Premature Ejaculation: An Overview

Premature Ejaculation: An Overview

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People shy away from talking about sex and anything related to it as much as they think about it. You prefer keeping it a locker-room talk rather than talking openly about it and understanding what may be happening, if something is, like- Premature ejaculation. Talking about sex and sexual health is healthy. sexual health disorders like premature ejaculation is a common disorder and there shouldn’t be anything to shy away from. If this rings a bell, continue to read on to know more about it.

What is premature ejaculation?

Premature Ejaculation

When a man ejaculates sooner than expected, during intercourse, it is called premature ejaculation. It is a common sexual complaint among middle aged men, around 27% men experience this problem at some point in life.

What are the causes of premature ejaculation?

While it was once thought to be a condition caused only because of psychological factors, it is now understood that premature ejaculation involves a complex interaction of psychological and biological factors. Read on to see what are the causes behind the condition.

  • Psychological causes
  • Early sexual experiences
  • Sexual abuse
  • Depression
  • Stress about premature ejaculation
  • Guilt
  • Anxiety
  • Relationship problems
  • Biological causes
  • Abnormal hormone levels
  • Abnormal levels of brain chemicals called neurotransmitters
  • Inflammation and infection of the prostate or urethra
  • Inherited traits

What are the symptoms?

It is too early if you ejaculate within a minute after penetration, even during masturbation, this is an obvious symptom of premature ejaculation. But it should be noted that you can call it premature ejaculation if this happens as frequent as every time you are involved in a sexual activity.

Premature ejaculation can be classified as:

  • Primary/lifelong: when you have experienced premature ejaculation since your first sexual encounter it is known as Primary premature ejaculation.
  • Secondary/acquired: secondary premature ejaculation develops after you’ve had previous sexual experiences without ejaculatory problems.

Can premature ejaculation be treated?

Although a lot of men feel embarrassed talking about it, it should be noted that premature ejaculation is a common and treatable condition, there are medications, counseling and sexual techniques — or a combination of these — that can improve the experience for you and your partner. Let’s find what they are:

  • Medications: We at Sri Sri, prescribe specific medications that can treat premature ejaculation. There are off label medications like antidepressants, pain relievers and anesthetic creams that are known to delay ejaculation, that can be prescribed as well.
  • Behavioural changes: A few behavioural changes during sex like stopping the arousal for about 30 seconds or till the feeling passes and starting stimulation again. Then repeating it three or four more times before you actually ejaculate, can help delay ejaculation. The “squeeze” technique requires you to squeeze the penis in the area between the shaft and the glans (for about 30 seconds), just before you are about to ejaculate. This will stop the ejaculation, but can affect your erection. you should repeat this process 4-5 times until you decide not to delay orgasm anymore.
    this method has to be used for several months to be effective.Premature Ejaculation be Treated
  • Strengthen your muscles: Sometimes, a weak pelvic floor muscles contribute to Premature Ejaculation. Talk to your doctor for exercises to strengthen your muscles and perform better.
  • Wear a condom: Wearing a condom desensitizes you enough so you can ejaculate in time and the experience lasts longer.
  • Counselling: talk to a therapist about your stress and anxiety, talking about your fears helps relaxing and may result in betterment of condition.
  • Surgery: Surgery should be the last resort for premature ejaculation. We at Sri Sri will talk you through the procedure and help you make an informed decision.

What are the risk factors?

  • Erectile dysfunction: If you consistently have trouble getting or maintaining an erection, you might be at an increased risk of premature ejaculation.
  • Stress: Emotional or mental strain in any area of your life can limit your ability to relax and focus during sexual encounters, resulting in premature ejaculation.

Our team of specialised doctors can help you find the right treatment for whatever you are suffering from. We urge our readers and patients to not shy away from talking about their sexual and mental health.


Sri Sri Holistic Hospital is a leading 100 bedded Multi Specialty Hospital in Nizampet, Kukatpally, Hyderabad. Sri Sri Holistic Hospital provides high standards of healthcare with a combination of Advanced Technology and state of art clinical expertise. With more than 52 Internationally Experienced Doctors and 400 staff, we served at least 50,000 patients so far.