Premature Ejaculation: Symptoms, Causes, and Treatment

Premature ejaculation is the ejaculation of semen faster than it should be, as the term that was used in defining this case is a subjective term 

but it is intended to be the ejaculation or flow that occurs before or with the beginning of intercourse and without reaching orgasm with the life partner 

as the common time It is considered a normal time for the occurrence of the stream, ranging between 2-10 minutes from the start of intercourse.

Premature Ejaculation: Symptoms, Causes, and Treatment

Premature ejaculation or premature ejaculation is one of the most common sexual problems in men. Various research shows that 10%-30% of men suffer from this phenomenon at some point in their lives.

Symptoms of premature ejaculation

The main symptom is, of course, premature ejaculation, that is, the ejaculation occurs at a time before what is desired by the spouses, and it should be noted that premature ejaculation also occurs during masturbation and not only at the time of intercourse.

The situation can be described as follows:

A stream that occurs almost always or within a minute of penetration.

Inability to delay the flow after penetration.

Psychological impact on the individual, such as feeling frustrated, upset, and avoiding intimate situations.

Causes and risk factors for premature ejaculation

The exact causes of premature ejaculation are still unknown, and it is known today that the phenomenon of premature ejaculation does not occur only as a result of a psychological disorder, but there are also risk factors that may lead to injury, including the following:

1. Psychological factors

Include the following:

Feeling guilty

Which leads to a quick cessation of intercourse.


Men who suffer from erectile dysfunction and want to get a quick erection or maintain an erection during intercourse may develop premature ejaculation.


Many sufferers suffer from various anxiety disorders, some directly related to this condition, and others stemming from different other things.

Problems in marital relations

If the disorder is new and appears after instances of healthy ejaculation with previous partners, there may be a link between the quality of the relationship between the spouses and the onset of the new disorder.

2. Biological factors

The prevailing opinion today is that if the disorder is always present, then this indicates that the problem is biological, and biological factors include the following:

Improper hormone levels.

Improper levels of neurotransmitters.

Improper feedback in the streaming device.

Thyroid gland disorders.

Disorders of the prostate gland or urethra.

Disorders of the central nervous system.

Stop taking the drug.

3. Other risk factors

Include the following:

Impotency and erectile dysfunction

If a person has erection problems, the attempt and desire to reach and maintain an erection lead to premature ejaculation due to unconscious rushing during sex.

Various health disorders

This is like having heart problems that can cause a person to rush into sexual intercourse to the point that they lead to premature ejaculation; This is because of the desire to remove the burden from the infected devices urgently.

the pressure

Psychological stress from any source leads to restlessness and an inability to focus on sexual relations, which leads to premature ejaculation.


Certain medications sometimes cause side effects that cause premature ejaculation.

Complications of premature ejaculation

Complications are often not health, but psychological and social complications, and include the following:

The couple's frustration.

Unnecessary tension.

Crises in the marital relationship on the background of dissatisfaction with sexual life.

Disturbances in fertilization when trying to get pregnant.

Diagnosis of premature ejaculation

When there are erectile problems and impotence, the diagnosis can be made using the following:

Testing the male sex hormones testosterone in the blood to diagnose the problem.

A physical examination by a doctor.

Ask about the patient's medical history and whether he had this problem in the past.

premature ejaculation treatment

Premature ejaculation may be treated with a combination of sex therapy, pharmacotherapy, and psychotherapy as follows:

1. Sexual therapy

Masturbate and squirt before intercourse

This is to extend the time until the next flow and directing the sexual energy from intercourse to different sex toys that do not include intercourse may relieve the tension that accompanies the process of intercourse itself.

compression technology

Immediately when feeling the erection approaching, pressure can be placed on the genital organ where the head of the penis is attached to the body of the penis itself, as physical pressure on this area leads to a slight decrease in the degree of erection and also prevents premature ejaculation.

After several such push-ups during intercourse, it can improve the sense of how to prevent erection from premature ejaculation.

2. Drug therapy

Many antidepressants are used, in addition to anesthetic ointments, to treat premature ejaculation and erectile dysfunction, as follows:


Delayed ejaculation is a common side effect of medications from the antidepressant family, so using different antidepressants may improve treatment for premature ejaculation.

These medicines have additional side effects, such as:


Dry mouth.


Decreased sexual desire.

anesthetic ointments

Many local anesthetic ointments cause a loss of sensation in the penis and in this way prevent premature ejaculation and delay the ejaculation, as the side effects of ointments are decreased sexual pleasure and sometimes local sensitivity.

3. Psychotherapy

This treatment may relieve performance anxiety and relieve psychological stress that contributes a lot to premature ejaculation, as treating the problem generally requires great openness and willingness from both spouses.

Prevention of premature ejaculation

Prevention methods include the following:

Use a thicker condom to help reduce the sensation.

Take a deep breath to stop the body's spontaneous premature ejaculation. 

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