Premature Ejaculation—Causes and Solutions
Updated: Sep 21
Premature ejaculation is defined as ejaculation within one minute of penetration, being unable to delay ejaculation during intercourse, and avoiding sexual intimacy as a result. It is one of the most embarrassing medical problems a man can face.
It’s important to know that you aren't alone if you suffer from this condition. About 30% of men between the ages of 18 to 59 have admitted to having trouble with premature ejaculation.
It’s not something you have to suffer with in silence either. There are treatment options and ways to get help.
But first, it’s important to break down the stigma of premature ejaculation by knowing what causes it.
Causes of Premature Ejaculation
Premature ejaculation was once believed to be completely psychological. Although there are definitely psychological aspects to this condition, biological factors also play a role. One study linked premature ejaculation to serotonin regulation, which would make it a genetic disorder.
This fact can be a huge relief for men who feel like they should have more control over their condition. You aren’t doing anything wrong if you suffer from premature ejaculation
Some biological factors that can contribute to premature ejaculation include:
Abnormal hormone levels
Abnormal levels of neurotransmitters in the brain
Inflammation and infection of the prostate or urethra
Some psychological factors that can contribute to this condition include:
Early sexual experiences
Poor body image
Mental illness, like depression
The worry and anxiety around premature ejaculation can exacerbate the problem, as can relationship issues with your sexual partner. If you also suffer from erectile dysfunction, you may form a pattern of rushing to ejaculate because you're worried about maintaining an erection.
Treatment Options for Premature Ejaculation
The good news is that there are plenty of treatment options out there if you’re suffering from premature ejaculation. Which one you try will depend on what’s causing your condition.
Many men find behavioral therapy helpful. This type of therapy allows you to retrain your response by learning how to gain control over your body and your feelings. With more control, you can learn how to delay ejaculation.
Those who are suffering from a mental illness, like depression, those who experienced abuse, or those who experience anxiety, stress, or guilt in their relationship, may find counseling beneficial.
Medication can also be hugely helpful. Men with underlying erectile dysfunction can benefit from medications like Viagra and Cialis, while off-label use of some drugs, like Prozac, may be appropriate, if serotonin is thought to be the cause of your premature ejaculation.
Numbing creams and sprays are a simple solution that works for many men without the need for pills. It can delay ejaculation during intercourse, but it can also boost your confidence and help you retrain your body to ejaculate later.
Getting help doesn’t mean you have to make an appointment with your doctor and sit in a sterile waiting room until you can discuss your condition in person. Many men find a telehealth visit less stressful and embarrassing. You’ll still get to speak with a licensed medical professional who is able to provide you with a prescription. They can also provide you with next steps you can take to eliminate the negative impacts premature ejaculation can have on your life—without having to make an appointment or leave the house.