By
- Dr. Yogesh Taneja, Urologist
Premature ejaculation is a common sexual complaint in men where ejaculation occurs sooner than desired during sexual activity. It is estimated that as many as 1 out of 3 men experience premature ejaculation at some point in their lives. While occasional premature ejaculation may not be a cause for concern, it may be diagnosed if it happens consistently and leads to distress.
Symptoms of Premature Ejaculation: The main symptom is the inability to delay ejaculation for more than three minutes after penetration. Premature ejaculation can be classified as lifelong (occurring consistently from the first sexual encounter) or acquired (developing after previous experiences without ejaculation problems). It may occur in various sexual situations, including masturbation.
When to See a Doctor: Consult with a healthcare provider if you consistently ejaculate sooner than desired during most sexual encounters. Although discussing sexual health concerns may be embarrassing, premature ejaculation is a common and treatable condition. A healthcare provider can offer reassurance, information, and potential treatment options.
Causes of Premature Ejaculation: The exact cause of premature ejaculation is not known, and it involves a complex interaction of psychological and biological factors.
Psychological Causes: Psychological factors may include:
- Early sexual experiences.
- Sexual abuse.
- Poor body image.
- Depression.
- Anxiety about premature ejaculation.
- Guilty feelings leading to rushing through sex.
Other factors contributing to premature ejaculation:
- Erectile dysfunction: Anxiety about maintaining an erection can create a pattern of rushing to ejaculate.
- Anxiety: Premature ejaculation and anxiety often coexist, either related to sexual performance or other issues.
- Relationship problems: Previous sexual relationships without premature ejaculation may influence the occurrence.
Biological Causes: Biological factors may contribute, including:
- Irregular hormone levels.
- Irregular levels of brain chemicals.
- Swelling and infection of the prostate or urethra.
- Inherited traits.
Risk Factors: Factors increasing the risk of premature ejaculation include:
- Erectile dysfunction: Difficulty getting or maintaining an erection may lead to a fear of losing it, causing a rush to ejaculation.
- Stress: Emotional or mental strain in any area of life can impact the ability to relax and focus during sex.
Complications: Complications of premature ejaculation may include:
- Stress and relationship problems: Frequent premature ejaculation can lead to stress and strain in relationships.
- Fertility problems: If ejaculation doesn't occur in the vagina, it may make it difficult for a partner to get pregnant.
Premature ejaculation is a treatable condition, and various interventions, including medications, counselling, and techniques to delay ejaculation, can help improve sexual satisfaction for both partners. Seeking professional advice is important for an accurate diagnosis and appropriate management.
