Premature Ejaculation (PE): Causes, Therapy, Medications

Along with erectile dysfunction, premature ejaculation is one of the most common sexual health issues experienced by men. This problem is extremely frustrating as it makes it difficult to fully enjoy sex and bring maximum satisfaction to a partner. It’s important for successful treatment to understand your exact causes of premature ejaculation, as only then it can be addressed properly. In this article, you can find out more about this problem and the ways it can be treated using modern methods.

What is classified as premature ejaculation?

The first thing to note about premature ejaculation is that this issue can occasionally be encountered by all healthy men. It can happen due to nervousness or other physical and psychological factors, so it’s nothing to worry about when it happens rarely. While every man is different and the time before ejaculation varies, PE is generally diagnosed when a man ejaculates before intercourse or within a minute of vaginal penetration. A man experiencing premature ejaculation is unable to extend intercourse and delay the moment when he ejaculates. This issue can cause a lot of stress for a man and cause strain in relationships, so it’s important to diagnose it correctly and find the right treatment.

Even though it’s not always the older men who suffer from premature ejaculation, the risk of developing this problem certainly increases with age. It is true that most men start experiencing less firm and prolonged erections as they get older. But, PE can often be postponed or prevented with the help of modern treatment.

What are the causes of PE?

The causes of premature ejaculation can be divided into two main categories – physical and psychological. Find the main cause requires you to consult a medical professional and perform some laboratory tests. When it comes to physical factors that can negatively influence the ability to maintain an erection during intercourse, they include:

  • Disruptions in hormone levels
  • Infections in the genital area and inflammations of the urethra or prostate
  • Abnormal levels of brain chemicals, particularly the reduction of serotonin
  • Certain genetic predisposition

When we talk about psychological issues, they can be extremely varied depending on each individual. While some men with these mental problems may not experience problems with premature ejaculation, for others – a certain issue can become a trigger. Some psychological problems that can lead to premature ejaculation include the following:

  • anxiety
  • depression
  • problems or insecurities in a relationship
  • guilt or shame associated with sex
  • sexual repression

Depending on the cause, an approach to the treatment of ED can be completely different. Some people may need behavioral therapy while others may require taking medications. Correctly determining the main cause of PE should be the first step before starting any treatment.

Erectile dysfunction and Premature Ejaculation: is there a connection?

A lot of the time, men diagnosed with erectile dysfunction notice the symptoms of PE during the times when they can achieve erections. Sometimes it can also be difficult to determine which health problem comes first, so it’s important to consult a doctor. If a man experiences ED, it is recommended to treat this problem first and determine its cause, as it can often resolve the problem of premature ejaculation as a result.

On a psychological level, having erectile dysfunction can also make a person hurry during intercourse due to the fear of not being able to maintain an erection. This is quite common for men diagnosed with ED, so it is definitely something to look into if a man experiences both the symptoms of PE and ED.

What are the ways that PE can be treated?

As it was stated previously, the first step is to determine the exact cause or a combination of causes that lead to premature ejaculation. The treatment relies solely on the results of your physical examination and laboratory tests. Each approach should be highly individual, so you should provide your doctor with as much information as you can. This may include your medical history, any relationship problems, mental struggles, drugs that you take or have taken, and more.

Getting psychological help

If there are no physical problems that may cause PE, it’s essential to see if a man can be helped with psychological therapy. This approach can be effective for men who developed their PE due to certain negative beliefs about sex, insecurity, shame, sexual abuse, and such. Working closely with a therapist can help determine the root of premature ejaculation and find ways to cope with emotions.

Behavioral therapy

Another way some men can deal with premature ejaculation is with the help of behavioral therapy and certain exercises. If a man has no ability to delay ejaculation, there are some methods that can help you to train your body. Such exercises can be used by healthy men who want to extend their sexual intercourses.

The first method that should be mentioned is the squeeze technique. While it can be done on your own, it is better to involve your partner so that you can feel more confident around them. To practice, you or your partner has to stimulate the penis before you are about to ejaculate and then squeeze it tightly to prevent this. This allows you to better understand your own body and how you feel when you are about to ejaculate. Also, you can implement this method during sex at the right moment to prevent ejaculation. To get results, it’s important to practice regularly.

Another treatment is called the stop-start method. This technique is similar to the previous one, but it is more difficult for many men with PE. You need to stimulate your penis or get help from your partner and stop doing this when you are close to ejaculating. In this method, you don’t squeeze your penis and you simply stop any ejaculation and wait until you no longer feel that you want to climax. You should repeat this process up to three times during one session before you can ejaculate. It is also essential to do this several times a week to see progress.

Are drugs used to treat premature ejaculation?

In some cases, the results that can be obtained with behavioral therapy are not sufficient. This is often the case when a problem is more severe and has some physical causes. If a man was diagnosed with ED, it’s important to treat health problems that cause it. However, if such health conditions are chronic and cannot be treated, it may be reasonable to use PDE5 inhibitors and see whether PE improves along with the treatment of erectile dysfunction.

Another way premature ejaculation is often treated is with the help of antidepressants. It has been proven that low levels of serotonin in the brain increase the risk of premature ejaculation. If this is your case, a doctor may prescribe antidepressants to help you with your sexual health problem. There is a wide variety of drugs to choose from and your medical advisor can help you select the right one based on your medical history and any individual characteristics.

Regardless of the chosen drug, you should take it according to your doctor’s recommendations and not increase the dosage.

Other methods of treatment

Another approach to the treatment of PE that shouldn’t be overlooked is the use of numbing creams and sprays. For a lot of men, this is one of the easiest ways to be able to delay ejaculation and it’s possible to use this method without consulting a medical specialist. The ways such creams and sprays work is quite straightforward. All you need to do is to apply such substance on your penis about 30 minutes before sexual intercourse. The time you need to wait can vary depending on the manufacturer and the active components. These solutions cause a numbing effect on your penis, thus allowing you to avoid being overwhelmed by the sensations in the process and make it possible to last longer.

Such creams should be removed about 5-10 minutes before sexual activities. Firstly, leaving it on can prevent you from getting an erection at all. Secondly, it will also cause your partner’s vaginal numbness, so you should always remove such creams before sex.

As you can see, there are several ways PE can be treated. You should always consult a medical specialist before using such methods, so you will be able to get the best results.


Note: As a disclaimer, we should mention that this article was created with the intention of providing educational materials. It cannot be viewed or used as a substitute for professional medical advice. We are not responsible for any health concerns.