Premature Ejaculation

Ejaculation occurs when a man reaches sexual climax and semen is ejected from his penis. Premature ejaculation is when:

  • Causes

    Many men experience premature ejaculation at one time or another. For example, some men experience it after not having had sex for a long period of time. Premature ejaculation is only a problem when it becomes a persistent condition.

    Ejaculation occurs automatically after a certain degree of sexual stimulation. Persistent premature ejaculation usually results from a man's inability to recognize that he is about to ejaculate. This inability prevents him from taking steps to delay the process.

    Psychological factors may contribute to premature ejaculation. This may include difficulty in the relationship with a partner, guilt about sex, or fears related to sex.

    In rare cases, premature ejaculation can be caused by:

    • Prostate problems, such as
    • A problem with the nerves
    • Medications that increase sexual stimulation
    • Certain medical conditions (such as thyroid problems)
    Anatomy of the Prostate Gland
    © 2011 Nucleus Medical Media, Inc.

  • Definition

    Ejaculation occurs when a man reaches sexual climax and semen is ejected from his penis. Premature ejaculation is when:

    • Ejaculation occurs before the man wishes it to occur.
    • Ejaculation occurs too quickly to sexually satisfy his partner.

  • Diagnosis

    Most men experiencing premature ejaculation will notice the condition themselves. The doctor will ask about your symptoms and medical history. A physical exam will be done.

    The doctor may search for an underlying medical cause if:

    • You suddenly developed persistent premature ejaculation and have never experienced it before.
    • You have other neurological symptoms.
    • You are taking medication that may cause premature ejaculation.
    • The condition is getting much worse or causing severe problems for you.

  • Prevention

    To help prevent premature ejaculation:

    • Learn how male and female sexual responses work.
    • Improve communication with your partner before engaging in sexual activity.
    • Have sex in situations that are private and relaxed.

  • Risk Factors

    Factors that increase your risk for premature ejaculation include:

    • Lack of sexual experience
    • Lack of knowledge of male and female sexual responses

    • Fear of:

      • Causing pregnancy
      • Contracting a sexually transmitted disease
      • Poor sexual performance
    • Guilt about sex
    • Interpersonal problems between sexual partners
    • Early sexual experiences that precondition a man to rapid ejaculation, usually from fear of being caught

  • Symptoms

    The primary symptom is persistent episodes of premature ejaculation during sex.

  • Treatment

    Treatments may include: