Premature ejaculation is a common condition that affects a third of men worldwide, regardless of age. This condition, which is also known as rapid ejaculation or premature climax, happens when ejaculation (the release of semen during sex) happens too quickly to satisfy the man or his partner. While typically not a cause for worry, premature ejaculation can impact relationships and make sex less enjoyable. Men who think they may have this urological condition can seek medical advice from trusted sexual health doctors at an STD clinic. Sometimes, men who ejaculate prematurely may also have other urological conditions, such as erectile dysfunction. In this article, we’ll break down the possible causes of premature ejaculation and the treatment options available.

Causes of premature ejaculation

The causes of premature ejaculation can be broken down into two categories: psychological and biological causes. If a man is facing psychological issues such as tremendous stress, depression, anxiety or mental distress, he may experience premature ejaculation. In fact, most men suffering from premature ejaculation face a psychological issue of some kind. For such cases, treatment may include psychotherapy or counselling. It is a long-term process, which could involve multiple sessions, but the results will show. When a man is not burdened with worries and performance anxiety, he will likely be able to perform better in bed.

However, if the cause is biological, it is possible that the body is not producing sufficient serotonin. Serotonin is the neurochemical that is released during sex. It has been shown that men with lesser serotonin levels take a much shorter time to ejaculate.

Doctors may also prescribe topical medication that can be applied directly to the penis to reduce stimulation. This medication is a type of anaesthetic which can increase the time taken for sex. However, do note that these medications should not be used too often as prolonged use could result in numbness and loss of erection.

If premature ejaculation is severely affecting a relationship, couples counselling or therapy may help. In such closed-door consultations, couples are guided to better understand each other’s needs and wants. It is the best way for a couple to work towards the goal of having a long-lasting relationship, as one party attempts to overcome premature ejaculation.