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Premature Ejaculation

Symptoms and Treatment


Premature ejaculation is characterized by a lack of control over ejaculations during sexual intercourse. That is, a man who regularly ejaculates involuntary before he or his partner wish (such as before intercourse or shortly during intercourse) is deemed to be suffering from premature ejaculation.

Causes of Premature Ejaculation

Premature ejaculation can be the result of several factors, such as anxiety or overstimulation. Often, it's the result of psychological factors such as guilt, depression, stress over your job or personal problems, unreasonable expectations on sexual performance, sexual repression or a lack of self-confidence. It can also happen to someone having sex for the first time.


Self-diagnosis is possible with the above symptoms occurring. You can also refer to any health clinic or doctor for a diagnosis if you're not confident of your own diagnosis. Normally the doctor will conduct an interview with the person or couple to determine the best course of treatment. The criteria for diagnosis of premature ejaculation are:

  • Regular involuntary ejaculation before sexual intercourse or shortly after penetration
  • Causes marked distress or anxiety on the affected person
  • Not due to the use of substances such as opiates

Types of Ejaculation Disorder

  • Premature ejaculation – early ejaculation
  • Retarded ejaculation – long period of ejaculation
  • Retrograde ejaculation – semen flows from the prostrate gland into the bladder rather than spurting out of the penis
  • Inhibited orgasm in male


There are some treatments available to help someone with premature ejaculation:

  • Behavior modification – training and improving the mental attitude to sex
  • Stimulation control
  • Medication, in clinical cases
  • Thicker condoms, which can reduce stimulation during sexual intercourse and thus delay ejaculation
  • Sexual therapy
  • Psychotherapy, counseling
  • Using topical anesthetic cream to desensitize the penis, delaying ejaculation

For many sufferers, a combination of above treatments will work best, but for some, using only one type of treatment will suffice. It all depends on the individual conditions.


Premature ejaculation may be caused by poor communication between partners. Sometimes partners do not understand each other's sexual needs, so open communication and understanding is important to maintain a healthy sex life. This can reduce stress between partners, and so reduce the occurrence of premature ejaculation. You can also try different sex positions – sometimes that can help.


Coping with premature ejaculation is important. Many sufferers feel frustrated and ashamed, and they keep it to themselves, suffering in silence. Premature ejaculation sufferers need to talk to their doctor if they feel distressed. The condition is common and treatable – but only by talking openly to the right people.

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