Premature Ejaculation

Expert care to improve control and enhance confidence in men’s health.

Blood samples labeled testosterone

Understanding

Early Ejaculation

A common sexual issue among men, premature ejaculation takes place when a man reaches orgasm too quickly. The man does not have voluntary control of the timing of his ejaculation, and it may occur with very little stimulation. When this happens on a regular basis, it often results in both the man and his partner feeling unfulfilled.

When Ejaculation May Occur

The timing of the premature ejaculation varies from person to person as well as by circumstances. Some men experience an orgasm before intercourse even begins, while for others it may occur immediately after vaginal penetration.

How PE Affects Relationships and Confidence

Causes of

Premature Ejaculation

Premature ejaculation is not typically caused by a physical disorder. In the vast majority of cases, this problem arises due to psychological issues. It may be a matter of general stress, anxiety about sexual performance, long-term feelings of guilt surrounding sexual pleasure, unease because of intimacy with a new partner, erectile dysfunction, or other reasons.

Physical Causes of Premature Ejaculation

For some patients, however, there are biological reasons for the premature ejaculation. Some physical influences that may cause this condition are an infection within the prostate or urethra, a thyroid disorder, problems with hormone levels, or abnormalities of the ejaculatory system. It is also possible, although less common, for premature ejaculation to be a result of nerve damage after trauma or surgery in the genital region or due to certain medications.

Man sitting on bed, looking concerned
Patient and therapist in discussion

Diagnosis of

Premature Ejaculation

Patients who have frequent premature ejaculation will typically require a physical examination. Your doctor will also take a full medical and sexual history. In addition, a blood test may be necessary to check hormone levels or for other suspected possible causes. However, since there is not usually a physical cause, the results are most often normal. Instead, your doctor will generally make this diagnosis based on a candid discussion of your sexual complaints.

Treatment of

Premature Ejaculation

There are a number of methods that can potentially help men experiencing premature ejaculation. Sometimes, several techniques must be attempted before the patient finds the right way to eliminate this issue in his particular case.

Relaxation Techniques

Any conscious effort made to lessen anxiety levels can produce the more relaxed state necessary to avoid premature ejaculation. Some men are successful by turning their focus to something other than their sexual stimulation, such as practicing deep breathing or contemplating a thought that is completely nonsexual.

Physical Practice
Antidepressants
Reduce Sensation
Treating the Psychological Side of PE