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Jaffer Khan Colony | Calicut | Kerala | India

Sexologist Doctor - Sexology Clinic

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Established in 1960

Premature Ejaculation

Premature ejaculation occurs in men of all ages. "Premature ejaculation" or "Quick Discharge" is ejaculation before the man wants it to occur he is unable to control or delay the process.

Men, who experience premature ejaculation, frequently question their masculinity and lose confidence in their sexual performance, which often leads to feelings of lowered self-esteem. Furthermore, both the partners suffer negative feelings about the experience, and the continuation of such a problem can lead to serious relational conflicts and more sexual problems in marital life. The problem can occur in all sexual situations, including masturbation, or during sexual encounters with another person.


Myth: Alcohol, cocaine, and antidepressants are good ways to control premature ejaculation.

Fact: These drugs are not meant to be taken to control premature ejaculation. They are not safe drugs to take.

Myth: Anaesthetic sprays or creams are good ways to control premature ejaculation.

Fact: These products rarely, if ever, work. They numb the head of the penis as well as the vagina detracting pleasure from both partners. As they numb the head of the penis, you never actually "get used" to the sensation of making love for long periods and when you stop using them, the problem returns.

Myth: Premature ejaculation will not eventually cause erection problems.

Fact: More patients who have suffered from PE for a long time eventually develop erection problems than those who can control their ejaculation. The reason is that the longer we can maintain our erections during lovemaking, the less likely we are to suffer from erection problems later in life

Myth: Premature ejaculation is not a sign that there may be an erection problem developing.

Fact: Premature ejaculation can be the first sign of an erection problem.

Myth: Premature Ejaculation will not affect your sex life.

Fact: While you are making love, you are often worried that ejaculation may occur, it is difficult to relax and enjoy yourself. Also, your partner may not be getting the most out of their sex life and they may avoid lovemaking for this very reason.


The medical definition of premature ejaculation or PE is the persistence of recurrent ejaculation with minimal sexual stimulation before, on, or shortly after penetration, and before the person wishes it to occur.

In common terms, PE can be defined as:

The inability to control one’s ejaculation.

Ejaculating before he is ready to or has satisfied his partner.

Ejaculating before or within several minutes after penetration.

How common is premature ejaculation?

Premature ejaculation is very common, recent studies show that three out of ten sexually active men are affected by this problem….

What causes premature ejaculation?

Various factors can increase your risk of premature ejaculation, including: -

Impotence: You may be at increased risk of premature ejaculation if you occasionally or consistently experience impotence. Fear of losing your erection may cause you to rush through sexual encounters.

Health problems: If you have a medical concern that causes you to feel anxious during sex, such as a heart problem, you may have an increased likelihood of hurrying to ejaculate.

Stress: An Emotional or mental strain in any area of your life can play a role in premature ejaculation, often limiting your ability to relax and focus during sexual encounters.

Certain medications: Rarely, drugs that influence the action of chemical messengers in the brain (psychotropic) may cause premature ejaculation.

Over sensitiveness: Caused by a combination of an oversensitive glans penis (or head of the penis), and nervousness or performance anxiety during lovemaking.

Fear: The fear often stems from the previous experience of premature ejaculation.


In some cases, premature ejaculation may be caused by poor communication between partners or a poor understanding of the differences between male and female sexual functioning. Women typically require more prolonged stimulation than men do to reach orgasm, and this difference can cause sexual resentment between partners and add pressure to sexual encounters. For many men, feeling pressure during sexual intercourse increases the risk of premature ejaculation.

Open communication between sexual partners, as well as a willingness to try a variety of approaches to help both partners achieve satisfaction, can help reduce conflict and performance anxiety. If you're not satisfied with your sexual relationship, talk with your partner about your concerns. Try to approach the topic lovingly and avoid blaming your partner for your dissatisfaction.

Many men who experience premature ejaculation feel frustrated and even ashamed. It may help you to know that this problem is common and often very treatable. If you're not able to resolve sexual problems on your own, if it's causing distress for you or your partner, talk to your doctor who can help you and your partner achieve a fulfilling sexual relationship.

Should premature ejaculation be treated?

It is advisable to solve it for two main reasons: -


It is difficult to relax and enjoy lovemaking to its fullest as most of the time you are preoccupied with trying to delay or stop your ejaculation instead of enjoying the pleasures of sex. Further, it is not uncommon for the unsatisfied partner to keep silent to avoid additional embarrassment. Only when PE is fully controlled and the lovemaking session is sufficiently prolonged for both you and your partner to reach climax, can you both enjoy a more rewarding sex life?


Premature ejaculation tends to be a lifelong problem until treated. Although some love-making sessions may last a little longer than others, the problem essentially remains the same, limiting the full enjoyment of lovemaking. While some men consequently avoid forming intimate relationships or avoid socializing for that matter, others may develop a tendency to avoid lovemaking or other forms of intimacy altogether, which of course tends to lead to further relationship problems. So, if premature ejaculation is affecting your sex life or your relationship, or if you would like to achieve greater satisfaction during lovemaking, then you should actively seek treatment. The best reason of all, however, is that PE is easily treated (usually only one consultation is required) and once treated, it is unlikely to recur.

When to seek medical advice?

Talk with your doctor if you ejaculate sooner than you and your partner wish during most sexual encounters. The problem is common, and although you may feel you should be able to fix it on your own, you may need medical treatment to achieve and sustain a satisfying sex life.

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