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Premature Ejaculation, Causes and Treatment


Premature ejaculation is a prevalent sexual dysfunction among men. Most men with this condition find it difficult to open up, even to a doctor. The sex life of any man who experiences premature ejaculation is often low because they climax quicker than expected.

In some cases, premature ejaculation can even occur before a man gets started. Therefore, people who ejaculate prematurely hardly satisfy their partners through penetrative sex.

PE (premature ejaculation) is also associated with reproductive complications for the man – this is caused by low sperm count in some cases. However, successful research has been made on this subject and there are no known treatments for the condition.

Before we go through the causes, symptoms, and possible treatment of premature ejaculation, let’s take a look at the term ejaculation.


There are four stages of sexual response which include, desire, arousal, orgasm and resolution.

As the level of sexual arousal increases, you get to a point of threshold whereby an ejaculatory response is triggered, leading to the termination of the sexual episode.


Meanwhile, ejaculation is made of three different elements; emission, explosion and orgasm. Explosion and Emission are reflexes from the spinal cord while orgasm is the pleasurable result of brain cerebral processing of the sensory nerve. All these three elements happen simultaneously.

Now, let’s take a look at the possible causes of PE


Premature ejaculation can be the result of a medical or psychological condition. We shall work you through the different causes.

Psychological causes:

  • Sexual inexperience
  • Issues with body image
  • Novelty of a relationship
  • Overexcitement or excessive stimulation
  • Relationship stress
  • Anxiety
  • The feeling of guilt or inadequacy
  • Depression
  • Issues related to control and intimacy

All these are some of the underlying psychological causes of premature ejaculation. In some instances, people who have had normal ejaculation can experience PE because of any of the aforementioned factors.

There’s a huge possibility that men suffering from early ejaculation would have experienced the following:

  • Poor sexual orientation.
  • Masturbation at an early age.
  • Traumatic experiences of sex

Medical causes

Erectile dysfunction or premature ejaculation can also be caused by an underlying medical condition. Some of the medical causes of PE are as follows;

  • Excessive use of drugs
  • Excessive alcohol intake
  • Diabetes
  • Prostate disease and
  • Multiple sclerosis.

Symptoms of Premature Ejaculation

There are two kinds of symptoms of PE. The primary and secondary.

The primary symptoms are caused by medical origin and they are primary to the physical ejaculatory event. Symptoms of this condition appear in three forms:

  • Inability to control self or delay ejaculation during penetration.
  • Penetration does not last long enough. In some cases, a man can ejaculate even before penetration.
  • Low self-esteem and sexual evasion.

The psychological or secondary symptoms of ejaculation can happen to anybody and at any time because symptoms are more about the mind than any underlying condition,

These symptoms include

  • Tension
  • Anxiety
  • Stress
  • Depression
  • Poor interpersonal relationship

There is a saying that most men who experience PE are even more worried than the women they fail to satisfy.


Topical Medicine

There are topical drugs that prolong penetration. These therapies must apply to the penis before sex.

Drugs like Lidocaine and prilocaine reduce stimulation and sensitivity, hence, they can prolong penetration time.

However, the downside of using these drugs is that you can lose your ability to get an erection. In addition, the use of anaesthetics can cause numbness in the man and woman.


For this exercise to be useful and effective, you must carry out the routine for at least 12 consecutive weeks. With consistent kegel exercise, men gain control over their ejaculation reflex and their penetration time is extended by over 60 seconds.

Home remedies

Two natural methods can be adopted to delay ejaculation in men.

  • The Squeeze method: Squeezing the tip of the penis to stop any fluid from coming out. It can be done by the man or his partner.
  • Start and Stop method: The act of pausing penetration when you feel like you are about to ejaculate. Then, you get stimulated again when you feel in control.

Although you get a break from pleasuring yourself, you can enjoy a longer penetration time if you adopt any of these methods.

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