What are the symptoms and causes of premature ejaculation (PE)?
What is premature ejaculation (PE)?
As many as 20% of men have experienced premature
ejaculation at least once in their lifetime. 1 As the most common sexual dysfunctional condition befalling men, a lot of interest surrounds premature ejaculation (PE).
Nevertheless, there isn’t a single encompassing definition to describe the condition. The premature ejaculation definition changes quite often. However, at least now it is considered a serious medical condition and not a psychological problem.
All the same, this boils down to one fact. Premature ejaculation is a condition when you reach climax during the act faster than you would like to. This causes some personal distress like a bruised ego and a feeling of diminished masculinity.
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FREE quiz to find out. Premature ejaculation (PE): What are the signs and symptoms?
Despite the lack of a medical consensus on the
exact clinical definition of premature ejaculation, there are some signs and symptoms that point to potential PE. 3
Premature ejaculation is normal if it is an infrequent occurrence. However, if this occurs frequently, one might have to get checked out for PE by a sexual health doctor.
Here are some of the symptoms and conditions that point to premature ejaculation:
ejaculation during intimacy or before penetration is completed ejaculation within one minute of penetrating since one’s first act of intercourse significant reduction in the intravaginal ejaculation latency time to about 3 minutes or less unable to stop or delay ejaculations whenever there is penetration
If any of these holds, there’s bound to be some psychological implications on the man, including:
frustration bruised ego avoidance of sexual encounters personal distress Inability to conceive a child What are the causes of premature ejaculation?
Many of the causes of premature ejaculation have been attributed to mental and psychological factors associated with anxiety. However, there are other causes that are biogenic.
4 Anxiety-related causes
These causes of Premature Ejaculation (PE) include:
Performance anxiety Being very arousable Limited sexual experience Worrying about the PE itself Lack of knowledge about the techniques that can prolong intercourse Biogenic causes
Some of the causes of Premature Ejaculation (PE) are physical. These include:
Having high sensitivity Erectile dysfunction Abusing substances like alcohol Sometimes the cause is genetic, like the variations in the 5-HTTLPR gene Prostatitis, a condition where the prostate gland is swollen Diseases of the nervous system like multiple sclerosis Chemical and hormonal imbalances Testosterone deficiency References
https://www.health.harvard.edu/a_to_z/premature-ejaculation-a-to-z Alwaal A, Breyer BN, Lue TF. Normal male sexual function: emphasis on orgasm and ejaculation. Fertil Steril. 2015;104(5):1051–1060. https://www.sciencedirect.com/science/article/pii/S0015028215018798 Althof SE, McMahon CG, Waldinger MD, et al. An Update of the International Society of Sexual Medicine’s Guidelines for the Diagnosis and Treatment of Premature Ejaculation (PE). Sex Med. 2014;2(2):60–90. https://www.sciencedirect.com/science/article/pii/S174360951530789X El-Hamd MA, Saleh R, Majzoub A. Premature ejaculation: an update on definition and pathophysiology. Asian J Androl. 2019;21(5):425–432. https://www.researchgate.net/profile/Mohammed_Abu_El-Hamd/publication/331624177_Premature_ejaculation_an_update_on_definition_and_pathophysiology/links/5c853b9a92851c69506b12ef/Premature-ejaculation-an-update-on-definition-and-pathophysiology.pdf