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Dealing with Premature Ejaculation

Premature ejaculation is a prevalent issue that many men worldwide experience but often shy away from discussing. However, keeping this concern to oneself does not provide a solution. In numerous instances, men attempt to cope with their frustration in counterproductive ways, leading to complications in their relationships. Staying silent is not the answer to this sexual health problem.

Sex plays a pivotal role in strengthening and stabilizing relationships with partners and can even help alleviate other challenges you both might face. Nevertheless, if you've been grappling with premature ejaculation during sexual intercourse, it can be challenging for both you and your partner.

Furthermore, being unable to perform sexually can lead to depression and frustration in men. Unfortunately, many choose to bottle up their emotions instead of sharing them, even with their partners. Maintaining silence about it is the gravest mistake you can make. While it is common for men to feel embarrassed discussing this issue with a professional, talking to a doctor and identifying the underlying causes is the best course of action.

Since many men grapple with this sexual health issue, we have decided to address it openly. Let's delve into the subject:

What Is Premature Ejaculation?

Surprisingly, premature ejaculation is a prevalent health issue among men. According to the American Urological Association, in the United States, one out of five men aged 18 to 59 experiences premature ejaculation. This condition occurs when a man ejaculates before or within a minute of commencing sexual activity. Although there is no precise time frame for achieving orgasm, ejaculating too early may signify underlying health issues.

Causes of Premature Ejaculation

Various factors can lead to premature ejaculation in men. Some physical causes include thyroid issues, prostate problems (such as an overactive or underactive thyroid gland), high blood pressure, diabetes, or a spinal injury. Additionally, lifestyle factors like excessive alcohol consumption, recreational drug use, and smoking can play a role.

Moreover, psychological factors can impact a man's sexual health, resulting in early ejaculation. These may include:

  1. Stress

  2. Depression

  3. Anxiety

  4. Guilt

  5. Relationship problems

  6. Lack of confidence

  7. Negative body image

  8. Performance anxiety

  9. Unfavorable perceptions of sex (sexual repression)

Notably, many men are unaware that dealing with erectile dysfunction increases the likelihood of premature ejaculation, as a lack of sustained erection prompts hasty ejaculation.

Diagnosis of Premature Ejaculation

If you are grappling with premature ejaculation, consulting a urologist is your best course of action. The urologist will ask you a series of pertinent questions about your medical history, the duration of your health issue, and its impact on your sexual life and relationships. A physical examination may also be required to assess your physical and mental health, aiding the doctor in identifying underlying issues.

If psychological factors are deemed responsible for your premature ejaculation, you may be referred to a mental health professional. This professional will assist you in addressing your emotions and stressors, helping you alleviate the issues you are facing.

Given that lifestyle choices can significantly impact your sexual health, your doctor may recommend adopting a healthier lifestyle.


The treatment for premature ejaculation can be psychological, behavioral, or medical, depending on the risk factors you are facing. Let's explore these treatment options:

Psychological Therapy

If you are stressed about your sexual performance or feel pressured to excel in bed, a psychologist can assist you in addressing these emotions, ultimately enhancing your sexual relationship and mutual satisfaction.

Behavioral Therapy

Behavioral therapy involves exercises aimed at delaying ejaculation during sexual intercourse. While these exercises are not a permanent solution, they can complement psychological therapy effectively. Methods like the squeeze method and the start-and-stop method can be practiced alongside psychological therapy for optimal results.

Medical Therapy

Although no drugs are approved for treating premature ejaculation in the United States, various medications, numbing creams, and sprays may help delay ejaculation. Numbing creams or sprays should be applied to the penis's head 20 to 30 minutes before sexual activity, and they should be washed off five minutes before sex. The use of a condom is also advised.


Men should not feel ashamed or embarrassed about premature ejaculation. It is a common sexual health issue, and if you are experiencing it, you are not alone. It is treatable, and all you need to do is communicate openly with your doctor and your partner to achieve positive results.


Written by: Deepti Dogra

Edited by: Aniket Joshi

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