Premature Ejaculation

If you’re concerned about your inability to delay ejaculation for more than one minute after penetration (or masturbation or other sexual situations), know that you’re not alone. It’s estimated that as many as 1 in 3 men have experienced this problem. And as long as it happens infrequently, it's not cause for concern. However, if you are consistently and compulsorily ejaculating sooner than you and/or your partner would like, you may suffer from premature ejaculation. Although many men feel embarrassed to talk about it, it is a common and treatable problem.

It may be reassuring to hear that occasional premature ejaculation is normal and that the average time from the beginning of intercourse to ejaculation is about five minutes. However, you may meet the diagnostic criteria for premature ejaculation if you (nearly) always ejaculate within one minute of penetration and if you are unable to delay ejaculation during intercourse. Feelings of distress and frustration, tending to avoid sexual intimacy as a result, are also criterion for this condition. Premature ejaculation can be classified as lifelong (primary) or acquired (secondary). Lifelong premature ejaculation occurs all or nearly all of the time beginning with your first sexual encounters. Acquired premature ejaculation, although it has the same symptoms, develops after you've had previous sexual experiences without ejaculatory problems. Both psychological and biological factors can play a role in premature ejaculation. While psychological factors (like erectile dysfunction, anxiety, and relationship problems) can cause premature ejaculation, it can be also be influenced by physical factors like abnormal hormone levels, abnormal levels of brain chemicals called neurotransmitters, abnormal reflex activity of the ejaculatory system, certain thyroid problems, inflammation and infection of the prostate or urethra, as well as inherited traits. Deciding to talk with your doctor is the most important step you can take. For some men, a conversation with their doctor may help alleviate concerns about premature ejaculation. Common treatment options for premature ejaculation include behavioral techniques, topical anesthetics, oral medications and counseling. Keep in mind that it may take a little time to find the treatment or combination of treatments that will work best for you.

Although erectile dysfunction doesn’t increase your risk of health problems, it can cause significant problems in personal life, like stress and relationship problems, as well as fertility problems. Talk with your doctor if you ejaculate sooner than you wish during most sexual encounters. It's common for men to feel embarrassed about discussing sexual health concerns, but don't let that keep you from talking to your doctor.