What Is Premature Ejaculation and How to Treat It?

Jul 12, 2025 - 10:24
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Premature ejaculation (PE) is one of the most common sexual concerns affecting men worldwide. It can lead to stress, frustration, and strain in relationships, but the good news is that it's treatable. Understanding what premature ejaculation is, why it happens, and how to manage it is the first step toward a healthier, more satisfying sex life for use Cenforce 200 mg.


What Is Premature Ejaculation?

Premature ejaculation is defined as ejaculation that occurs sooner than desired, either before or shortly after penetration, with minimal sexual stimulation. This often happens within one minute of starting sexual activity and leaves the man feeling unable to control or delay climax.

There are two types of PE:

  1. Lifelong (primary) PE – Present since a man’s first sexual experiences.

  2. Acquired (secondary) PE – Develops later in life after previously normal sexual performance.

Both types can impact sexual satisfaction, self-esteem, and emotional intimacy with a partner.


What Causes Premature Ejaculation?

PE doesn’t have a single cause. It can be influenced by a combination of physical, psychological, and emotional factors:

Psychological Factors:

  • Performance anxiety

  • Stress or relationship issues

  • Depression or low self-esteem

  • Guilt related to sex or past experiences

Biological Factors:

  • Abnormal levels of neurotransmitters like serotonin

  • Hormonal imbalances

  • Inflammation or infection of the prostate or urethra

  • Genetic predisposition

  • Erectile dysfunction (ED), which can cause a man to rush ejaculation before losing an erection

Understanding the root cause is essential for finding the right treatment approach.


Diagnosing PE

Diagnosis is typically based on personal history and reported symptoms. A doctor may ask about:

  • Time to ejaculation during intercourse

  • Frequency and consistency of the issue

  • Emotional and relationship impact

  • Any underlying medical conditions or medications

In some cases, blood tests or physical exams may be done to rule out other health issues.


How to Treat Premature Ejaculation

Fortunately, premature ejaculation is treatable. Depending on the cause, several treatment options are available:


1. Behavioral Techniques

  • Start-Stop Technique: Involves stopping sexual stimulation just before ejaculation, then resuming once the urge decreases. Repeating this process helps build control.

  • Squeeze Technique: Applying pressure to the base of the penis to reduce arousal and delay ejaculation.

  • Pelvic Floor Exercises (Kegels): Strengthening the pelvic muscles can improve ejaculatory control.


2. Psychological Therapy

If emotional or mental factors are contributing, counseling or sex therapy can be highly effective. Working with a therapist can help reduce anxiety, address relationship issues, and rebuild confidence in sexual performance.


3. Medications

  • Selective Serotonin Reuptake Inhibitors (SSRIs): Antidepressants like paroxetine, sertraline, or fluoxetine can delay ejaculation as a side effect.

  • Topical Anesthetics: Creams or sprays containing lidocaine or prilocaine can numb the penis and reduce sensitivity.

  • Oral Medications: Dapoxetine, a fast-acting SSRI specifically for PE, is used in many countries with good success rates.


4. Lifestyle Modifications

  • Reducing stress through exercise, meditation, or breathing techniques

  • Avoiding excessive alcohol or recreational drugs

  • Improving communication with your partner to reduce pressure during sex

  • Limiting pornography if it's impacting your real-life performance


When to Seek Help

If premature ejaculation is persistent and affecting your relationship or mental well-being, it’s important to consult a healthcare provider or urologist. Early treatment can prevent long-term frustration and help restore sexual confidence.


Final Thoughts

Premature ejaculation is more common than many men think—and it's nothing to be ashamed of. With the right combination of behavioral strategies, medical treatment, and emotional support, most men can significantly improve their sexual performance and satisfaction. Remember, addressing the issue early leads to better outcomes, both in the bedroom and beyond.