Article Contents
Premature ejaculation is probably among the major issue men faces today when it comes to sex compared to numerous other sexual disorders like erectile dysfunction(ED) and decreased sex drive or libido.
Although there is no exact number of men suffering from PE, statistics shows that 1 of every 3 men is experiencing PE, and it can occur at all ages.
There was a survey conducted revealing the percentage of men in certain age brackets who are experiencing rapid ejaculation or reaching their sexual climax too early prior to what is desired.
Important Points To Remember
Before going further, one should take note these important points regarding premature ejaculation.
- Subject involving premature ejaculation is an evolving field of study, and as much as yet to be learn how common it is or causes it, and how best to treat it.
- Treatments described are not necessarily approved for use in premature ejaculation by the FDA, other regulatory bodies. They are used based on clinical experience, research data, and consensus among experts clinician in the field.
- Treatments should be individualized with the physician, and potential benefits must outweigh the potential risks.
Rapid or Premature Ejaculation Affects…
- 30 percent of men age 18 to 29
- 32 percent of men age 30 to 39
- 28 percent of men age 40 to 49
- 31 percent of men age 50 to 59
Definitions Of Premature Ejaculation
There are many ways to define premature ejaculation. Here are the ones that come from AUA and ISSM.
AUA(American Urological Association) defined premature ejaculation as…
Ejaculation that occurs sooner than desired, either before or shortly after penetration causing distress to either one or both partners.
ISSM(International Society For Sexual Medicine) defined premature ejaculation as…
A male sexual dysfunction characterized by ejaculation which always or nearly always occurs prior to or within about one minute of vaginal penetration; and inability to delay ejaculation on all or nearly all vaginal penetrations; and negative personal consequences, such as distress, bother, frustration and/or the avoidance of sexual intimacy.
One of the challenges facing doctors treating this condition is there has been previously little agreement as to how to define it. The definition by the AUA just quoted is based on medical history alone. In other words, the diagnosis has been made after a careful interview with the patient and his partner.
Others have tried and attempted to define premature ejaculation precisely by measuring what is called IELT(Intravaginal Ejaculatory Latency Time), whereby a patient or partner uses a stopwatch to measure the time to ejaculation from the time of penetration. Based on large studies around the world, it appears the average time for most men is between 4 to 7 minutes. It has been proposed the following conclusion can be drawn based on the measurement of IELT.
If the time interval is less than one minute, the patient has premature ejaculation, and if it is 1 to 1.5 minutes he probably has PE.
It is worth noting that 6% of men report a more severe situation wherein they ejaculate during foreplay before being able to achieve penetration at all. Measuring vaginal penetration time to ejaculation in this manner is obviously cumbersome for the couple. Hence, this method is commonly used for research purposes only.
In clinical practice, the diagnosis is usually made by simply questioning the couple. Many questionnaires have also been used to diagnose and assist PE, but again, these are mostly used for research purposes. 
Negative Impacts
This sexual condition has several negative consequences in a man’s sexual relationship like;
- Less frequent intercourse
- Anxiety about having intercourse
- Less sexual satisfaction
- Reduced self-esteem
- Distress or less sexually satisfied partner
- Relationship problem
On the other hand, premature ejaculation does not affect the man’s sexual desire or reduce his ability to become aroused.
Causes Of Premature Ejaculation (PE)
The old thinking was premature ejaculation was purely a psychological problem relating to early sexual experiences and conditioning, and anxiety related to sexual performance. More recently, doctors have learned that premature ejaculation is mostly a biological and not psychological problem.
Today, scientists who conducted studies about the subject now learn that PE is a complicated issue. Though it appears simple to most men, the process involves a highly complex interaction of both biological and psychological factors.
PE can be attributed to various factors such as anxiety, excessive arousal, muscular tension or even repetitive learned behaviors. Any of these factors or perhaps a combination can impact one’s control of ejaculation.
It is likely in many men there may be a genetic link to premature ejaculation leading to a relative lack, or poor response to certain chemicals that transmit signals require to delaying ejaculation. The chemical in the nervous system that has been pinpointed is called Serotonin, or 5HT.
In almost half of men with premature ejaculation, there may be an important association with erectile dysfunction(ED). In some, early ejaculation may be a separate issue while in others, it results from rushing intercourse because the erection does not last long, or from performance anxiety resulting from the erection problem.
It may also relate to prolonging stimulation required to achieve a full erection. The psychology of evolution suggests that men learned to ejaculate too quickly in order to end sexual activity for various reasons.
Potential Solutions To Overcoming PE
Fortunately, men who suffer premature ejaculation have lots of options. We’ll attempt to list the most common ones that are successful in helping men overcoming this issue. We’ll start with the most natural one and move along towards using medications, creams, and sprays.
10. Minimize or Eliminate Anxiety
One of the best methods to reduce or even eliminate anxiety is through relaxation. Learning how to calm down, relax both body and mind can lower anxiety levels significantly.
Premature ejaculation is primarily linked with infrequent sexual activity resulting men to feel super excited and get aroused so easily. This feeling of anxiety can be manifested during sex encounter, even men who have frequent sex can still experience such feeling super excitement.
For men who feel cannot control their sexual arousal, doing relaxation on a regular basis can help. In addition, hypnosis and visualization exercises are both helpful, as well. Imagine yourself engaged in a sexual imagery inside the bedroom.
Visualize both your behaviors and interactions while calming the entire body and mind. Anyone can do this, but it is not easy to begin if one is not accustomed using these techniques. In that matter, seeking a professional help is incredibly useful.
Moreover, being open to your partner is a considerable relief. Never be ashamed with your partner to tell her about it. The majority of women understands the issue and willing to help you along in overcoming premature ejaculation issue. Most men who have such issue choose to keep it for themselves which can lead to stress.
Other causes of sexual anxiety for men are body image, penis size, relationship issues and other known stressors such as financial, work, health and family issues. Over time, all these can add up and can cause a higher anxiety in the bedroom that often occur unconsciously.
Hence, practice relaxation and talk to your partner about the issue. Often, having a vacation that takes you away from stressful work can help.
Hello nice post.Thanks for the amusing post.Now many married and unmarried people facing this problem. And herbal and natural way is best for this as they are free from all kind of side effect.
I guess I’m lucky today as I’m sSearching for natural method to last longer during sex and avoid early orgasm. I think the tips are doable, but there is one thing for sure for me…need to work on it.
I was one of those who thought that premature ejaculation can only be treated medically. Now, I’ve learned some cool stuff that I can work on especially the mentioned exercises.
Initially before I’ve stumbled this page, I have no idea how to overcome my premature ejaculation issue. I have this since I can remember with my first masturbation experience. Now I’m having hope and happy that such condition is treatable.
At first, I had no idea whether I can overcome premature ejaculation or not. Browsing through various sources including social sites, I’ve come across with this article. I just found it and haven’t started anything that have been recommended, but I will as I’m looking for surefire solution to beating my premature ejaculation. thanks for putting all these information together…. really helpful.
Hopefully, these tips can help me, too. I’ve been struggling with premature ejaculation since I was a teenager. Possibly it was due to masturbation quickly.
At 23 years old, I can tell premature ejaculation is huge and frustrating issue for me. Though, we develop a system in which I have to allow my partner to reach orgasm before I do the penetration and ejaculate, it’s somewhat feel awkward. There was one time when we almost had a simultaneous orgasm…it was amazing and sadly it was never repeated. My girlfriend want it as the experience was truly amazing and I can tell it was intense for her and definitely for me… but typically, I ejaculate a minute from the beginning of penetration. And, although she reached orgasm during foreplay, she said it’s more intense when we both experience it simultaneously. So, with that being said(just sharing my experience)… I have high hopes and motivation to follow and perform the tips I’ve found here. I would it’s great, but who knows if I can manage to be consistent with it, but I’ll keep trying because I want results and be free from such frustrating problem. I guess i’m lucky my partner recognized and understand it. Thanks for the great read!!!
Thank you for sharing your experience and hopefully you can share the results in the coming months about your journey to becoming free of premature ejaculation…that might serve as a motivation and inspiration for others who wants to achieve the same.
Good luck and I say, keep trying because it does not mean you fail the first time, the method is a failure. The methods work as long as you keep persisting in doing it.
Hi, I’m 26 and I’ve got this terrible PE. I ejaculate within 1 minute of sexual penetration, sometimes even less. I think it’s because I’m so sensitive.
I am uncircumcised and often I will pull the skin back and use lube to simulate sex, the head of my penis is so sensitive that my legs really start to tremble when I make use of lube, have the skin pulled back when masturbating. So, I thought this is the major reason why I ejaculate so easily and rapidly during actual intercourse with my girlfriend.
When I am making love I am OK and perform foreplay she is wet, she is always wet during sex, when the rubbing begins I simply can not stop from ejaculating. Even when I feel it coming on I will stop for 10 to 15 seconds for the sensation to pass, but as quickly as we start again, the sensitivity of my penis head prevail.
I just hope the tips mentioned here would be of great help for me, not just the exercises but the psychological tips, as well. I’ll be doing what’s mentioned and will let you know if some improvements happen in the coming months.
I’ve asked this somewhere but didn’t get any response. Does anyone here know of any good physicians in Baltimore, MD that deal with premature ejaculation? I think I have this because everytime I make love with my fiancee I always ejaculate right before she reached orgasm and she gets really mad at me and I feel really bad and embarrassed about it and I do not know what to do anymore.
So, I decided to ask for medical assistance, but don’t know anyone who can refer me to a good doctor that specializes in it. I will also start to apply what I’ve read here as they seem pretty helpful especially the exercises. However, if anyone here can refer me a good doctor, I would appreciate that.
my fiancé climaxes within a couple of minutes of penetration which is frustrating for me without reaching orgasm, yet. i have no idea how to speak to him about it without making the situation even worse. he has informed me his previous relationships ended without any rational reason and I think this may be why and his exes could not be bothered to do something about it however we enjoy each other and I desire to do something about it.
Hopefully, the tips mentioned here would be of great help for him. However, how would I send this to him without, you know men are dominant, right?
Hell folks here… my partner orgasms in 5 to 6mins throughout intercourse and I’m searching for a means to help him last longer. Hopefully, the tips here can be of great help for him. And, please answer his queries if he(maybe) asking for certain unclear things for him… 🙂
Sure Giovana, just send him(your partner) to this article and if wants to ask some things about it, just let him leave a comment with question, or perhaps share his tips as he become more experience doing it.
I’m scared due, although I’ve only experience once premature ejaculation. That may be caused because I was too ecstatic and didn’t have the ability control it. And, is this going to get better when I get even more experience?
Hey Olax, try the tips mentioned in this article because premature ejaculation won’t go away by itself unless you do something about it, most of the time. There are those who get away with it without doing anything, but majority experience it.
This is one of the most comprehensive article I’ve found online. Personally, I had issues with premature ejaculation around 3 years ago, and personally the Ejaculation by command mentioned in this article had helped me solve the issue. Now, I don’t want you go and immediately purchase the guide as it is not free. First, you have to know that you need to put the effort, patience and dedication to it. There is no magical spell that can solve premature ejaculation. Either you have to solve it yourself or along with your partner. In my case, my partner was very helpful and we’ve solve my premature ejaculation for good. I guess I’m lucky I have been blessed with such understanding partner or I just have the guts to admit to her I have issues about premature ejaculation. Anyway, we both benefited in the end and we are enjoying a happy and active sexual life…married for almost 10 years.
Hello James, thank you for sharing your experience because I’m among of those who are looking for solutions to this problem, premature ejaculation. You’ve mentioned ejaculation by command, which is also mentioned on this article, can you at least detailed what is inside the guide? I’m interested on it, too….although the information given on this article are already starting to take effect on my, but I’m curious if I could get more on that guide. I know it’s a long guide, but if you have time to give me an an overview about it…that would be great. Thanks in advance and for your time…
Hi Lawrence, thank you for your interest on ejaculation by command. Due to your request, I’ll be putting up an overview of what’s inside the guide. I’ll shoot you up an email once I’ve done that and I’ll also change the link above to link to that overview page of the guide. Good luck to your quest on overcoming premature ejaculation. And yes…you’re right, the information given here freely are enough if you put time, effort, patience and dedication to apply them all or any one of the method mentioned.
Unfortunately, there is no quick solution for it. Yes, medication and sprays provide quick results, but when it comes to long term results still… the natural means of overcoming it is the best way. Once you overcome it, it is then embedded into your subconscious and you can put that knowledge into action on demand without the need of spray or medication. You just have to put the effort, time, patience and dedication to get going.
Thanks for the quick reply @Michael. I’ll be watching that overview of the ejaculation by command. So far, the start-stop method is helping and I’m making progress. But, I’m still interested what’s inside on that product. I wouldn’t mine shelling out some money as long as it could help me overcome my issue of premature ejaculation completely. And, I totally understand…there is no quick and magical solution that can give me overnight results. Thanks again and I’ll be waiting for the overview you’re going to be putting on.
Relaxation helps me a lot in overcoming my early ejaculation issue, but it was not a quick solution. It took me over a period of 5 to 6 months to finally noticed the difference. It was an exciting and rewarding moment when we had sex(with my wife). Of course, though the relaxation part had a significant part of the solution, constant sex also helps. Enjoying and feeling the sensation instead of aiming to ejaculate soon.
I’m surprise, there are such techniques like start-stop, squeeze, and edging. Comparing these 3, looks like the start-stop method is very easy to do. In fact, I would like to do it with my wife especially, she is now open to such thing as making our sexual performance longer and better than before. We’re married for almost 5 years, but for those first 4 years were not that exciting. For those who have this issue, don’t aim for quick solution, because there is none. Quick…I mean for just a few days. With continuous efforts, dedication, and patience, you’ll win over it.
Great tips about premature ejaculation. This can be valuable to me as it seems I’m suffering from it. Although, my partner never complain, but I think I can do better if I can prolong and control my ejaculation. Typically, I’m able to give my partner an orgasm twice, sometimes once, and there are times never. It reach to a point where she is almost there, but then I simply give in and not able to reach her through vaginal orgasm.
When that happens, I simply give her manual stimulation until she reaches the climax and make her final orgasm. Well, perhaps she want more, but can’t do anymore until the next time.
Will consider the tips mentioned here, especially the Start-Stop technique.