Ejaculation occurs when a man reaches sexual climax and semen is ejected from his penis. Premature ejaculation is:
Many men experience premature ejaculation at one time or another. For example, some men experience it after not having had sex for a long period of time. Premature ejaculation is only a problem when it becomes a persistent condition.
Ejaculation occurs automatically after a certain degree of sexual stimulation. Persistent premature ejaculation usually results from a man's inability to recognize that he is about to ejaculate. This inability prevents him from taking steps to delay the process.
Psychological factors may contribute to premature ejaculation. This may include difficulty in the relationship with a partner, guilt about sex, or fears related to sex.
In rare cases, premature ejaculation can be caused by:
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Factors that may increase your chance of premature ejaculation include:
The primary symptom is persistent episodes of premature ejaculation during sex.
Most men experiencing premature ejaculation will notice the condition themselves. The doctor will ask about your symptoms and medical history. A physical exam will be done.
The doctor may search for an underlying medical cause if:
Treatments may include:
This aims to improve your ability to:
It may include:
Counseling may be offered for an individual or for a couple. It is aimed at identifying and treating:
In some cases, a doctor may prescribe a desensitizing cream. It can be applied to the penis to lessen sexual stimulation.
In other cases, a doctor may prescribe an antidepressant. Some antidepressants have been found to prolong the interval from intromission to ejaculation. However, these drugs do not cure the underlying cause of premature ejaculation.
To help reduce your chances of premature ejaculation:
Urology Care Foundation
Family Doctor—American Academy of Family Physicians
Sex & U—The Society of Obstetricians and Gynaecologists of Canada
Premature ejaculation. Family Doctor—American Academy of Family Physicians website. Available at: https://familydoctor.org/condition/premature-ejaculation. Updated April 2014. Accessed September 7, 2017.
Premature ejaculation. EBSCO DynaMed Plus website. Available at:http://www.dynamed.com/topics/dmp~AN~T115092/Premature-ejaculation. Updated July 3, 2017. Accessed September 7, 2017.
Pryor JL, Althof SE, Steidle C, et al. Efficacy and tolerability of dapoxetine in treatment of premature ejaculation: an integrated analysis of two double-blind, randomised controlled trials. Lancet 2006;368(9539):929-927.
What is premature ejaculation? Urology Care Foundation website. Available at: http://www.urologyhealth.org/urologic-conditions/premature-ejaculation?article=122. Accessed September 7, 2017.
Last reviewed September 2018 by EBSCO Medical Review Board Adrienne Carmack, MD Last Updated: 9/30/2013