Ask the Specialists: What Causes Premature Ejaculation?

What Causes Premature Ejaculation?

by | Nov 12, 2021 | Premature Ejaculation

Are you having trouble lasting longer in bed? One of the questions we receive a lot at Choice Men’s Health is, How to cure premature ejaculation and last longer in bed? 

We know that this can be frustrating, and we will work with you to help design a personalized PE treatment plan to help you have great sex again.

But let’s first look at what is premature ejaculation?

Ejaculation is the expulsion of semen from the body.

Premature ejaculation occurs when ejaculation happens sooner than a man or his partner wants it to during sexual activity.

PE is also known as rapid ejaculation, premature climax, or early ejaculation.

While there is no set time for how long a person should “last” during sex, if a man has an orgasm before they want to, they typically can’t continue with intercourse.

Premature ejaculation can affect your overall sexual performance and be frustrating and embarrassing.

Many men that suffer from PE have difficulty satisfying their partners.

But what causes premature ejaculation? We’ll go over that and more in the article below.

What’s The Difference Between Premature Ejaculation and Erectile Dysfunction?

Erectile dysfunction is when you can’t achieve or maintain an erection.

When you suffer from premature ejaculation, you can get an erection, but you reach orgasm and ejaculate earlier than you want to.

Erectile dysfunction may lead to the development of PE.

This often occurs when a man with ED knows his ability to sustain an erection is poor, so he develops the habit of ejaculating soon after erection, so he doesn’t lose his erection.

Because of the connection between the two conditions, if you visit your doctor for signs of PE they may also check for ED and treat that first.


What Are The Symptoms Of Premature Ejaculation?

The main symptom of premature ejaculation is the inability to delay ejaculation for longer than a minute of penetration.

PE can even occur during masturbation.

Premature ejaculation can be classified as lifelong or acquired.

Lifelong PE occurs all or nearly all of the time, beginning with your first sexual encounters.

Acquired PE is when you develop PE after you’ve had previous sexual experiences without ejaculatory problems.

Many men feel that they have symptoms of premature ejaculation, but their symptoms don’t meet the diagnostic criteria for premature ejaculation.

They might have natural variable premature ejaculation.

That includes periods of rapid ejaculation as well as periods of normal ejaculation.

How Common Is Premature Ejaculation?

Between 30% and 40% of men will experience premature ejaculation in some form at some point in their life.

Premature ejaculation is the most common type of sexual dysfunction in men, with about one in five men between the ages of 18 and 59 reporting incidences of premature ejaculation.


What Causes Premature Ejaculation?

There are several psychological factors, emotional issues, and physical factors that can lead to premature ejaculation.

Psychological Factors

Fortunately, the majority of cases of PE are not related to any disease.

They are instead due to psychological factors, including:

  • sexual inexperience
  • issues with body image
  • Being with a new sexual partner
  • overexcitement or too much stimulation
  • relationship stress
  • anxiety
  • guilt or inadequacy
  • depression
  • issues related to control and intimacy

Any of these psychological factors can affect men who have never had to deal with PE.

These cases are often acquired PE.

Most cases of primary PE are also believed to be caused by psychological problems.

The condition can often be traced back to early trauma like

  • strict sexual teaching and upbringing
  • traumatic experiences of sex
  • conditioning

Medical Causes

More rarely, there may be a medical condition or a biological cause of your PE.

The following are possible medical causes of PE:

  • diabetes
  • multiple sclerosis
  • illicit drug use
  • excessive alcohol consumption
    • prostate disease
    • thyroid problems

PE can be a sign that an underlying condition needs treatment.



What Are The Treatments For Premature Ejaculation?

Your treatment option for PE will depend on what’s causing it.

You may try more than one approach at the same time.


Behavioral Therapy

Behavioral therapy uses different methods to delay your orgasm.

Its goal is to teach you how to control your body and your feelings.

Methods used in behavioral therapy are:

  • Start and stop method: With the start and stop method, you or your partner stimulates your penis close to the point of orgasm and stops the stimulation for at least 30 seconds until you regain control over ejaculation. Repeat this three or four times before allowing yourself to orgasm.
  • Squeeze method: With this technique, you or your partner stimulates your penis close to the point of orgasm. Then you gently squeeze the head of your penis for about 30 seconds so that you begin to lose your erection. Do this a few times before allowing yourself to orgasm.
  • Distracted thinking: With distracted thinking, you focus your attention on ordinary nonsexual things during sexual intercourse. For example, visualize your favorite foods, your favorite sports team, or the words to the national anthem.



If the cause of your PE is psychological, emotional, or due to relationship issues, performance anxiety, depression, stress, guilt, sexual abuse, or a troubled relationship, you will need counseling.

You should seek the help of a psychologist, psychiatrist, couples therapy, or sex therapist.



When Should You Seek PE Treatment?

If you find yourself ejaculating sooner than you’d like during most sexual encounters, you should see a medical professional.

It may be an uncomfortable conversation, and many men are embarrassed by it, but don’t let that keep you from seeking treatment and talking to an expert that deals with PE.

Premature ejaculation is a very common, very treatable problem.

For many men, that initial conversation lessens their concerns about premature ejaculation.

It can be reassuring to find out that occasional premature ejaculation is normal and that the average time from the beginning of intercourse to ejaculation can vary.

Choice Men’s Health Can Help With Your Customized Treatments

If you’re suffering from premature ejaculation or worried you may have erectile dysfunction, it’s time to see a medical professional.

At Choice Men’s Health, we can help diagnose conditions like erectile dysfunction and premature ejaculation. We can help develop a treatment plan so you can last longer in bed and improve your sex life. 

If you have questions about these common conditions that millions of men face, Choice Men’s Health in Atlanta, Georgia, can help.  We’ve been helping thousands of men overcome these issues.

Schedule an appointment with our specialists to get started on your Erectile Dysfunction Treatment or premature ejaculation treatment by calling (404) 400-3717 or filling out a form here.


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