What are the Different Causes of Premature Ejaculation?

What are the Different Causes of Premature Ejaculation?

The cause of Premature Ejaculation can be psychological or biological. Though there is no standard cause yet, hormonal imbalances and psychological stress have changed the sexual behaviour of men. Premature Ejaculation can be a risk for a relationship and that makes it important to cure the cause for PE before it gets too late.

What is Premature Ejaculation?

  • Premature ejaculation is when you can’t control the climax and cum sooner than desired satisfaction for one or both partners.
  • Over, 25% of men of the world are suffering from this sexual problem
  • For clinical trials ejaculation is under 1 minute.

In many Sexual Illnesses, Premature Ejaculation is the most common type of disorder that can affect 4 out of 6 males. In premature ejaculation, you come quickly before standard time. When somebody can’t control the ejaculation and cannot last it longer, there is a need to know the premature ejaculation cause.

To identify what causes Premature Ejaculation, we should understand the three crucial aspects of PE are – ejaculatory latency, control, and sexual satisfaction.

Intravaginal Ejaculatory Latency: The duration between penetration and ejaculation when the penis is inside the vagina. Ejaculation before 4 min after intromission should be considered premature ejaculation. (How long should a man last before ejaculation)

Voluntary control: An inability to voluntarily defer ejaculation also defines PE (What makes a man climax quickly).

Sexual Satisfaction: The inability to control and defer ejaculation results in a sexually unsatisfied partner. (PE can cause infertility and avoid pregnancy)

IASH is one of the best institutes of andrology and sexual health in Jaipur. We provided the best premature ejaculation treatment in India. Personalized TREATMENT PROTOCOL is devised for every patient with any sexual problem, be it premature ejaculation, erectile dysfunction, or male infertility.

Premature Ejaculation Examination:

It is important to know how long should a man last before ejaculation to identify PE. Premature Ejaculation examination can be done at home according to this chart:

Men with an intravaginal ejaculatory latency time (IELT) of less than 1 minute Confirmed PE
Men with an intravaginal ejaculatory latency time (IELT) of 1-1.5 minute Probable PE
Men with an intravaginal ejaculatory latency time (IELT) of more than 2 minute Negative PE

How does Ejaculation work?

How does Ejaculation work?

Ejaculation is a process that is controlled by the nervous system of a person. During sexual intercourse, when a man gets sexually stimulated then the signal is sent to its spinal cord and brain. And when that person reaches a certain level of excitement then those signals are again transferred from the brain to the reproductive organs.

And these signals cause ejaculation of the semen through the male reproductive organ ( penis).

Ejaculation involves mainly two phases.

The first phase (emission) through which the components of semen are released from the male reproductive organs (prostate, seminal vesicle, vas deferens). During this process, semen is deposited into the urethra (urine channel).

The second phase (ejaculation proper, evacuation) is a reflex that causes rhythmic contractions of the muscles around the urethra which propels the semen through the urethra and from the penis.

Pelvic floor muscles such as ischiocavernosus and bulbospongiosus play an important role in the complete ejaculation reflex.

Premature Ejaculation Causes

Premature Ejaculation is usually caused by stress, depression, relationship stress, physical weakness, Erectile Dysfunction etc. Physical causes such as increased blood pressure, such as diabetes, thyroid problems, or prostate disease can also be the reason. This is a type of disease that affects the quality of man’s sperm.

If a person is suffering from PE, then it is advised to visit a Sex specialist as they are the only ones who can identify the root cause of the issue.

  • Premature Ejaculation Physical Causes

    The lack of Serotonin levels in the body is the major reason for getting Premature Ejaculation in a person.

    Premature Ejaculation can be seen because of many reasons but the main reason is the level of Serotonin. It is a special natural substance that is made by nerves. It is said that a higher amount of serotonin in the brain increases the ejaculation time. And likewise, a lesser level can decrease the time of ejaculation which ultimately leads to PE.

  • Premature Ejaculation Psychological Causes

    S.No Psychological Causes of PE
    1. Early Sexual Experience
    2. Stress and Depression
    4. Lack of Confidence
    5. History of Sexual Experiences
    6. Communication Gap or Relationship Issues
    7. Unrealistic Expectation about sexual performance
  • Biological Causes of Premature Ejaculation

    There are several biological factors that contribute to PE and are mentioned below:

    • Unusual Hormonal Level in a body
    • Abnormal level of brain chemicals known as neurotransmitters.
    • Any type of infection and inflammation of the prostate or urethra.
    • Fertility Issues

Exercises for Premature Ejaculation

Just like any other physical or sexual disorder, PE can also be treated by taking proper care of your health and doing regular physical exercises as well. It will not only help you increase the strength but can also improve the ejaculation timings. One common exercise is to tighten your pelvic floor muscles and hold the contraction for three to five seconds, relax and try doing it again. Kegel exercises are also effective in strengthening the muscles.

  • Pelvic Floor Exercises

    Pelvic Floor Rehabilitation is performed to improve the pelvic muscles in a body that might be the reason for your delayed ejaculation. Kegel exercises are proven the best for strengthening the muscles. For performing these exercises, all you need to do is control the urine flow in the midway whenever you are in the washroom. Doing this will make you feel your PC muscles and then it will make you relax it for regaining the normal urinary flow. By doing this more than 8 times a day you can easily control your Premature Ejaculation issues.

  • The Pause-Squeeze Technique

    For both male and female partners, this technique is used for better sexual drive The method for doing this technique is:

    • Firstly begin with the sexual activity including the stimulation of the penis till the time you feel ready for the ejaculation.
    • Have your partner squeeze the end of the penis and maintain it for some seconds. Do this process until the urge of ejaculation passes from the body. It will also help in improving sex drive in men.

Food to Avoid Premature Ejaculation

Adding Zinc and magnesium to your diet can help you overcome your PE issues and can also improve your sexual health as well. By making some changes in your diet, you can increase the time that you take to climax. The right food guide has also helped many in erection problems. Read our blog ultimate food diet Guide to cure Premature Ejaculation.

S.No Food Functions
1. Carrots Improves blood flow during sexual intercourse.
2. Watermelon Helps in producing L-arginine
3. Garlic Improves blood circulation and copulation
4. Bananas Increases endurance
5. Avocado Reduces Premature Ejaculation
6. Asparagus It boosts sex drive in men.
7. Oysters Increases endurance time and reduces PE.
8. Walnuts Helps in reducing impotency and PE
9. Dark Chocolate Improves overall sexual health.
10. Fish Helps fighting depression and anxiety.

Premature Ejaculation Treatment

Treatment for premature ejaculation usually depends upon the man’s relationship status and the cause of the condition (whether it is lifelong or acquired). There are several treatments available for premature ejaculation including SEX THERAPY, BEHAVIORAL TECHNIQUES, PELVIC FLOOR REHABILITATION PROGRAM( PELVIC GYM), TOPICAL THERAPY (use of lignocaine based sprays over the penis), ORAL MEDICINES, and SURGERIES.

The latest and Advanced Shock Wave Therapy Machine from Germany is now available in Jaipur at the Institute of Andrology and Sexual Health (IASH) for a painless, non-invasive, drug-free, safe, and effective premature ejaculation treatment in Jaipur. Hindi audience can read Shighrapatan ka Ilaj Hindi (शीघ्र स्खलन का इलाज) for better understanding.

  • Behavioral Therapy

    Behavioral Therapy is the exercises that can help you build some tolerance and delay ejaculation. The goal of these therapies is to take away PE permanently from your body. And as compared to the physical exercise, they have a last-long effect.

    • The Squeeze Method
      With this method, you and your partner have to stimulate until you come close to ejaculation. And once it is done, you and your partner gently squeeze your penis to make your erection go away. The main motto of doing this is to make you aware of the sensations leading to climax.
      This method can help you to get better control over and delay climax by yourself.
    • The Stop-Start Method
      In this method, your partner and you have to stimulate your penis at the time just before the ejaculation. And when you are about to climax, you both stop until you get the urge to climax. Repeat this process 3 times and you ejaculate the next time after that.
    • Distraction Techniques
      In this technique, men perform distracting mental exercises during sex which can increase the lasting hours and improve PE(such as thinking of mundane things like Baseball, work,.). These techniques are probably most useful for men with occasional PE or men who experience PE in the initial stages of a new sexual relationship.
  • Medical Therapy

    If someone is in need of instant results then medication is the best way to cure any type of illness and disorders. There are certain creams and drugs that are used for slowing down the ejaculation in men having PE. Some antidepressants—tricyclic antidepressants and selective serotonin reuptake inhibitors (SSRIs)—have the side-effect of delayed ejaculation and are now commonly prescribed by doctors for premature ejaculation. Taking SSRIs can have some side-effects such as decreased libido (sex drive), nausea, sweating, bowel disturbance, and fatigue. Some other medicine to take orally:

    • Derantox Capsules 1 mg
    • To play Gel 1 mg
    • Vigor Max Juice
  • Sex Therapy

    A sex therapist can educate today’s youth about sex-related issues and also have relationship counseling with men and their partners to work on deteriorating intimacy. With this, they can understand the ejaculatory function and why PE might be happening. Sex therapists can also help men and their partners work on psychological, emotional, and relationship issues, which might have been present for a long time or might be more recent, stemming from PE distress. Therapy focuses on the emotional implications of PE, relationship dynamics, and performance anxiety management.
    The best results were seen in men who were motivated, were hopeful, and we’re in a stable monogamous relationship with a cooperative partner.

How Are the Causes of Premature Ejaculation Diagnosed?

The cause of premature ejaculation is diagnosed by a detailed sexual history. To diagnose PE, doctors usually ask questions such as:

  • How long has PE been a problem? When did it start?
  • What is the length between the partner’s penetration and ejaculation?
  • How much control does a man have on ejaculation?
  • How distressed does he feel about the situation?
  • How distressed does his partner feel?
  • Are there any psychological, emotional, or relationship issues of concern?

A complete physical examination of the male genital organs is very important for the diagnosis of any sexual problem in men.

An internationally recognized scientific scale known as a premature education diagnostic tool is very useful in diagnosing the severity of premature ejaculation.

If you want to know whether you are suffering from premature ejaculation, you can take the exam on SELF TEST PREMATURE EJACULATION on the IASH website.

How Are Causes of Premature Ejaculation Diagnosed?

Facts About Premature Ejaculation

Premature ejaculation is the most common male sexual problem and affects men of all ages.

  • Premature ejaculation is more common in younger people.
  • This is because ejaculation generally takes longer as men get older and younger men may be less sexually experienced or feel less secure with the situation in which they are having sex.
  • Estimating the prevalence of PE is difficult since many men do not want to talk about it, while others may not even perceive that they have PE.
  • However, recent research indicates that 25-30% of men struggle with PE.
  • PE can happen at any age and its prevalence is witnessed across all age groups.

Frequently Asked Questions

  • How soon is too soon when a man Prematurely Ejaculates?

    When a man ejaculates within one minute of his penis entering his partner it is considered being ‘too soon’.

  • Can premature ejaculation cause infertility?

    Premature ejaculation does not usually cause infertility (in a couple), although sometimes it can cause problems for couples trying to become pregnant.

  • How to reduce Penile Hypersensitivity?

    Penile Hypersensitivity can be reduced by a number of methods as described below:

    • Use of TOPICAL ANAESTHETIC SPRAYS – Topical spray, applied to the glans penis 5 min before intercourse, prolongs ejaculation time significantly and improves sexual satisfaction in both men with PE and their partners. For more scientific information on these sprays read here- Topical sprays for Premature Ejaculation
    • Use of Condoms – Condoms form a barrier between the penile skin and the vagina. Hence this reduces sensations to some extent. They are not usually helpful in severe cases of Premature ejaculation.
    • Surgery – Dorsal nerve resection of the penis has been successfully performed in many countries like KOREA, CHINA, GERMANY, RUSSIA, etc with satisfying results and least complications if performed carefully and using a microscope. Selective resection of dorsal nerves of the penis for premature ejaculation

At IASH this surgery is performed microscopically after a very detailed assessment of the patient and only after confirming the penile hypersensitivity. The risks and benefits of the surgery are explained thoroughly before the surgery.

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