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Premature Ejaculation - Symptom, Treatment And Causes

What exactly is a premature ejaculation?

When a person ejaculates without control before or shortly after penetration during a sexual intercourse the condition is known as premature ejaculation. It is accompanied by a minimal amount of sexual stimulation and a person does not really wish to ejaculate that quickly. The result is deriving unsatisfactory amounts of pleasure from the sexual act for both of the partners. The pressure to perform can get to a person and the added anxiety only adds to the woes of a patient. It is one of the commonest of the manifestations of sexual dysfunctions in males. Almost all men have fallen prey to this condition at one point in their sexual lives.

What are the causes of premature ejaculation?

The exact cause of the majority of cases of premature ejaculation is yet to be ascertained and there is a lack of clarity regarding the same. With the passage of time, men learn to postpone their orgasms slightly. New sexual partners often trigger premature ejaculation. Certain sexual situations may trigger such a condition. Even long periods of time between ejaculations may be the culprit. Psychological issues are also terrible important in this form of sexual dysfunction. It may result from guilt, anxiety and also depression. The cause may also be medical in nature like problems with hormones, an injury or as a side effect of certain medications.

How is the diagnosis made?

In order to diagnose premature ejaculation, the doctor examining the patient will have in-depth discussions regarding his sexual and medical history. A comprehensive physical exam will be performed on him. Doctors may also, in addition, want to discuss the condition with the partner of the patient. As seen earlier, there are multiple causes of premature ejaculation. Doctors will obviously want to rule out medical problems through laboratory tests also.

How is premature ejaculation treated?

In a vast number of cases, the condition gets better over time to own its own without medical intervention. One may try to learn techniques for relaxation and delayed ejaculation to get over the problem. Alcohol, drugs, and tobacco too affect premature ejaculation. Refraining oneself from using them might be of help.

Doctors generally often offer advice on learning scientific techniques to delay the ejaculation. Together with one’s partner, one can slow sexual stimulation through effective communication. Condoms may help to reduce sensation on his sexual organ. Some intercourse positions too are less susceptible to premature ejaculation. Behavioural therapy and counselling can help get rid of psychological issues if any.

Treatable by medical professional Require medical diagnosis Lab test sometimes required Chronic: can last for years or be lifelong Non communicable
Poor control on ejaculation Unsatisfactory sexual intercourse Ejaculation on very little sexual stimulation

Popular Health Tips

Premature Ejaculation - Causes And Treatment!

MBBS, MS - General Surgery, Fellowship of Indian Association of Gastrointestinal Endo Surgeons (FIAGES)
General Surgeon, Meerut
Premature Ejaculation - Causes And Treatment!

Physical Intimacy is really important in everyone's life. Getting the right amount of physical satisfaction can inflict a really powerful and effective impact on the relationship between two people. But there are certain sexual dysfunctions because of which intimacy can be hampered and not enjoyed by both men and women. One such sexual dysfunction is Premature Ejaculation.

What Is Premature Ejaculation?
While having sex, there is not particular time when one shall ejaculate. Sometimes it can be after a long time or at times earlier than before. But premature ejaculation is the dysfunction when the man ejaculates even before he has the intercourse. Usually it is very early and sometimes can be within 2-3 minutes of getting intimate.

Premature ejaculation becomes a problem because once you have ejaculated your desire for intercourse fades out and that is why you will not continue to enjoy the sex. Both the man and woman may feel that it ended all very quick and thus remains majorly dissatisfied. About 30-40% of all the men face this problem at sometime in their sex life.

Premature Ejaculation Causes
The exact cause of this dysfunction is not known. There are different kinds of causes which contribute to such a problem which affect the men majorly at times.

  • Emotional factors like immense stress, severe depression, problems in a relationship etc.
  • Men with erectile dysfunction can also face the problem of premature ejaculation.
  • Habit to constantly ejaculate very quickly can lead to premature ejaculation.
  • Low levels of serotonin can also be responsible for very early ejaculation in men.

Treatment- There is no medication which can cure premature ejaculation but there are certain practices which can help you to prevent it.

1. Stop and Start- In this process you will need to stimulate your penis until you are just going to have the orgasm. Now immediately stop the arousal for about 30 seconds or till the time you feel it has passed on. Repeat the process once again and keep doing it twice or thrice.
2. The Squeeze- If you are unable to stop the ejaculatjon via the previous method you need to try this. It works the exact same way but when you are going to receive the orgasm, squeeze the head of the penis till the erection does not go away. Repeat this continuously for a few time.

These are the two practices which you can carry out which will help you get over premature ejaculation in an effective manner over time.

49 people found this helpful

Sleep Wake Disorder - Irregular Sleeping Patterns

Masters of Philosphy, Master of Science, Bachelor of Sciences
Psychologist, Kolkata
Sleep Wake Disorder - Irregular Sleeping Patterns

Sleep-Wake Disorder is a very uncommon syndrome which causes irregular sleeping patterns without any real schedule.

Persons with brain malfunctioning and those who do not have a regular routine during the day experience such disorders. People with changing work shifts often experience such disorder. Also, travellers who often move from one country to another with different time zones may also have these symptoms.
There's no cure for this disorder, but treatments, including hormones, medicine, and light therapy, can help get you closer to a normal sleeping pattern.


Symptoms may include any of the following:

  1. Sleeping or napping more than usual during the day
  2. Trouble falling asleep and staying asleep at night
  3. Waking up often during the night

Exams and Tests
A person must have at least three abnormal sleep-wake episodes during a 24-hour period to be diagnosed with this problem. The time between each such episode varies from 1 to 4 hours. The doctor may advise you to go ahead with a device called actigraph in case the diagnosis is unclear. The device looks like a wristwatch, and it can tell when a person is sleeping or awake.

Though there is no simple cure for irregular sleep-wake syndrome, however, several therapies and lifestyle changes may help a person return to a normal sleep-wake cycle. These include:

  1. A regular daytime schedule of activities and mealtimes need to be fixed.
  2. You should not stay in bed during the day for long.
  3. Use bright light therapy in the morning like those from computer screens and television. The period of exposure should also be increased. Exposure to blue light should be minimized at night.
  4. You should take melatonin at bedtime. This is a hormone that controls the sleep-wake cycle. By taking doses at the right times, you might be able to shift your body clock earlier or later.
  5. Make sure to make the room dark, quiet, and as comfortable as possible at night.
  6. Also one should try to minimize the amount of noise in the sleep environment.
  7. Add more structure to the patient’s day by scheduling social interaction, exercise, and other activities.
  8. Your doctor may prescribe drug to control the timing of the sleep-wake cycle.

Finally, you should take proper care of yourself. Make positive changes in your lifestyle. You can even ask your boss to make your work schedule a bit flexible.

The ultimate goal of these lifestyle changes is to help the person sleep longer at night and make him feel active and awake during the day. Most people have sleep disturbances on occasion. But you need to consult a doctor if such sleep disorders occur regularly.

2611 people found this helpful

Bed Sores - How Homeopathy Can Treat it!

MD-Hom., BHMS, Dip. in Cosmetology & Trichology
Cosmetic Physician, Mumbai
Bed Sores - How Homeopathy Can Treat it!

Bed Sores are commonly seen in persons who are immobilised and stay in bed or wheel chair for a long time. They do not change their position often and this results in damage to the skin and the underlying tissues because of the constant pressure on skin for a long duration. Bed Sores are also known as pressure sores or Decubitus Ulcers. When a person lies on bed for a long time due to medical conditions like paralysis, spinal problems and several others, the skin is constantly pressed between the bones and the bed.

As a result, the blood supply to skin is hindered, resulting in skin damage. Persons who involuntarily pass urine or stool, while in bed, are at a high risk of developing bed sores due to constantly moist skin. Elderly people and diabetics too are more likely to develop Bed Sores, which are mostly formed on the skin over bony area. Bed Sores are commonly seen on heels, hips, sacrum, elbows, shoulder blades and spine.

Homeopathy is very effective when it comes to treating bed sores. These remedies have negligible side effects and hence can be given without worrying about how they might affect other medication prescribed to the patient. Homeopathic remedies not only provide relief from the pain caused by bed sores but also help cure blisters and soothe the pus in ulcers. Some common homeopathic remedies for bed sores are:

  1. Arnica: Arnica is the best homeopathic remedy for bed sores that have made the skin turn blue-black in appearance. This may also be accompanied by soreness, itchiness and a feeling as if the bed is too hard to lie down on. Arnica helps reduce the blue-black spots and also prevents the formation of pus.
  2. Apis Mellifica: Bed sores that are rose coloured and accompanied by a burning sensation and pain on the spot that worsens with touch can be treated with this homeopathic remedy. In such cases, the patient may also have a desire to uncover the affected limb or area to reduce the burning and pain.
  3. Carbo Veg: Bed sores formed in areas where the skin turns blue due to cold but where the skin simultaneously sweat excessively can be treated with carbo veg. This patient may also complain of itching that worsens with warmth and towards the evening. In some cases, these sores may also bleed.
  4. Arsenic Album: Ulcers that give off an offensive discharge can be treated with this homeopathic remedy. Such ulcers are often also quite painful and this pain worsens at night and with the cold. The person may also be weakened by the ulcers.
  5. Silica and Hepar Sulph: Bed sores that are filled with pus can be effectively treated with silicea. In cases where this pus turns bloody, hepar sulph may be prescribed. In such cases, the patient may also complain of extreme pain and sensitivity around the ulcers. If you wish to discuss about any specific problem, you can consult a homeopath and ask a free question.
3417 people found this helpful

Anxiety-induced Premature Ejaculation

MD - Psychiatry, Diploma in Child & Adolescent Psychology , MBBS
Psychiatrist, Pune
Anxiety-induced Premature Ejaculation

Premature ejaculation is a condition that causes a lot of stress, especially as you age. In order to know more, you should understand premature ejaculation well. It is a condition wherein one ejaculates before or immediately after sexual penetration, with little or no sexual stimulation. This leads to poor sexual performance and anxiety issues.


There is no specific cause for premature ejaculation. Regular issues such as sex with a new partner of having sex after a long time might trigger this condition. Factors such as anxiety, stress and guilt may also result in premature ejaculation. It may also be caused by medical issues such as an injury to the genitals or other hormonal problems.

In this article, the factor that will be focused on is anxiety that most often leads to premature ejaculation. Being anxious or nervous about one’s sexual performance can result in this condition. Your mind may be preoccupied with whether your partner is enjoying the entire experience or about the proper functioning of the genitals. Both these factors bring about anxious thoughts and thus, may make one unable to control his ejaculation. One ultimately stops focusing on the entire experience and starts to overthink.

How to Control Anxiety Before and During Intercourse:

  1. Go Again: If it happens the first time, then shoot again. Try another round and you may find that you are able to control your ejaculation better.

  2. Be honest about it: Being honest about the entire situation will reduce anxiety about the performance. Your partner may be understanding and would process the situation better. Thus, with subsequent sexual encounters, you are sure to get better.

  3. Take matters in your own hands: If the partner is aware of all the limitations, one can use other methods such as oral sex or other foreplay methods (read fingering and fisting) to satisfy her.

  4. Decide if You Need More or Less Foreplay: For some guys with PE, foreplay increases anxiety, because they become more and more anxious as they wait for the event. For others, foreplay decreases anxiety, because it gives them a chance to relax before the event takes place. Find out what helps you and talk to your partner about it

If none of the above mentioned methods seem to work, you can fall back on medications.

Certain medications such as antidepressants are used in the treatment of premature ejaculation. They use a two pronged approach; on one hand they reduce anxiety and on the other, this very trait leads to delayed ejaculation, which in turn helps remedy the situation.

Controlling Premature Ejaculation:

PE can hit you at any age. But the good news is that when your PE is caused by anxiety, it’s something you can also reduce by using the tips above to help control your anxiety and get used to the lovemaking experience. You will need an understanding partner, but most partners are understanding when they care about you, and eventually you’ll be able to fully unlock the sexual prowess inside you. If you wish to discuss about any specific problem, you can consult a doctor and ask a free question.

2954 people found this helpful

Male Sexual Problems

MBBS, PGDUS, Fellowship In Aesthetic Medicine, Advance Course In Diabetes - USA, MD - Medicine
Aesthetic Medicine Specialist, Delhi
Male Sexual Problems

No matter what the age, social status or the sexual orientation is, sexual health is an important part of a man's life. In general, male sexual problems involve not being able to get or maintain an erection, difficulty reaching orgasm or ejaculating too soon. Sexual problems can affect any man, whether he is straight, gay, transgender or a bisexual.

Types of Sexual problems in Men:

1. Erectile Dysfunction (Impotence)

This is when you can't get, or keep an erection. Most men experience it at some point in time, and the causes can be physical or psychological. Physical causes include diabetes, heart diseases, and high blood pressure. Unhealthy habits like smoking, alcohol, and illegal drugs, as well as some prescription medicines, can also cause erectile dysfunction. Psychological factors could be worry about money, work, relationship, family, and even about not getting an erection.

2. Premature Ejaculation

This is when you ejaculate sooner than you would like to. It is a problem only if it bothers you or your partner. Premature Ejaculation has several causes like anxiety or guilt, low levels of certain brain chemicals, being very aroused or stimulated and infection of the urethra or prostate.

3. Loss of Sex Drive

Your interest in sex, also called libido, can vary over the course of life. Losing your sex drive, or libido, is common. It can be linked to a number of reasons, including emotional or relationship issues, health problems, certain medications, and reduced level of male hormones.

4. Low Testosterone

A gradual decline in testosterone is normal in men as they get older. But for a man who is healthy and has age on his side, having no interest in sex is not normal. The low levels can have many reasons including diseases, injuries to the genitalia and certain medications. If you wish to discuss about any specific problem, you can consult a doctor and ask a free question.

4477 people found this helpful

Popular Questions & Answers

I have ejaculation problem and because of this problem when I do sex my sperm falls faster within 5 to 20 sec l. Why is it so. As I am not being satisfied. Can I use a medicine of himalaya tentex royal to cure this problem. Is it safe to use this product. Does it have any side effect. If not then how many capsules do I need to take in a day and when to take it. And in how many days my problem will be solved.

MS - Obstetrics and Gynaecology, DCN -Diploma in Clinical Nutrition, MBBS
Gynaecologist, Noida
Hi pre mature ejaculation can be due to many reasons, performance relayed anxiety is also one of them do not shy away and self medicate see some doctor, discuss your issues and treat accordingly.
4 people found this helpful

Hi, Mam I am suffering from sex problems. When I do sex with my gf then I am discharge very soon and my penis is too much tired and my penis skin is stich and blooding from there why.

PhD - Psychology
Psychologist, Patna
Bleeding is not the problem it happens in starting but premature ejaculation is the main problem for sexual life for advice and removal of this problem you consult privately through online process thank you.
30 people found this helpful

I have been prescribed q gold (coenzyme q10 100 mg), fertisure m (astaxanthin 4 mg, coenzyme q10 100 mg, elemental zinc 12 mg, levocarnitine 340 mg, lycopene 2.5 mg), fertilife (l creatinine 1500 mg, co enzyme q10 10 mg, zinc 12.5 mg, lycopene 2500 mcg) after dinner each tablet for 20 days. Is it safe to take duraplus in the morning or afternoon every alternate days?

BASM, MD, MS (Counseling & Psychotherapy), MSc - Psychology, Certificate in Clinical psychology of children and Young People, Certificate in Psychological First Aid, Certificate in Positive Psychology, Positive Psychiatry and Mental Health
Psychologist, Palakkad
Dear user. I can understand. You are health anxious, it seems. Hypochondriasis is an obsession with the idea of having a serious but undiagnosed medical condition. Health anxiety is not a serious mental disorder but without proper treatment the person affected could be depressed and continuously engaged in negative thoughts. I suggest online counseling, cognitive behavior therapy and relaxation therapy. Take care.
1 person found this helpful

Hi doc, I am 27 years old I have problem related to my sexual health I have 5.6 inch penis curved downside from center and my testis are also small in size and my testosterone levels are normal. I also have the problem of premature ejaculation I am a muslim so my circumcision is done twice in childhood and in childhood also treated with prednisolone for almost 5 to 6 years due to nephrotic syndrome. Kindly suggest me what should I do? ​waiting for your kind response.

MBBS Bachelor of Medicine and Bachelor of Surgery, MD - Psychiatry
Psychiatrist, Agra
Penis is usually curved and size seems not to be a concern. Premature ejaculation has got no relationship with testosterone levels, you need some psychotherapy sessions and low doe medications also if needed to solve your problem.
7 people found this helpful

Hey I was suffering from premature ejaculation and to cure this problem I am taking paromax 20 mg (paroxetine) daily. And it's working I want to ask how long should I take it to cure it permanently and is it has side effects please guide me.

BASM, MD, MS (Counseling & Psychotherapy), MSc - Psychology, Certificate in Clinical psychology of children and Young People, Certificate in Psychological First Aid, Certificate in Positive Psychology, Positive Psychiatry and Mental Health
Psychologist, Palakkad
Dear user. I can understand. Please don't be panic but be serious about the symptoms. Premature ejaculation is mostly due to psychological and therefore you don't need any medicines but need psychological treatment. Please provide more information so that we can start the diagnosis process and the treatment. I am here to help you in every aspect of your mental and physical health. Any sexual or psychological problems can be cured with the help of various methods and therapies. I suggest you to post your query with every detail here. I will help you in overcoming your problems certainly. Take care.
7 people found this helpful

Table of Content

What exactly is a premature ejaculation?
What are the causes of premature ejaculation?
How is the diagnosis made?
How is premature ejaculation treated?
Play video
Premature Ejaculation

I am Dr. Vikas Khanna. I am working as a counselor in Delhi & Gurgaon. So, today I will talk about premature ejaculation. A very common sexual problem occurring in almost 1/3 of the population. The psychological component which is normally ignored in premature ejaculation is the personality of the individual. People who are agitated, often have this problem. So, the nervous system is very agitated. And one is always in hurry to do things. The conduction of the nerves is very high. And that could be due to the deficiency of zinc and magnesium.

How can we get rid of this problem? There is no magic pill for premature ejaculation. One has to attend to the core personality issues which is always impatient and in hurry to do things. It is always in your head. All sexual problems are rooted in your head. One has to work on personality and see how he can slow down himself on these activities. Indulge in lots of sports like golf. You have to start doing things slowly. As you know the agitation and the stimulation is directly linked to your breathing pattern and sometimes you see your breathing becomes very fast when ejaculation happens. So, relaxation of mind through breathing is mandatory for the sustained sexual act to occur.

Now let's talk about the causes. One has to eat magnesium-rich diet and zinc like almonds, dark chocolates. The most important thing is to work on your patience. Work on your nervous system which is agitated. A lot of people who have anxiety, depression also suffer from premature ejaculation. Couple therapy helps you a lot. Performance anxiety also brings the problem of premature ejaculation. The couple has to be taught that how to be slow down in a sexual act. There are a lot of herbs which also comes in supplements and there are few homeopathic remedies which also help in slowing down the conduction of the nerves. Must remember that the conduction is the desensitization of your nerves and psychology is directly linked with very fast conduction of nerves. For any help, you can consult me at Lybrate.

Thank You.
Play video
All About Premature Ejaculation!
The impact of psychological and biological factors on ejaculation

Good morning I'm Dr. Pradeep Aggarwal. I have done MBBS MD in many subjects of my interest you can consult me for diabetes for any chronic problem like Allergy, Asthma infection, sexual problem and also for a cosmetic and dermatological purpose. Today we'll talk about premature ejaculation.

premature ejaculation is a disease in India almost 1 out of 3 men suffer from it and although it is a treatable disease, many men find difficulty in presenting their symptoms. They feel embarrassed about it,but if you seek treatment there is definitely a cure. Basically as per the WHO as per the psychological Indians engine of psychology guideline.

there are three criteria when we say the patient is suffering from premature ejaculation.

On the basis of that, we will decide the patient is suffering from premature ejaculation.

first when a patient is unable to control or unable to delay his declaration when he's already emasculate with in one minute of intercourse and if he is unable to satisfy his partner in sexual activities. So we will talk about the cause. Basically, we divide cause into two types that are biological cause and other is emotion and Secretary emotional causes come when a person is in fear that someone might come and see him. Sometimes person feels guilty in having sex that is also a psychological calls and sometimes he may have anxiety or performance issues that make him unable to have a sex or sex with a proper caliber sometimes that is there is biological cause also like abnormal brain chemicals abnormal hormone thyroid issues, infections, inflammation and many genetic issues also make him unable to do sex with a proper of ejaculation period. So these are basic cause that is reason of premature ejaculation.
premature ejaculation as concern can be divided into two parts

one is primary premature ejaculation that occurs when persons have difficulty in having sex or have a pre ejaculation problem for the first time when he has sex and
second is previously if he has normal sexual habits and suddenly he feels symptom of premature ejaculation that is called as secondary premature ejaculation
treatment of premature ejaculation can be divided into five parts-

first concerned with a thorough medical revolution that what is causing premature ejaculation, we have to see the patient we have a certain test that we prescribe to the patient and a thorough evaluation is done to decide what is causing the premature ejaculation.
Then the treatment part can decide first always first in the sexual therapy that we guide patient that whenever you have sex with your try to make her wife her girlfriend to reach the climax excite to the level that he is at the end so that they can satisfy him at that time.
Second is the controlling breath and thought cycle we always auspicious take a long breath when they have sex or when they are doing premature ejaculation by taking a long breath they can delete ejaculation periods.
We can also prescribe the patient some exercise like squish technique. Squish technique is perfect items can lead to better treatment of ejaculation without any medicine patient just have to when is just about to ejaculate he has to press his penis low level that he was unable to ejaculate and then when the arch pass he can place his penis and then after again 30 seconds he can continue with the sex. By that how he can regulate his ejaculation habit and he can delay the ejaculation periods by doing it for long time.
Apart from this certain medicines like antidepressants are also there some oral anesthetics are also available that can delay the ejaculation periods vision can apply that anesthetics like lidocaine and xylocaine jelly over there penis and all the time it will decrease the sensitivity of the penis and they are able to do sex for the long time.
That is how we can treat premature ejaculation if you have any further queries or any question you can consult me on lybrate.
Play video
Premature Ejaculation - Know The Reasons Behind It
Premature ejaculation can be cured easily, if identified at an early stage and all it requires is the complete cooperation from the person affected. As this is a delicate condition for any person to talk freely or openly about their sexual problem with others. But an open mind and real intention to overcome this issue is much essential criteria to cure the premature ejaculation for any men.
Play video
Premature Ejaculation
Premature ejaculation is a form of the disorder that commonly occurs in male. The normal ejaculation period for a normal male ranges from 6 - 8 minutes. The intravaginal latency time may last for a minimum of two minutes, but if this goes less than two minutes then this condition is diagnosed as premature ejaculation. Premature ejaculation is common in adults for various reason and it often causes problems in a relationship.
Play video
Premature Ejaculation
Premature ejaculation is a form of the disorder that commonly occurs in the male. The normal ejaculation period for a normal male ranges from 6 - 8 minutes. The intravaginal latency time may last for a minimum of two minutes, but if this goes less than two minutes then this condition is diagnosed as premature ejaculation. Premature ejaculation is common in adults for various reason and it often causes problems in a relationship.
Having issues? Consult a doctor for medical advice