healthcare professional determine that the man is suffering from hyperthyroidism, for example, then the doctor will advise the man undergo certain treatments to help reduce* the activity of his thyroid. This will help to reduce* the amount of thyroid hormones being released into the man’s blood circulatory system; thus possibly improving* his overall hormonal balance. This may then help to improve* the symptoms he is experiencing by delaying his ejaculations.

If testosterone levels seem to be low in the male patient’s blood circulatory system, then the doctor may recommend the man undergo testosterone replacement therapy, also called hormone therapy.

This treatment option will provide the man with synthetic testosterone to replace the deficiency he is experiencing. When testosterone levels are brought back into balance, the male patient’s ejaculation control may be improved* and the time it takes him to reach orgasm from penetration may be delayed.

Since the majority of cases related to premature ejaculation is caused by psychological factors, the treatment solution to assisting with restoring normal ejaculatory control usually include counseling.

This can help a person overcome performance anxiety and other anxiety-related issues that may be contributing to the premature ejaculation the male patient is experiencing. Additionally, couple’s counseling may also be utilized to assist with relationship issues that may be contributing to premature ejaculation.

We should also mention that a healthcare professional may sometimes provide the male patient with certain medication to assist with treating the symptoms they are experiencing.

While the FDA hasn’t approved any medication for the treatment of premature ejaculation, certain pharmaceutical drugs are prescribed to men with premature ejaculation by healthcare professionals to help delay ejaculations.

According to Medscape[9] the most commonly used prescription drug for the treatment of early ejaculations is a specific class of antidepressants known as selective serotonin reuptake inhibitors, also called SSRIs.

These anti-depressants are known to cause a delay in ejaculations as a side-effect, which may be considered beneficial in men suffering from premature ejaculation.

In men with erectile dysfunction and premature ejaculation, the man might be provided with erectile dysfunction drugs only, such as Tadalafil, Sildenafil, Alprostadil or Vardenafil, which may then cause the premature ejaculation to resolve itself when erectile function is alleviated.
When a man experiences premature ejaculation due to hypersensitivity of their penis, then certain types of local anesthetic creams, known as desensitizing creams, can also be provided to the man.

These creams can help to reduce* the sensitivity of the male patient’s penis, which may help to delay ejaculations if hypersensitivity is the cause of his premature ejaculation.

Alternative Methods To Assist With The Treatment Of Premature Ejaculation

Alternative Methods To Assist

The pharmaceutical approaches that are available to assist with delaying the time it takes a man to reach orgasm and ejaculate during sexual intercourse may come with certain risks.

Many of the medications that may be utilized to treat* premature ejaculation have been associated with possibly unpleasant side-effects that can affect a man’s quality-of-life.

Thus, a lot of men suffering from this particular condition are not very keen on taking these medications to help them experience a relief of the symptoms.

A lot of men have found that following a healthy diet, combined with an effective training regimen, has the potential to provide them with improved* bedroom performance and a relief in numerous types of sexual dysfunctions.

Another alternative method to treating premature ejaculation that a lot of people have found to potentially improve* the symptoms they are experiencing is Kegel exercises. These exercises help to strengthen the muscles found in the pelvic floor.

These muscles play a part in assisting with the contractions that can help to control ejaculations. When the pelvic floor muscles are weak, a man may not be able to have adequate levels of control over their ejaculations.

Stronger pelvic floor muscles, however, have been linked to improved* control over ejaculations. These exercises are very easy to perform and can be done at any time, and no matter where a man is.

Read More: Agony Of Premature Ejaculation- Get Tips To Turning PE Around

Conclusion

Numerous problems can develop with a man’s ejaculatory function and lead to problems occurring during their time in the bedroom with a sexual partner. Each type of ejaculatory dysfunction causes a man to experience different symptoms, and is often caused by particular factors that may defer from one dysfunction to another.

Of the four primary types of ejaculatory dysfunctions that can affect a man’s ejaculations and his abilities in the bedroom, premature ejaculation seems to be the most prevalent.

This particular ejaculatory dysfunction causes a man to ejaculate soon after penetrating his sexual partner; thus causing sex to end quickly and leaving the man’s sexual partner unsatisfied in bed.

Since premature ejaculation causes a man to ejaculate too soon, it could also mean that the man does not acquire as much sexual pleasure as he could have with a normal ejaculatory control.

In this article, we looked at the primary types of ejaculatory dysfunctions, and primarily focused on premature ejaculation – including how this particular condition can affect a man’s sex life, what symptoms a man should be wary of, what may be causing him to experience premature ejaculations, and how a man can go about treating the disorder to help restore normal ejaculatory control and avoid being embarrassed in the bedroom when he ejaculates too quickly after initiating sexual intercourse with his partner.

We have also provided a fast-fact sheet to provide an overview of the most vital information that was shared in this article to help those readers who are reading through our post in a hurry get a good idea of the most important details about premature ejaculation that every man should know about.

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Author

Expert Author : Mark Simms (Consumer Health Digest)

Mark Simms is a prolific freelance health and beauty writer, independent researcher with a long history and expertise of providing reliable and relatable health content for magazines, newsletters, websites including blogs and journals. He also enjoy exploring men’s and women’s health category writing articles about sex and relationships, product review and providing information on sexual health.