Causes of Premature Ejaculation

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Dr. Nithin Jayan
Medically Reviewed by Dr. Nithin Jayan, MBBS
Last Updated on May 02, 2016
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Causes of Premature Ejaculation

Premature ejaculation is often psychological in origin.

Ejaculation in males normally consists of two steps- emission and expulsion. During emission, fluid mainly from the prostate and seminal vesicles and sperms from the testes enter the urethra. Expulsion is the act of release of semen containing sperms from the urethra. Premature ejaculation is when the man ejaculates early, or is unable to delay the ejaculation till his partner is ready for the climax.

Premature ejaculation is classified as primary or secondary. Primary premature ejaculation is when it is present from the beginning and for which no specific cause can be found.

Secondary or acquired premature ejaculation is one in which a previously normal male begins to experience premature ejaculation. It is often secondary to certain problems or diseases and may also be associated with erectile dysfunction.

Causes for premature ejaculation are:

Psychological: Prior mental traumatic episodes may be associated with premature ejaculation. In addition, changes in the levels of chemicals in the brain or oversensitivity of the glans penis may also be associated with premature ejaculation.

Hormonal: Hormonal problems like thyroid disorders can cause premature ejaculation.

Causes of Premature Ejaculation: Thyroid Disorders

Prostatic problems: Problems with the prostate like chronic prostatitis can also cause premature ejaculation.

Genetic influence: A genetic influence has also been suggested in premature ejaculation.

Sometimes, it could be an instance of the female partner taking a long time to climax, or not climaxing at all, as opposed to a man ejaculating prematurely. This fact should also be kept in mind while evaluating a patient of premature ejaculation.

References:

  1. http://www.issm.info/prod/system/main/print.asp?page=/prod/data/issir/committees/pedef.htm
  2. BJU intnl. 2008 aug; 102(3): 338-50
  3. Evidence for a genetic etiology to ejaculatory dysfunction Jern P, Santilla P.. Dept of Psychology, Centre of Excellence in behaviour genetics, Abo Akademi Univ, Turku, Finland
  4. Treatment benefit of Dapoxetine for premature ejaculation Kaufman Jm, rosen RC, BJY Int. 2008, nov 18
  5. A Case of Premature Ejaculation in Greek Mythology Otto F. Ehrentheil, The Journal of Sex Research, Vol. 10, No. 2 (May, 1974), pp. 128-131
  6. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3199591/
  7. https://www.nlm.nih.gov/medlineplus/ency/article/001524.htm
  8. http://www.nhs.uk/Conditions/Ejaculation-problems/Pages/Treatment.aspx
  9. http://www.mayoclinic.org/diseases-conditions/premature-ejaculation/basics/treatment/con-20031160

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The issue of Premature Ejaculation is basically popular among males which enable it to happen for several different aspects. However, no matter what the cause, it is extremely upsetting for the men as well as commonly depressing for both partners. There have been a number of different researches of the problem through the years, and while some time ago it was regarded as a purely psychological problem, health professionals now believe that it is a mixture of both psychological and biological factors.

Raja73

Hi Doc, my age 40 year. I think I am suffering from premature ejaculation. I ejaculate within 20-30 sec. is it a psychological disorder or I need doctor for consultation? I am having a habit of masturbation since,15 years old. Is it effecting on performance? Please, suggest which doctor to consult if, required.

Hi Doc, my age 30 year . I think I am suffering from premature ejaculation. I ejaculate within 20-30 sec. is it a psychological disorder or I need doctor for consultation? I am having a habit of masturbation since ,15 years old. Is it effecting on performance? Please, suggest which doctor to consult if, required.

bnmhrka123

During intercourse it is erecting and not sustaining more than 10-15 secs. kindly tell how to solve the PE poblem

Guest

I have this problem all my life I`m 60 now married 42 years ,we us stud 1000 spray to numb me. can go for 10-15 min. use condom with 1 drop tooth ache in it works great ora-gel

Hi Doc, my age 30 year . I think I am suffering from premature ejaculation. I ejaculate within 20-30 sec. is it a psychological disorder or I need doctor for consultation? I am having a habit of masturbation since ,15 years old. Is it effecting on performance? Please, suggest which doctor to consult if, required. I am going to marry in next couple of months.

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