Releasing or ejaculating sooner than you and/or your partner’s expectation, is Premature Ejaculation. In simple words, premature ejaculation occurs when you reach orgasm and ejaculate too early during sexual activities. PE is as bad as erectile dysfunction; or some may call it the second-worst sexual dysfunction. Imagine being able to get erections but not being able to last longer during sex. It’s normal to feel embarrassed about it, but you should also know that premature ejaculation is a common and treatable condition. While it’s not a cause for concern if it has happened or happens once, twice, or too infrequently, you certainly need a diagnosis if you always or nearly always:

1. Ejaculate within one minute of penetration

2. Are unable to delay ejaculation during intercourse

3. Feel distressed and frustrated, and tend to avoid sexual intimacy as a result

When you’re masturbating by yourself, ejaculating quickly may or may not bother you, as in any case you are getting your pleasure from the orgasm. But in terms of satisfying your partner during sex, the lack of fulfilled pleasure due to PE risks straining the relationship, and becomes a source of various concerns, worries, anxiety and panic issues. Amongst all this, you need to worry about one less thing – the treatment. As bad as PE sounds and feels, it is after all it is treatable. But before you start thinking about treating a condition, you need to understand it, and get familiar with all the possible factors where it comes from. 

 

Symptoms:

The central nerve system regulates ejaculation. Signals are sent to your brain and spinal cord when you are sexually excited, and are delivered from your brain to your reproductive organs after you achieve a specific level of excitation. As a result, the semen is discharged through the penis — known as ejaculation. Now, how long you should last after penetration is not fixed, it differs from person to person. But a normal lasting time is considered to be more than a minute (5-7mins) to half an hour. In PE, the inability to defer ejaculation for more than one minute after penetration is the main and the most common indication. The issue, though, could arise in any sexual circumstance, including masturbation. 

Premature ejaculation is classified as: Lifelong (primary): Beginning with your initial sexual encounters, you will experience continuous or almost constant premature ejaculation for the rest of your life. 

Acquired: Developing PE issues after you’ve had past sexual experiences without any ejaculatory issues.

What causes PE:

While it was formerly assumed that premature ejaculation was solely psychological, doctors now know that it is caused by a complex combination of psychological and biological variables. 

It’s unclear what causes premature ejaculation, as it is said to be caused by a variety of factors. PE is now known to include a complex mix of psychological and biological elements, rather than what was formerly assumed to be solely psychological. 

 

Psychological Causes of PE:

Several types of sexual dysfunction, including premature ejaculation, have been linked to psychological variables, according to research. Depression, stress, anxiety, guilt, poor body image, insecurity, lack of confidence, and a history of sexual abuse are all psychological elements connected to PE. 

Performance anxiety, a type of anxiety related to sexual performance that can potentially play a role in erectile dysfunction, can also trigger premature ejaculation. 

 

Physical Causes of PE:

Premature ejaculation can be caused or aided by a number of physical and biological reasons: 

Abnormal Hormone levels: Prolactin, luteinizing hormone (LH), and thyroid stimulating hormone (TSH) may all play a role in premature ejaculation. 

Abnormal Serotonin Levels: Low amounts of the neurotransmitter serotonin may reduce the time it takes to reach orgasm and ejaculate, according to research. 

Inflammation and/or infection: Infections and/or inflammation of the prostate or urethra can impair sexual performance and cause premature ejaculation. 

Some specialists feel that the physical sensitivity level of your penis can influence how long it takes you to reach orgasm and ejaculate during sex. 

 

Genetics:

Genetic factors underlie 91 percent of lifelong premature ejaculation cases, according to research undertaken by neuropsychiatrist Marcel D. Waldinger. This isn’t to say that these cases can’t be helped. 

 

Learning Behaviour:

When a man has his first intercourse, he is so aroused that he ejaculates without completely understanding what is going on. This is entirely normal. However, with practice and time, he can learn to detect the feelings of arousal that precede orgasm, resulting in the formation of ejaculatory reflex control. 

Many men who have premature ejaculation have a disruption or stoppage in their natural learning process. They failed to realize their ‘point of no return’ as a result of the interruption. They are unable to prolong the plateau period, delay orgasm, or control their ejaculatory reflex as a result of this. Stressful conditions around sex in adolescence typically cause this learning behavioral disorder. For instance, having intercourse in the presence of parents or other family members, or at a party while others are just outside the bedroom door. 

Some men may be able to pinpoint the source of their premature ejaculation with ease, while others may never find out. What’s most important is to understand that, regardless of what’s causing the problem, it can be resolved with an exercise-based regimen. Medications, counselling, and sexual techniques that postpone ejaculation (or a balance of these) can all help you and your partner have better sex. 

Risks & Complications:

Various other factors can add to the risk of PE and cause problems in your personal life, including: Erectile Dysfunction: If you have problems with getting or sustaining an erection on a regular basis or often, you may be at risk of premature ejaculation. Fear of losing your erection may induce you to rush through sexual experiences, either deliberately or unintentionally. 

Stress: Premature ejaculation can be caused by emotional or mental stress in any area of your life, restricting your capacity to relax and focus during sexual experiences. 

Relationship Problems: Relationship stress is a common consequence of premature ejaculation. 

Fertility Problems: If ejaculation does not occur intravaginally, premature ejaculation might make fertilisation difficult for couples attempting to conceive.

Preventing PE:

Exercise: Men who exercise regularly are less likely to have premature ejaculation than those who live a sedentary lifestyle, according to research. Regular exercise can help you enhance your physical health as well as sexual performance. 

Use PE condoms: Condoms, in general, can reduce sensitivity and prevent you from ejaculating early. However, climax control condoms, which are composed of a thicker latex material or include a numbing ingredient to delay climax, are available over-the-counter. 

Masturbate before sex: Masturbating an hour or two before sexual activity can help delay ejaculation (just ensure to keep your refractory period in mind. Your desire to climax fast should be reduced as a result of this sexual release. 

Pelvic Floor exercises: The length of time it takes you to climax might be influenced by strengthening your pelvic floor muscles. According to a study published in the journal Therapeutic Advances in Urology in 2014, pelvic floor exercises can assist men with lifelong premature ejaculation control their ejaculatory reflex, allowing them to climax sooner. To do pelvic floor exercises, follow these steps: 1. Stop in the middle of peeing or tighten the muscles that prevent you from passing gas to find the proper muscles.2. Contract and relax your pelvic floor muscles for 3 seconds while lying down. Repeat this process at least 10 times, thrice a day.3. As your muscles grow stronger, gradually increase the number of seconds. Try standing, walking, or sitting in different postures.4. Remember to breathe and concentrate solely on the muscles of your pelvic floor. Tighten your abdominal, thighs, and buttocks as little as possible. 

Talk to your partner: When premature ejaculation is the result of a psychological issue or a difficulty in your emotional closeness, communicating freely and honestly with your partner might help you work through it together. Although discussing these issues can be unpleasant, there is no need to be embarrassed. Statistically, a significant portion of your friends are coping with similar problems, and even if they aren’t, a large portion of the individuals you pass every day are. Prevention is always a better option, but if you’re struggling with PE, behavioral therapies, psychotherapy, numbing treatments, or sertraline for PE can all help in managing premature ejaculation, depending on your preferences or the severity of your disease. If you’re just getting started on your path to sexual wellness, get guidance from a healthcare expert. Action is all you need to get started and succeed.