Premature ejaculation

Premature ejaculation (PE) is one of the most common sexual dysfunctions. PE occurs immediately before the start of sexual intercourse, or during its first two minutes. About 30% of men suffer from premature ejaculation. 89% of men having this problem say that it reduces the quality of their sexual life and negatively affects self-esteem and relationship with their partner.

30% of women and men admit that PE problems cause them to completely stop sex, and 15% of respondents say that premature ejaculation can be a reason for ending the relationship with their partner.

A characteristic symptom of the condition is the inability to control ejaculation. Due to this, both partners may remain, both psychologically and physically dissatisfied. It even can cause fear of sexual intercourse in the man.

However, this problem is not a threat to male infertility and can be solved. All you need to do is to visit your andrologist or urologist who will do the necessary tests and prescribe the appropriate treatment.

Causes of PE

The causes of premature ejaculation are different: they can be psychological (e.g. stress, depression, problems in the relationship with the current partner) and physiological (abnormal levels of hormones, neurotransmitters, inflammatory processes in the genitals, including prostatitis, unhealthy diet and vitamin deficiencies (e.g., magnesium). Often, a strong arousal can also cause premature ejaculation.


If you experience PE, it is important not to ignore the problem but consult with your doctor. Since many factors affect premature ejaculation, the doctor will conduct a thorough assessment to determine the best PE treatment for you.

The most important factors include the following:

  • man’s age and regularity of his sexual life;
  • whether ejaculation occurs before, during, or after sexual intercourse;
  • psychological and physical problems between partners resulting from the dysfunction;
  • if PE is caused by certain medications.

The most common method of treating premature ejaculation is drug therapy. The doctor may prescribe tadalafil (generic Cialis), sildenafil (active ingredient in Viagra) and Viagra. The patient may also be prescribed antidepressants, which will not only ease psychological discomfort, but also postpone ejaculation.

Behavioral strategies are another way to treat premature ejaculation. They are often used in combination with drug therapy. In some cases, the doctor will recommend the patient to change lifestyle, give up alcohol and tobacco. Recommendations may also include special exercises (for example, Kegel exercises) that help delay ejaculation.

In each case, the choice of treatment methods is individual.