Premature Ejaculation Causes
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Updated on 03 November, 2023
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Premature Ejaculation or rapid climax as it is most commonly called can affect sexual activity or experiences. There are both physical and psychological factors associated with the causes behind PE, and the goal of treatment is to increase time to ejaculation by treating the accurate cause behind the symptoms.
How Common Is Premature Ejaculation?
PE is quite common, with research saying that 1 out of 3 people can experience it in their lifetime. While it is common to believe that sexual disorders only affect those that are above 35 or 40, that is simply not true. Conditions such as PE can affect those that are younger as well due to the different types of causes behind it.
Those with PE symptoms are always (or most of the time) ejaculating before penetration or less than 2 minutes after penetration. They are unable to delay their ejaculation during sexual intercourse all or most of the time leading to anxiety about performance and sexual distress affecting intimacy and relationship dynamics.
While very common, PE can be treated through medicative intervention such as oral SSRIs (Selective Serotonin Reuptake Inhibitors), through psychological therapy (such as behavioral therapy) and lifestyle physical exercise techniques.
Physical Causes of Premature Ejaculation
Sexual disorders such as Erectile Dysfunction
Hormonal imbalance or abnormal hormone levels which (can be detected through lab tests or blood tests)
Neurotransmitter (NT) abnormalities or irregular levels of NTs
Prostate infection or inflammation
Urethra infection or Inflammation
Psychological Causes of Premature Ejaculation
The smooth working of ‘physical hardware’ or genitalia isn’t the only thing needed for sex to be satisfying and comfortable. The mind and body together affect the sexual arousal phases.
Some mental health concerns that can lead to PE includes:
Early exposure to sex
Learnt behaviour (engaging in quick masturbation)
Loss of self-esteem or body image concerns
Performance Anxiety or other anxiety disorders
Interpersonal concerns within couple(s)
Can Addictions Cause Premature Ejaculation?
Substance abuse or drug addiction does have a negative impact on many sexual affects such as libido, erection, ejaculation and orgasm. To a certain extent, it can all affect fertility as well. Recreational drugs such as cocaine and amfetamine have been said to cause negative effects with ejaculatory control or climax control.
What Medications Could Cause Premature Ejaculation?
There are some medications that can lead to PE symptoms, some of which include:
Medications used for Parkinsons disease
Myths vs. Facts: Causes of PE
Myth: PE symptoms are caused due to lack of attraction
Fact: The symptoms of PE don’t have a correlation to lack of attraction. Physical, psychological and biological factors can lead to PE. However, low sexual desire can be a result of experiencing PE due to the pressure or fear associated with experience the symptoms.
Myth: Premature Ejaculation is life-long, and can’t be treated
Fact: That is not true – PE, like most sexual disorders can be treated affectively. There is no reason someone should continue to experiencing PE symptoms their whole life if it is treated with holistic care – especially since PE can affect quality of life.
The prevalence of Premature Ejaculation or ejaculatory dysfunction is high due to many reasons such as lack of education, increased stigma and lack of sexual health professionals. However, treating PE is possible.
Both physical factors and psychological causes can lead to Premature Ejaculation.
Besides medicative interventions, therapy for Premature Ejaculation is considered to be a positive factor in an individual’s PE treatment journey.
Determining the exact cause is imperative for effective treatment for Premature Ejaculation. Treatment can include oral medications, anaesthetic creams, topical creams, psychological therapy (such as behavioral therapy), and self-help techniques such as the stop-start method or the squeeze technique.
The management of Premature Ejaculation should be guided through sexual health experts – using over the counter medications can do more harm than good to sexual health.
Frequently Asked Questions
(1) Can anxiety lead to Premature Ejaculation?
Yes, sexual performance anxiety can lead to Premature Ejaculation. When an individual is anxious or nervous before or during sexual activity, it can lead to them ejaculating early. This can be due to many reasons such as the pressure to perform, the lack of sexual education, lack of communication between a couple etc.
(2) Can Premature Ejaculation greatly affect your sex life or sex drive?
Due to the fact that normal ejaculation is affected with premature ejaculation symptoms, it can lead to an individual not being interested in sex. The role of ejaculation can plays a significant role in conception as well which can lead to many couples choosing not to have sex. So, yes while it can differ for each individual, the inability to delay ejaculation can affect your sex life or sex drive.
(3) Is the management of Premature Ejaculation challenging or hard?
The management of Premature Ejaculation resents with various treatment approaches or treatment options. Treating PE depends on the cause determined by a sexual health expert or a medical profession. Commonly, however, treating PE isn’t challenging or hard. When it comes to duration – weeks of treatment or months of treatment – is dependant on the progress of the individual. Choosing the most effective treatment option for you depends on an holistic evaluation by a sexual health expert.
(4) Are prescription drugs always need in the management of Premature Ejaculation?
One of the causes of PE are psychological factors – so depending on the cause therapy, whether sex, individual or couples, can greatly benefit treatment effectivity. Prescription drugs aren’t the only way PE is managed. In some cases, a combination of medication and psychological therapy can be prescribed simultaneously.