What is Premature Ejaculation?

Premature ejaculation is a condition whereby a man ejaculates sooner during sexual intercourse than he or his partner expected. It is a common sexual complaint such that 1 out of 3 men say they experience it at some time. It is not a cause of concern if it happens infrequently. Howbeit, if you experience any of the following symptoms, you might be diagnosed with it:

  1. When you often have ejaculation within one minute of penetration.
  2. Inability to delay ejaculation during intercourse almost all the times.
  3. Avoid sexual intimacy as a result of frustration emanating from the above two.

Lots of men feel embarrassed talking about it to their healthcare provider, don’t be. Nonetheless, it is a treatable condition but may be caused by psychological and biological factors. Prescribed drugs, counseling and techniques that delay ejaculation can help improve sex for you and your partner.


Premature ejaculation can be classified as:

  1. Primary premature ejaculation: this is also known as lifelong premature ejaculation. It occurs right from your first sexual encounters.
  2. Secondary premature ejaculation: is also known as acquired premature ejaculation. It develops overtime after previous sexual experiences.


  1. Psychological factors
  • Early sexual experiences
  • Sexual abuse
  • Poor body image
  • Depression
  • Worrying about premature ejaculation

2. Biological causes

  • Abnormal hormone levels
  • Abnormal levels of brain chemicals called neurotransmitters
  • Inflammation and infection of the prostate or urethra
  • Inherited traits

3. Risk factors

  • Erectile dysfunction.
  • Stress.


Treatment guidelines include behavioral techniques, medications and counseling. Finding the right treatment(s) may take a bit of time. Behavioral treatment and pharmacotherapy might be the most effective line.

1. Behavioral techniques

  • Pelvic floor exercises

Male pelvic floor muscles: weak pelvic floor muscles might contribute to it. Pelvic floor exercises such Kegel exercise can help strengthen these muscles.

  • The pause-squeeze technique

If the pause-squeeze technique causes discomfort, another approach is to withhold sexual stimulations just right before ejaculation and wait until the level of arousal has decreased and then begin again. This technique is known as the stop-start technique.

2. Counseling

This approach requires taking sessions with a mental health provider about your relationships and sexual experiences. This can make you feel ashamed, upset, and even feel less connected to your partner. The essence of such sessions is to help you reduce performance anxiety and look for better ways of coping with stress. Counseling is more effective when it’s with pharmacotherapy.

3. Dietary changes

Zinc and magnesium play an important role in your sexual health and can be helpful in managing the condition. Foods rich in these minerals include oysters, spinach, soybeans, kidney beans, dark chocolate, garlic, yogurt, peas.

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