Premature Ejaculation

Premature Ejaculation (PE) is a problem that affects many men, though most people are afraid to talk about it. There is no need to feel embarrassment or shame. In fact, Premature Ejaculation is much more common than many people think.
PE it is defined as a condition in which a man ejaculates earlier than he and his partner would like. It leads to feelings of inadequacy, shame, guilt, and embarrassment. Climaxing early is something that can happen from time to time in all men, and should not be regarded as Premature Ejaculation.

Common Symptoms of PE:

  • Consistently ejaculating before the desired time
  • Ejaculating in less than one minute of vaginal penetration on a regular basis
  • Inability to delay ejaculation within one minute of vaginal penetration on a regular basis
  • Experiencing negative implications such as stress, shame, embarrassment, frustration
  • Avoiding sexual intercourse
  • Symptoms are present even during masturbation

Causes of Premature Ejaculation

Causes of PE differ from man to man, and generally fall under one of two categories: psychological or biological. Psychological causes can originate in previous experiences that were unpleasant. For example, if a man felt the need to ejaculate quickly to avoid being caught in the past, then he could have developed a habit of ejaculating quickly. If he partook in sexual encounters he felt guilty or unhappy about, he may have developed the habit of ejaculating quickly to end the encounter as fast as possible. Other psychological reasons include anxiety, self-esteem problems, problems associated with Erectile Disorder, and problems within the relationship itself. Biological concerns include abnormal hormone levels, abnormal brain chemicals, abnormal thyroid function, infections and genetics, to name a few.

Treatment for Premature Ejaculation

Treatment for PE is usually that of changing habitual behaviors, and learning control techniques. For example, the “Stop and Start” method asks you to withdraw yourself from your partner when you feel your climax nearing and rest for about 30 seconds. When you have calmed down a bit, resume sexual activity. Repeat this process as much as needed. The “Squeeze Method” occurs when you or your partner squeezes your penis where the glans meets the shaft as you feel you are going to climax. When you feel that the moment has passed, resume activity, and repeat as much as needed. With a habitual implementation of techniques like these, you will begin to be able to stop ejaculation without having to do these things. Other exercises include Kegel exercises and masturbating a couple of hours before intercourse. It’s a good idea to talk with a therapist if there are deeper causes for Premature Ejaculation.

What Should You Do?

Perhaps the most important thing is to communicate openly with your partner about your feelings of anxiety and inadequacy. In a healthy relationship, both partners want what is best for the other and the couple mutually. You will probably be surprised to find your partner very pleased with your openness, and very willing to work together to solve the problem. With patience and mutual effort, you and your partner can help to create new sexual habits, which will lead to a fulfilling, satisfying experience for both of you.

View Resources

  • Wikipedia – Wikipedia article about PE, including symptoms, causes and treatment.
  • Medline Plus – Webpage describing PE, causes, treatment methods, outlook and complications/
  • Mayo Clinic – Treatment information for PE, including behavioral techniques and medications.
  • About.com – Men’s Health – Treatment options for PE, with descriptions of techniques to reduce PE.
  • E-Medicine – Article written by Aaron Benson, MD, about PE.

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