Premature ejaculation (PE) is a very common sexual disorder, affecting around 20-30% of men. It really just means ejaculating/coming or finishing too early – before you and your partner are satisfied.
Generally, men who have PE will experience all of the following:
- Ejaculation occurs within less than one minute of penetrative sex
- This happens 75% of the time
- It occurs for a period of at least six months
- It causes distress
During sex, many men and their partners find that ejaculation sometimes occurs sooner than they would like it to.
Types of premature ejaculation
Primary PE
Primary PE starts when first becoming sexually active and is often psychological, this is sometimes called ‘life-long PE’.
Secondary PE
Secondary PE tends to occur later on in life and can be caused by both psychological and physical factors. This is sometimes called ‘acquired PE’.
Generalised PE
PE might be ‘Generalised’, where it is a problem in every sexual context, e.g. during masturbation, foreplay with a partner and penetrative intercourse.
Situational PE
‘Situational’ PE is when it only occurs in certain situations, e.g. during partnered sex, rather than solo masturbation. Controlling sexual excitement and ejaculation might be absolutely fine during foreplay, but rapid ejaculation might always occur when penetrative sex begins.
Causes of premature ejaculation
Conditioning
Early sexual experiences can have an impact on your future sex life. A good example of this is a teenager teaching themselves to ejaculate quickly to avoid being caught, it can be difficult to break the habit.
Sexual performance anxiety
Being anxious because of inexperience when first having sex can contribute to PE. However with increasing sexual experience and age, men often learn to delay orgasm.
Early stages of a relationship
Being in the early stages of a relationship or with a new partner, particularly if it’s been a long time since you last ejaculated can contribute to PE.
Traumatic sexual experience in childhood
Childhood experiences can impact PE. This could be anything from being caught masturbating to sexual abuse.
Drugs or alcohol
A man’s ability to control his ejaculatory reflex can also be affected by alcohol, drugs and medication, as well as low testosterone or an over-sensitive penis.
Medical conditions
PE can also have biological roots, e.g. it could be due to genetics or heightened sensitivity in the nerves of the penis, as well as conditions such as multiple sclerosis, diabetes, prostate disease, high blood pressure, under or active thyroid and low testosterone.
Premature Ejaculations Is Treatable
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