Timing is everything in relationships, particularly in the bedroom. But with so many sexual health problems interfering with thousands of lives, many couples are struggling to stay satisfied.

There is a lot of taboo around sexual health problems; people are often misinformed about different concerns and their effects. This is particularly the case when it comes to premature ejaculation. But what causes premature ejaculation, and how can you treat it?

What is premature ejaculation?

Premature ejaculation affects between 30% to 40% of men at some point in their life, so it’s more common than you may think.

Ejaculation problems are one of the most common sexual concerns for men, and there are three main types:

  • Premature ejaculation
  • Delayed ejaculation
  • Retrograde ejaculation

Premature ejaculation is the most common, affecting as many as one in five men. It occurs when a man ejaculates too quickly (usually after less than two minutes) during sexual intercourse.

Studies have found that the average time taken for men to ejaculate is around five and a half minutes. Of course, it is up to each couple to determine whether they are happy with how long sexual intercourse lasts, and there is no definition of how long the duration should be. But if men are finding that around half of their attempts at sexual intercourse result in premature ejaculation, it could be a cause for concern.

Premature Ejaculation Causes

Various premature ejaculation causes can lead to ongoing problems. Some of the most common causes of premature ejaculation include:

Other Health Problems

Premature ejaculation can be caused by other health issues, with the most common being problems with the thyroid or prostate. However, it’s also worth noting that premature ejaculation can cause these problems, so be sure to monitor which came first.

Mental Health

Mental health issues tend to be a huge contributor to sexual performance problems. This is particularly the case with depression; low levels of serotonin can lower your ejaculation stamina, leading to premature ejaculation.

Premature ejaculation can also be caused by stress or relationship problems, as your mind will be too busy focusing on other things.

Anxiety Over Sexual Performance

Men who have anxiety over their sexual performance, especially in the early days of a new relationship, often find that they develop ejaculation issues. This may be an issue which naturally goes as confidence builds, but some may find that the anxiety still remains.

Conditioning

It is possible for early sexual experiences to play a big part in sexual performance later in life. For example, if a teenager conditions himself to ejaculate quickly in order to avoid being caught masturbating, this can become a habit that is difficult to break later in life.

Sexual Trauma

Traumatic sexual experiences can range from being caught masturbating by a family member to being sexually abused, and this can make performing sexually later in life very difficult.

Upbringing and Beliefs about Sex

Men who have had a strict upbringing and were taught certain things surrounding sex may still have those beliefs in adulthood, impacting their ability to perform during sexual intercourse.

Biological Reasons

Biological problems, such as having an unusually sensitive penis, can lead to premature ejaculation.

Treatments for premature ejaculation

While many men find that they struggle with premature ejaculation at some point in their life, the good news is that there are several options for treating the issue. Treatment for premature ejaculation can range from behavioural techniques and exercise to therapy and medication.

Behavioural Techniques

Behavioural techniques can benefit a lot of men when it comes to controlling ejaculation. The ‘stop and start’ method involves you or your partner stimulating the penis until you are close to orgasm, then stopping for around 30 seconds or until the feeling passes. Begin the arousal again and then repeat the process three or four times before actually ejaculating, to train your body to last longer.

Pelvic Floor Exercises

Weak pelvic floor muscles can contribute to premature ejaculation; pelvic floor exercises can help to strengthen the muscles in this area. These muscles are strengthened by locating the muscles used to stop your urine flow midstream and then holding them tight for three seconds before releasing them. Repeat this process ten times, three times a day.

Therapy

Therapy is also beneficial for some men who have negative emotions or thoughts surrounding sex. Therapy can be a useful treatment alongside medical or behavioural methods to deal with certain mental health issues which may be causing the problem.

Medication

Some men also find that certain medications can help them, including:

Priligy Tablets: Priligy tablets are a prescription medication containing dapoxetine which increases serotonin levels in the body, resulting in a significant impact on a man’s ability to reach ejaculation. The serotonin levels send nerve signal transmissions, providing men with more control over when they ejaculate.

EMLA Cream: EMLA is a local anaesthetic cream which uses Lidocaine and Prilocaine to numb the skin, preventing discomfort and reducing sensitivity. It’s a common ‘off-label’ solution to premature ejaculation problems as it can increase a man’s ability to last longer during sex by as much as six times. You can buy EMLA cream over the counter or online, and it is applied 30 minutes prior to intercourse.

Regain control of your sexual performance

Premature ejaculation is a common problem for men, and if it’s occurring sporadically, it’s nothing to worry about. However, if you’re finding that you regularly ejaculate sooner than you would like, it’s worth trying out a handful of the treatments mentioned in this guide. Get in touch with our experts on 0208 123 0703 or browse our treatment range for more information.

Quick links