Men can suffer greatly both physically and emotionally with premature ejaculation. It is a condition that can leave a mans confidence waining, and a relationship under duress. Below is a simple fact sheet on premature ejaculation. I work with men and couples to help alleviate the effects of this condition. There is much that a man can do to build his capacity to store his sexual energy and control when he chooses to ejaculate. 

More fact sheets are available at Topics on Erectile Dysfunction, Infertility, Egg Health Maturation, Sperm Health Maturation, Vaginismus, Vulvadynia, Polycystic Ovarian Syndrome.

What is premature ejaculation?

Premature ejaculation is uncontrolled ejaculation either before or shortly after sexual penetration. It happens with minimal sexual stimulation and before the person wishes. It may result in unsatisfactory sex for both partners. This can increase the anxiety that may add to the problem. It is one of the most common forms of male sexual dysfunction. It has probably affected every man at some point in his life.

Causes of premature ejaculation?

There are 4 suggested causes of premature ejaculation, which include:

  • Failure of the Learning Process: Traditionally Premature Ejaculation is considered to be due to a failure of the learning process. The Evolution Theory suggests that thousands of years ago ejaculation was predominantly seen as a reproductive mechanism. Intercourse had to occur regularly because life expectancy was short and infant mortality was high. Ejaculation had to be fast, due to the danger of being attacked whilst in the act of intercourse. Nowadays though, aside from a reproductive mechanism, sex is also seen as a social and relationship orientated act and people are having sex because it is pleasurable
  • Anxiety: Anxiety is a major secondary cause, especially in the older male who has difficulty maintaining the erection. Premature Ejaculation can also lead to performance anxiety which can be responsible for maintaining the condition.
  • Hyperactive Pelvic Muscle & Hypersensitivity: There is some evidence that some men with Premature Ejaculation have hyperactive pelvic muscles and hypersensitivity of the penile sensation.
  • Neurobiological Phenomenon: Additionally recent research indicates the possibility of a neurobiological phenomenon related to central serotonergic neurotransmission and likely influenced by hereditary factors.

Consequences of premature ejaculation?

Common feelings men with Premature Ejaculation might experience are:

  • Embarrassment
  • Shame
  • Low self-esteem
  • Lower confidence
  • Feeling down/depressed
  • Feeling like a failure
  • Frustration
  • General dissatisfaction
  • Worried about not satisfying their partner or letting their partner down

Treatment of premature ejaculation?

In many cases premature ejaculation gets better on its own over time. Treatment may not be needed. Practicing relaxation techniques or using distraction methods may help you delay ejaculation. For some men, stopping or cutting down on the use of alcohol, tobacco, or illegal drugs may improve how well they can control ejaculation.

Your doctor may recommend that you and your partner practice certain techniques to help delay ejaculation. For example, you may learn to identify and control the sensations that lead up to ejaculation. And you may learn to communicate with your partner to slow or stop stimulation. You can try using a condom to reduce sensation to the penis. Or you can try a different position (such as lying on your back) during intercourse. Counselling or behavioural therapy may help reduce anxiety related to premature ejaculation.