Premature ejaculation is ejaculation that does occur too early, usually before, upon, or shortly after penetration. The cause can be anxiety, other psychological factors, or even very sensitive penile skin.

Premature ejaculation can indeed be due to certain physical conditions as well as psychological or even emotional factors.

Premature ejaculation symptoms

Occasional episodes of PE are usually nothing to worry about. A person may need treatment if PE occurs frequently or has occurred for an extended period.

The main symptom of PE is, of course, the regular inability to delay ejaculation for more than a minute after penetration during intercourse. Rapid climax during the time of masturbation can also be an issue for a few people.

If a person experiences premature ejaculation at times and normal ejaculation at other times, they may be diagnosed with natural or variable premature ejaculation.

PE is no doubt usually categorized as lifelong or even acquired.

Lifelong (primary) PE  does mean a person has had this experience always, or almost always, since the first sexual experience.

Acquired (secondary) PE does imply a person has had longer-lasting ejaculations in his life but has developed PE.

Causes of premature ejaculation

  • Psychological or emotional components to PE. A few psychological components can be temporary.
  • PE can become an issue as a person gets older and has more problems maintaining an erection.
  • PE may be caused by underlying conditions or even mental health concerns too, including:
  • poor body image or even poor self-esteem.
  • Depression.
  • history of sexual abuse, either as the perpetrator or perhaps as the victim or survivor.
  • Guilt may also cause you to rush through sexual encounters, which can lead to PE.

Other causes:

  • Worrying about ejaculating a bit too early.
  • Anxiety about a rather limited sexual experience.
  • problems or even dissatisfaction in one’s current relationship
  • stress.
  • Physical causes can also indeed play a major role in PE.
  • Abnormal levels of certain hormones, such as testosterone, or chemicals produced by nerve cells referred to as neurotransmitters can contribute to PE.
  •  Inflammation of the prostate or even the urethra can also lead to numerous symptoms, including PE and ED.

Treatment of premature ejaculation

In a few cases, a person may be able to treat PE with a few changes to one’s sexual routine.

A person may be advised to masturbate an hour or so prior to intercourse, as this delays ejaculation with one’s partner.

Premature Ejaculation: Symptoms, Causes, and Treatment

It is possible to temporarily avoid intercourse altogether, engage in other sexual activities, and play with one’s partner.

Start-and-stop and squeeze methods

There are two strategies a person needs, and one’s partner can employ the start-and-stop method and the squeeze method.

With start-and-stop, one’s partner does stimulate one’s penis until he is close to ejaculation. Then one’s partner needs to stop until the person feels in control again.

With the squeeze method, the partner can stimulate his penis until he is close to ejaculating.

These strategies could, of course, take several weeks to become effective, and there is indeed no guarantee that they alone can solve the issue.

Pelvic floor exercises

Certain muscle exercises can also help. In particular, he may benefit from male pelvic floor exercises.

To find one’s pelvic floor muscles, concentrate on stopping urination in midstream or making use of certain muscles to keep gas from passing.

Kegel maneuvers:

  1. Tighten one’s pelvic floor muscles for a count of three.
  2. Relax them for, say, a count of three.
  3. Do this several times in a row throughout the day.

When doing Kegel exercises,  be careful not to use one’s abdominal or buttock muscles instead of one’s pelvic floor muscles.

Decreased sensitivity

Decreasing the sensitivity of one’s penis during intercourse can also help.

Wearing a condom can indeed decrease sensitivity in order to maintain erections longer without ejaculating.

ED medications

If ED is a contributing factor, consult the doctor about ED medications.


If experiencing PE, it helps to talk to one’s partner rather than ignore it or even deny that it exists. Be calm and also discuss options.