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Premature Ejaculation Diagnosis

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04 January, 2023
How Is PE Diagnosed?
Premature Ejaculation
Premature Ejaculation Diagnosis

Premature Ejaculation is a common sexual disorder and can be influenced by physical, biological and psychological factors. Sexual intercourse is a taboo topic generally speaking, and so many don’t seek the right help needed for Premature Ejaculation treatment. Many experience PE symptoms 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 it’s diagnostic procedure isn’t something scary as it can be portrayed.

Due to the fact that Premature Ejaculation can be caused due to various factors, the diagnosis is done after a thorough and holistic evaluation. This is important because accurate diagnosing can lead to effective treatments – PE is a treatable condition.

A physical exam is not always required – this is done when there is a suspicion of physical factors such as in the external penis anatomy.

Medical History on Premature ejaculation

Medical History Taking

Medical or chronic health conditions can affect blood flow leading to secondary Premature Ejaculation as a result of Erectile Dysfunction or loss of erection. While that’s one of the reasons behind understanding the medical conditions of the patient, medical history taking allows for the sexual health expert to gain a birds-eye view of the physical status of the individual.

Other specifics sexual health providers are looking for:


  1. Have you been diagnosed with any chronic illness like?

    • Diabetes

    • Abnormal levels of hormones

  2. Have you been diagnosed with any mental health condition?

  3. Have you been prescribed any medications for your health?

  4. Have you been diagnosed with any risk factors associated with PE?

  5. Have you had any adverse effects of any medication?

  6. Are there any biological factors or genetic factors affecting your health?

Sexual History Taking

This allows for medical healthcare professionals to better understand the sexual function concerns of their patient. Some questions that health experts would like answered would be:

  1. How long have the symptoms lasted?

  2. When did the symptoms of rapid or early ejaculation start?

  3. Was there an event that triggered the symptoms?

  4. When was the last time you experienced “normal ejaculation?”

  5. Have you ever been to therapy before – individual therapy or couples therapy?

  6. What do you consider an average time or “normal” time to ejaculation?

  7. What is your understanding of sexual health, the sexual response cycle, intimacy etc?

  8. Are you and your partner(s) satisfied with your sexual performance?

  9. Have you previously had concerns with ejaculatory reflex?

  10. When was your last sexual encounter where you experienced PE symptoms?

  11. When was the last time you felt that you had control over ejaculation?

  12. How long have you been in sexual relationships?

  13. Do you have a history of sexual abuse?

  14. Do you have a history of performance anxiety?

  15. Do you understand the different types of sexual stimulation?

In fact, research suggests that PE should be diagnosed “solely” upon sexual history taking. It is said that the following is critical in the process of diagnosing PE:

  1. The report of instances of reduced ejaculatory control
  2. The report of lack of sexual satisfaction – of all partner(s)
  3. The report of distress caused to all partner(s)

Blood tests/hormone levels check

This is done to rule out any medical conditions such as:

  1. Diabetes
  2. Heart disease
  3. Thyroid conditions
  4. Testosterone levels or hormonal fluctuations

Psychological examination

Psychological Examination

This is done to gain a better perspective of the mental health of the individual. This allows for the for a mental health professional to better understand how the individual is coping with their sexual health concerns. Conditions such as the following can lead to or be caused by PE symptoms:

  1. Depression
  2. Anxiety
  3. Chronic stress
  4. Inability to communicate
  5. Fear of rejection
  6. Hesitancy to seek treatment


Experts will also seek to understand if you’ve undergone previous therapy sessions whether individual psychosexual therapy, behavioral therapy or couples therapy. This will help them understand where you stand in your comprehension of you sexual concerns.

Lifestyle And Nutritional Examination

Your lifestyle can greatly affect your sex life and premature ejaculation symptoms. Some questions that your doctor might ask you include:

  1. How often do you exercise?
  2. How good is your diet?
  3. When was the last time you got a full body check-up done?


Your premature ejaculation treatment plan is based on your diagnosis – that’s why a holistic evaluation is important. Whether through oral medication such as topical anaesthetics or selective serotonin re-uptake inhibitors (SSRIs), psychological therapy, or lifestyle habit implementation (such as the pause-squeeze technique (squeeze method) or stop-and-start techniques and Kegel exercises).

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.
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