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Premature Ejaculation: Its Meaning, Causes, and Treatment

Premature Ejaculation
Read Carefully

Premature ejaculation is a term used to describe when a man ejaculates during sex sooner than he or his partner desire. It is a common problem and a common complaint. Many men ejaculate too quickly at least once in their lifetime. When premature ejaculation happens infrequently, a man should not be alarmed by it, and a partner would understand. In most cases, no medical action needs to be taken. However, if the problem persists, there are various treatments a man can pursue. It is a common problem, but luckily there are some healthy ways you can delay ejaculation and preserve sexual intimacy in relationships.

What Are the Symptoms of Premature Ejaculation?

A man who frequently experiences the following is often diagnosed with premature ejaculation:

  • Frequently or almost always ejaculate within the first minute of penetration
  • Experience frustration as a result of ejaculating early
  • Usually or almost always unable to prevent ejaculation during sex

What Are the Main Causes of Premature Ejaculation?

In most cases, the reason a man ejaculates early is unknown. However, there are several factors that may contribute to it. For instance, in most cases, the cause is thought to me a mixture of biological and psychological factors during sexual activity.

The psychological causes sometimes involve certain sexual experiences. For instance, males who had early experiences with sex or previously experienced sexual molestation will sometimes ejaculate early. Men who are depressed or have a poor self-esteem regarding their body image might also be prone to premature ejaculation.

Some men who experience early ejaculation do so because of stress or anxiety. For instance, a man who finishes early once might continue to do so because of worry. In some men, a guilty feeling about not satisfying oneself or one's partner leads to early ejaculation. This guilt leads the man to rush through sex and finish earlier than he would like to. Someone who is an overall anxious person might also ejaculate early due to general anxiety. Either way, you definitely want to find a way to manage your premature ejaculation and overcome the sexual dysfunction for a healthier sex life.

Overall stress is also typically present in those who experience premature ejaculation. For instance, mental or emotional problems outside of one's sex life can lead to unsatisfying sexual experiences. This is because overall stress can limit a person's ability to both relax and focus on the sexual encounter, so this is an important factor to consider for the management of premature ejaculation.

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Other Problems Caused by Premature Ejaculation

Those who experience premature ejaculation can also have problems in their personal lives as a result. Relationship stress is a common problem for those who often orgasm early. The man's sexual partner might become unsatisfied, and it definitely has psychological effects on both partners.

A man who wishes to have children may also struggle to fertilize his partner. Fertility issues are especially problematic when the male doesn't ejaculate intravaginally.


Most men can recognize the condition on their own during sexual encounters. However, some men incorrectly diagnose themselves without understanding what premature ejaculation means or how to care for the problem. It's normal to sometimes ejaculate early, but if it happens every time within minutes, it's important to get premature ejaculation help to increase sexual activity and enjoyment for both you and your partner.

Men who think they have a problem with premature ejaculation may hesitate to seek medical help due to embarrassment. Those who seek medical help will be questioned about their sexual history. Some questions to expect from a doctor are as follows:

  • How often do you ejaculate early?
  • How long does it normally take for you to achieve orgasm?
  • When did premature ejaculation first begin for you?
  • Do you experience premature ejaculation with all of your sexual partners or with only a certain one(s)?
  • How often do you engage in sexual intercourse?
  • Do you orgasm early during masturbation?
  • Has premature ejaculation affected your relationships with sexual partners?
  • Are you overall unsatisfied by sex?
  • Do you believe your sexual partner(s) are satisfied?
  • Do you have other problems in your relationship aside from premature ejaculation?
  • Do you have trouble getting an erection?
  • Are you taking any prescription drugs? If so, which ones?
  • Do you take any recreation drugs? If so, which ones?

A physical exam might also be required. A blood test is sometimes ordered in those who have erectile dysfunction. These blood tests are used to check the patient's testosterone levels, as some of these issues can be attributed to erectile dysfunction and low testosterone levels.

What Treatment Options Are Available?

There are several commonly used premature ejaculation treatment options in sexual medicine. The following are among the most popular treatments:

1) Behavioral techniques

2) Counseling

3) Topical and oral medications

In most cases, men can improve their sexual satisfaction using a combination of the above premature ejaculation treatments. In terms of behavioral treatments, a doctor will make recommendations for new things the male could try. For instance, abstaining from sex for a set period of time while enjoying and experimenting with other sexual behaviors can decrease the anxiety men have during sexual intercourse and may help them to delay ejaculation.

Many men use prolonged masturbation to treat premature ejaculation. Masturbating for an extended period before sex could help prolong sexual pleasure and delay ejaculation for a more healthy sex life.

How to Prevent Premature Ejaculation Manually

The pause and squeeze method is one thing that often works to stop an early ejaculation. This method is performed manually during sex. While engaging in intercourse, the man should stop and squeeze the end of the penis whenever he has the urge to ejaculate. The part that should be squeezed is the glans, which is the place where the head of the penis joins with the shaft. Squeeze there for 3-5 seconds while waiting for the urge to ejaculate to pass to delay ejaculation.

Manually performing the pause and squeeze method can lower the urge to ejaculate during the first few minutes of sexual penetration. You may have to repeat this method many times before you train yourself to prevent ejaculation without using your hands.

For some men, the pause and squeeze method can be painful or uncomfortable. If this is the case for you, you could try stopping during sex. Just when you feel the urge to ejaculate, pull out and wait. Wait for a minute or so to allow your sexual desire to diminish. Then, you can penetrate again and continue.

Exercises to Prevent Premature Ejaculation

In addition to changing sexual activities, men may also want to try simple exercises to treat premature ejaculation. For instance, some specialists believe a weak pelvic floor can impair a man's ability to prolong orgasm. Therefore, a man can do pelvic floor exercises in order to strengthen muscles in the pelvis, leading to better pelvic floor health.

Pelvic floor muscles are those that prevent a person from passing gas and urinating. To test out these muscles, clench them while urinating so that the urine stops mid-stream. When you tighten these muscles, you're exercising them and strengthening them.

Practice clenching these muscles for three seconds at a time. Then relax and release these muscles for three seconds. Do this several times in a row, and increase the number. These exercises can be done when sitting down, standing up or even while walking. Be sure to tighten only the pelvic floor muscles during these exercise. Some people make the mistake of tightening their abs, buttocks or thighs. You should instead focus only care on the pelvic floor. Do not hold your breath either. Try to do three sets of ten repetitions per day to increase pelvic floor health.

Using Sexual Medicine to Prevent Early Ejaculation

Anesthetic sprays and creams are sometimes used to treat premature ejaculation. These products have a numbing agent in them, which reduces the sexual sensation. As a result, the products are said to help prevent early orgasm. Men apply a delayed ejaculation treatment to the penis about fifteen minutes before sex. Many of these products can be purchased over-the-counter, but you'll need a prescription for some of them. Always consult with a doctor before taking any new medications for ejaculatory dysfunction.

There are a lot of popular drugs on the market that advertise themselves as male enhancement supplements, but not all of them may be good for your health. Drugs like VigRX and Nugenix are popular, though little research proves that they actually provide an ejaculation delay. Some people take analgesics and antidepressants to treat early ejaculation. However, these drugs are not generally approved by the FDA to treat premature ejaculation. These drugs also have side effects that can lead to other types of sexual dysfunction and poor health, so be sure to consult with a physician before taking any new medications.

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Counseling Therapy

Some men have success using counseling to treat their premature ejaculation. Your physician can recommend a mental health counselor for you to speak with. During these counseling sessions, you will most likely do the following:

  • Learn to reduce sexual performance anxiety
  • Learn to manage stress in a healthy way
  • Speak with a counselor about the shame or embarrassment felt by sexual encounters
  • Learn how to best communicate with intimate partners during your struggles with premature ejaculation

One big problem with premature ejaculation is that it can be cyclical. A man finishes too early during sex, feels shame about it, and then is overly anxious the next time he has sex. It becomes a psychological condition. His partner feels unsatisfied and the man feels more shame and anxiety. This can repeat over and over again. Eventually, it creates an overall uncomfortable sexual environment for both partners.

One thing a man can do to manage the shame of premature ejaculation is to not give up. Even if you finish early, you can continue to stimulate yourself and your partner. Touching and kissing can lead to another erection and even more sexual pleasure. Rubbing and touching after ejaculation can also be highly satisfying to one's partner. This is especially important if a partner is not able to finish before the male ejaculates. If you want to produce more semen check out our Semenax review (where to buy semenax).

You should also be honest with your partner about your problem. If you're embarrassed about finishing early, let your partner know that you're embarrassed about what happened. Make it clear that your partner is not to blame. Otherwise, the partner may blame themselves or misunderstand your behavior.

Another thing you can try is some cuddling and togetherness. You don't have to penetrate someone to give them pleasure. Stimulating your partner manually can give them a great deal of pleasure and orgasms.

Relationship Therapy

In many cases, premature ejaculation can be caused by preexisting problems between the two sexual partners. If you think your problem is caused by an underlying concern in your relationship, consider going to counseling with your partner. A therapist can help you walk through your problems. As a couple, you can learn to:

  • Recognize problems in your relationship
  • Alter your own behavior to be more supportive of your partner
  • Communicate better with your partner

Those who seek couples therapy often do so for complex problems in a relationship, such as the following:

  • Infidelity
  • Child rearing
  • Problems caused by blending families together
  • Substance abuse

If you have any of the above problems in your relationship, your premature ejaculation could be partly caused by the stress you feel from the above issues.

Try Specialized Condoms

Your physician can recommend special brands of condoms that might help you prevent premature ejaculation. These condoms can sometimes decrease sensitivity in the penis, while your partner would still be able to maintain his or her sensitivity. Other special condoms have special numbing ingredients or consist of thicker latex. Ask a pharmacist where to find these in your local drugstore.



There is no cure for premature ejaculation that will work in every case, but luckily, sexual medicine is developing and many people are taking their sexual health seriously. While premature ejaculation can cause anxiety, embarrassment and stress, it is a treatable condition. Most men can alleviate the problem through some combination of exercises, prescription drugs and behavioral changes. If you believe you suffer from premature ejaculation, contact your doctor for a professional consultation so you can increase your overall sexual health.

Healthy Body Healthy Mind disclaimer


Alessandra is the mother of two daughters, ages 13 and 23. Natural medicine and a holistic living have been an focus of her life for many years. She has been studying with The Institute for Integrative Nutrition to become a Certified Holistic Health Coach, and is a big part of the wellness community. She is an big fan of yoga, practices meditation, and is presently a nutrition and healthy lifestyle mentor for adults.

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