Sanchita, a distinguished writer with a Bachelor's degree in Agriculture from Centurion University of Technology and Management, has carved a niche for herself in the realm of sexual health writing. Her proficiency in both English and Hindi adds depth and versatility to her work. Sanchita's journey in writing began early; she was an integral part of editorial teams in various school and college magazines. Her college years were enriched by her active involvement in the literature club, where she honed her skills further. Sanchita is also passionate about fiction writing and painting, showcasing her artistic versatility.
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Updated on 8th February 2025
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Talking about sexual health concerns can feel awkward. Sexual health needs open and honest conversations. Premature ejaculation (PE) isn’t something you need to feel ashamed of. It’s way more common than most people think, and knowing about it is the first step to manage it.
PE happens when ejaculation happens sooner than you or your partner would like during sex which can make both unsatisfied. Whether it’s a once-in-a-blue-moon thing or a challenge for a long time, you need to know that you’re not alone- and there are solutions out there.
In this blog, we’ll talk about what PE actually means, why it happens, and how you can tackle it (without all the complications).
Premature ejaculation, sometimes known as early or rapid ejaculation refers to when a person ejaculates before or too early during sexual intercourse – in this case, most people can’t voluntarily control their ejaculation. PE can have a huge impact on both physical and psychological health affecting sexual relationships, forms of sexual activity, and sexual function in general.
While there is no correct time or ‘time limit’ to explain how long one should last during sex before ejaculating, the consensus among specialists is:
If a man ejaculates before penetration or lasts less than 2 minutes after penetration (all or most of the time), and/or if it leads to frequent dissatisfaction for him or his partner, he may have PE.
During sexual activity – intercourse or outercourse – sexual stimulation helps a person to feel aroused. When an erection happens shortly thereafter, friction during sexual intercourse or any other forms of sexual activity allows for impulses to reach the spinal cord and then the brain.
Ejaculation is a reflex (an ejaculatory reflex) that is controlled by the CNS or central nervous system. When a man reaches orgasm, ejaculation or release of semen happens.
PE is quite common, with research saying that 1 out of 3 people can suffer from it in their lifetime. While it is quite common to believe that sexual disorders only affect those who are above 35 or 40, this is simply not true. PE can affect those who are younger as well due to the different types of causes behind it.
Those with PE symptoms are always (or most of the time) ejaculating before penetration or less than 2 minutes after penetration. They are unable to delay their ejaculation during sexual intercourse which gives them anxiety about performance and sexual distress and affects their intimacy and relationships.
PE can be treated through medications like oral SSRIs (Selective Serotonin Reuptake Inhibitors), psychological therapy (such as behavioural therapy) and adopting a better lifestyle.
Primary Premature Ejaculation
Secondary Premature Ejaculation
The treatment for PE will depend on the type of PE and its underlying causes. We recommend working with a qualified doctor to get a thorough diagnosis so that a treatment can be planned for your exact needs. All of Allo’s treatment plans are 100% science-backed and personalised to bring you recovery that is long lasting.
PE is a common sexual disorder and has many risk factors and causes associated with it. Understanding the causes behind Premature Ejaculation will help you to identify the symptoms you might be experiencing. Just like most sexual concerns such as erectile dysfunction, PE too has its causes divided into two factors:
Physical Causes
Psychological Causes
The smooth working of ‘physical hardware’ or genitalia isn’t the only thing needed for sex to be satisfying and comfortable. The mind and body together affect the sexual arousal phases.
Some mental health concerns that can lead to PE:
Can Addictions Cause Premature Ejaculation?
Substance abuse or drug addiction affect negatively on many sexual effects like libido, erection, ejaculation and orgasm. To a certain extent, it can all affect fertility as well. Recreational drugs such as cannabis, cocaine and amphetamine have been said to cause negative effects with ejaculatory control or climax control.
What Medications Could Cause Premature Ejaculation?
There are some medications that can lead to PE symptoms, some of which include:
The main symptom of PE is the inability to delay ejaculation which leads to quick or rapid ejaculation. This causes frustration and sexual dissatisfaction to your partner(s).
With these sexual disorders or concerns, sexual function or sexual performance is affected and coping with it can be quite challenging. While the person having these symptoms feels some psychological effects, the partner(s) involved is also affected here. The fact is that all those involved can be affected.
Primary Symptoms
Secondary Symptoms
Associated Psychological or Physical Symptoms
Due to the stigma already there with sexual dysfunctions, many people experiencing Premature Ejaculation hesitate to get any help from a sexual health expert or professional. While it is very common that many are nervous to see a doctor, in a majority of the cases diagnosing Premature Ejaculation does not need a physical exam. Symptoms of PE can affect your sexual performance and mental health – if you are having any concerns or symptoms related to ejaculatory functioning – such as early ejaculation – we encourage you to reach out to a professional.
Due to the many causes behind PE, a holistic evaluation can give you the necessary insights into your symptoms. Based on this and your medical history, your PE symptoms and its underlying causes will be treated.
You should see your doctor if you are having:
Learn more about how Allo Health can help you manage the symptoms of Premature Ejaculation.
Many men having PE symptoms suffer in silence and often don’t speak to their sexual partners about what they may be facing. However, we’re here to tell you that not only is Premature Ejaculation treatable, but its diagnostic procedure isn’t something scary as it can be portrayed.
Due to the fact that Premature Ejaculation can be caused due to many factors, the diagnosis is done after a thorough and complete evaluation. This is important because accurate diagnosing can help in effective treatments – PE is a treatable condition.
A physical exam is not always needed – this is done when there is a suspicion of physical factors.
While that’s one of the reasons behind understanding the medical conditions of the patient, medical history-taking helps sexual health experts to get a birds-eye view of the physical status of the patient.
What a Sex Doctor Might Ask You:
To Know Your Sexual History
Blood tests/hormone levels check
This is done to rule out any medical conditions such as:
Psychological examination
This helps a professional to better understand how the person is coping with their sexual health concerns. Conditions such as the following can lead to or be caused by PE symptoms:
Lifestyle And Nutritional Examination
Your lifestyle can greatly affect your sex life and PE symptoms. Some questions that your doctor might ask you are:
Additional Tests (If Necessary)
To rule out other underlying conditions that might contribute your PE:
Your PE treatment plan is based on your diagnosis – that’s why a total evaluation is important. Sexual health is as important as physical and mental health. In most cases, one consultation can go a long way. Personalised, discreet, and judgement-free treatment at your fingertips – book an online consultation with one of Allo’s leading experts.
There is a lot of hesitancy to get the treatment for Premature or early ejaculation. However, PE is a fairly common condition and can be treated. If left untreated, this sexual disorder can lead to other dysfunctions such as Erectile Dysfunction or concerns with Performance Anxiety.
The goal of Premature Ejaculation treatment is to treat the exact cause behind an individual’s symptoms. It is important to remember that regardless of physical conditions factors or mental health factors, Premature Ejaculation is a treatable condition.
The following are the most common ways Premature Ejaculation can be treated. A physical exam is not always necessary for diagnosing and treating PE.
Topical Anaesthetics
Doctors may recommend the use of anaesthetic sprays and numbing creams such as lidocaine, prilocaine, or benzocaine. These numbing agents are to be applied to the penis, for around 30 minutes or more, before sex. It reduces the sensation over the penis and helps in delaying ejaculation.
Oral Medications
While most drugs don’t have approval for consumption by the FDA for treating PE, some specific ones have the license of use for this condition. Selective serotonin reuptake inhibitors (SSRIs) or antidepressants, phosphodiesterase-5 inhibitors (PDE-5), and analgesics are given prescription dosages and should be taken following the advice of a medical professional only.
Self-Help Techniques
Stop-Start Technique
This is a technique which is also called edging and is useful to delay the ejaculation time in the beginning. The man attempts to do this via a series of masturbation exercises.
The following are the steps for this technique:
Squeeze Technique
Psychological Therapy
Many patients having PE, mainly young males, have psychological causes behind their PE symptoms. These are mental health conditions such as anxiety, depression, stress, sexual pain disorders, etc.
The goal of psychological therapy to help rectify PE symptoms is to first determine the psychological cause behind PE. It is to help a person not only focus on performance but be in the moment.
Psychological therapies are:
Many medical treatments help with premature ejaculation or the control over ejaculation; however, there is no permanent cure for the condition. People can learn to control their ejaculation for sexual satisfaction through medical remedies, supplements, and exercise. Surgical options such as dividing the nerves to reduce penile sensations are still considered experimental.
Allo Health makes treating Premature Ejaculation quite easy for its patients. From complete diagnosis to personalised treatments- behavioural therapy, medication, and lifestyle changes—our experts have treated over 10,000 cases of PE among a total of 75,000 successful sexual health consultations. With online consultations and 20+ conveniently located clinics, Allo gives discreet and affordable care to all your sexual needs.
