What Is Premature Ejaculation?

Premature ejaculation (PE) is when a man ejaculates sooner than he or his partner would like during sex. It's one of the most common sexual health issues, affecting about 1 in 3 men at some point in their lives.

Understanding Premature Ejaculation

Most doctors define premature ejaculation as ejaculating within one minute of penetration. However, the exact timing varies from person to person. The key factor is whether it causes distress or relationship problems.

There are two types of PE. Lifelong PE happens from your first sexual experience. Acquired PE develops later in life after you've had sex without issues before.

What Causes Premature Ejaculation?

The exact cause of premature ejaculation isn't fully known. Both physical and mental factors can play a role.

Psychological causes include anxiety, stress, depression, relationship problems, and performance worries. These are the most common triggers.

Physical causes may include hormone imbalances, inflammation of the prostate, thyroid problems, or nervous system issues. Some men may also have more sensitive penile skin.

Symptoms

The main symptom is ejaculating within 1 to 3 minutes of penetration on a regular basis. You may also feel unable to control when ejaculation happens. This can lead to frustration and avoiding intimacy.

Treatment Options

The good news is that PE is very treatable. Options include behavioral techniques like the "stop-start" or "squeeze" methods. These help train your body to delay ejaculation.

Counseling can help address anxiety and relationship issues. Medications such as certain antidepressants or topical numbing creams may also be prescribed. Talk to your doctor about what approach is best for you.

When to See a Doctor

See a healthcare provider if PE happens often and causes distress. While it may feel embarrassing to discuss, remember that this is a common and treatable condition. Your doctor can help find the right solution for you.