What is Premature Ejaculation?

Premature ejaculation (PE) is a common sexual condition where a man ejaculates sooner than he or his partner would like during sexual activity. It can happen before or shortly after penetration and may lead to distress, frustration, and relationship issues.

How Common is PE?

PE affects up to 1 in 3 men at some point in their lives. It can occur in men of all ages and is one of the most frequently reported sexual disorders in males.

Causes of Premature Ejaculation

• Psychological factors – stress, anxiety, depression, or performance pressure
• Biological causes – abnormal hormone levels or neurotransmitter imbalance
• Relationship issues – lack of intimacy or poor communication
• Medical conditions – prostatitis or erectile dysfunction

Symptoms

Signs of PE may include:

• Consistently ejaculating within one minute of penetration
• Inability to delay ejaculation during intercourse
• Negative personal consequences, such as stress or avoiding sex

Diagnosis

A diagnosis is usually based on medical history, sexual history, and sometimes questionnaires. There is no specific test, but doctors may conduct exams to rule out underlying conditions.

Treatment Options

Treatment depends on the underlying cause and may include:

• Behavioral techniques – like the “stop-start” or “squeeze” method
• Counseling or sex therapy – especially when psychological issues are involved
• Medications – antidepressants (SSRIs), topical anesthetics, or PDE5 inhibitors
• Lifestyle changes – regular exercise, reducing stress, and avoiding alcohol

Can PE Be Prevented?

While not all cases can be prevented, healthy lifestyle choices, communication with your partner, and managing stress can help improve sexual control and confidence.

When to See a Doctor?

If premature ejaculation is persistent and causing emotional or relationship distress, consulting a healthcare provider is recommended for proper guidance and treatment.