couple talking about the causes of premature ejaculation

What causes premature ejaculation? Many men suffering from the condition would like to know why they feel that they don't "last" long enough for them (or their partner) to really enjoy sex.

Premature ejaculation happens shortly before or after penetration, although there is no precise "time limit" that defines it. Depending on different places and cultures it mostly means lasting less than two minutes.

It's crucial to understand the causes of premature ejaculation so that you are able to deal with the problem. These causes can include excessive excitement, fear of performance problems and other forms of anxiety. It can also include physical causes such as acute hypersensitivity of the nervous system.

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What Causes Premature Ejaculation?

Although there is no universal definition, ejaculation is usually considered to be premature if it occurs within 2 minutes of intercourse and is unable to be controlled by the man.

Premature ejaculation may be caused by stress, performance-related anxiety, guilt and other relationship issues or hypersensitivity of the skin of the penis. (In which case, numbing creams might be able to solve the problem).

Who is affected by premature ejaculation?

Although the condition is more common in men under 35, it seems that it is prevalent in men who deal with an element of novelty such as a new relationship, a new experience, or a stressful situation in the relationship (e.g. tensions or conflicts).

A condition in need of further research

Unfortunately, the truth is that the reasons for premature ejaculation are not completely understood. Maybe this is due to lack of research/data on the condition, but also perhaps because of the underlying psychological factors which make it hard to identify a clear cause.

The real answer is that no one really knows what causes premature ejaculation in the first place, be it psychological factors, hypersensitive nerves in the penis or both.

In general, it seems that a combination of different techniques and treatments works best for men suffering from premature ejaculation (PE).

Lifelong Vs. acquired premature ejaculation

Lifelong premature ejaculation means that the problem has always existed since puberty, whereas acquired premature ejaculation indicates that someone started suffering from PE at some point in his life after normal sexual activity.

Causes of lifelong premature ejaculation

Psychological issues are more common with men who have lifelong premature ejaculation than those who have acquired premature ejaculation later in life:

  • Some men may have conditioned themselves to ejaculate quickly in their adolescence (to avoid getting caught). Old habits die hard;
  • Some men may have become overly anxious with sex, because of a childhood trauma related to sex;
  • There may be a cultural aspect too, with traditional, strict educations that hold sex inappropriate or shameful (i.e. a sin).

Causes of acquired premature ejaculation

This type of premature ejaculation has roots in both physical and psychological issues.

In this category, stress and depression are common causes of premature ejaculation just like couple issues, conflicts and performance-related anxiety.

Physical causes of premature ejaculation include: conditions such as diabetes, high blood pressure, thyroid problems and prostate disease (and also binge drinking).

In some cases, multiple sclerosis can be a cause of premature ejaculation if the nerves damaged by the disease are linked to the area.

The impact of relationship issues

Remember that the exact cause of PE remains unknown and that there probably isn't only one anyway. It is widely believed that relationship problems are a common cause.

Relationship issues can lead to a vicious circle (for example, if a man's partner does not support him, but rather exacerbates his anxiety and fear of failure.)

As for what may actually cause premature ejaculation, the condition can come from differences in a couple's sexual needs, fear of high expectations, anxiety concerning sexual satisfaction, lack of communication and trust.

Some men may also feel overwhelmed by what they consider sexually demanding partners and a lack of preparation for sexual intercourse.

Looking at treatments for an answer

A good way to understand what causes premature ejaculation is to look at the treatments available. One is an anti-depressant specifically used to treat PE, which is also the treatment we offer on this website.

It's often believed that the antidepressant works by relieving your anxiety, but the truth is that no one really knows why or how it works. It was initially observed as a side-effect when treating depressive patients.

The other possible treatment is an anaesthetic cream that simply numbs your penis so that it reduces your sensitivity.

To get your delivery on time please see our working hours over the holiday period.
  • NHS registered doctors
  • Free Delivery
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