IASH India: Institute of Andrology & Sexual Health India
  • What are the Different Causes of Premature Ejaculation?

    What is Premature Ejaculation?

    Premature ejaculation is when you can’t control the climax and cum or ejaculate sooner than desired satisfaction for one or both partners. Over, 25% of men in the world are suffering from this sexual problem. For clinical trials, ejaculation is under 1 minute, as seen in 1 out of 3 people. If it doesn’t happen regularly then you don’t have to be concerned about it. Premature ejaculation is a treatable condition. Medications, counselling, and techniques that delay ejaculation can help improve sex for you and your partner.

    The causes of Premature Ejaculation can be psychological or biological. Though there is no standard cause yet, hormonal imbalances and psychological stress have changed the sexual behaviour of men. Premature Ejaculation can be a risk to a relationship and that makes it essential to cure the premature ejaculation causes before it gets too late.

    What are the Premature Ejaculation Causes?

    Usually, premature ejaculation causes by stress, depression, relationship stress, physical weakness, Erectile Dysfunction, etc. Physical causes such as increased blood pressure, such as diabetes, thyroid problems, or prostate disease can also be the reason. This is a type of disease that affects the quality of a man’s sperm.

    In many Sexual Illnesses, Premature Ejaculation is the most common type of disorder that can affect 4 out of 6 males. In premature ejaculation, you come quickly before standard time. When somebody can’t control the ejaculation and cannot last it longer, there is a need to know the premature ejaculation causes.

    To identify what causes Premature Ejaculation, we should understand the three crucial aspects of PE are – ejaculatory latency, control, and sexual satisfaction.

    If a person is suffering from PE, then it is advised to visit a Sex specialist as they are the only ones who can identify the root cause of the issue.

    Psychological Premature Ejaculation Causes

    Psychological factors that might play a role include:

    • Early Sexual Experience
    • Stress and Depression
    • Lack of Confidence
    • History of Sexual Experiences
    • Communication Gap or Relationship Issues
    • Unrealistic Expectations about sexual performance

    Biological Causes of Premature Ejaculation

    There are several biological factors that contribute to PE and are mentioned below:

    • Unusual Hormonal Levels in a body
    • Abnormal level of brain chemicals known as neurotransmitters.
    • Any type of infection and inflammation of the prostate or urethra.
    • Fertility Issues

    Physical Premature Ejaculation Causes

    The lack of Serotonin levels in the body is the major reason for getting Premature Ejaculation in a person.

    Premature Ejaculation can be seen because of many reasons but the main reason is the level of Serotonin. It is a unique natural substance that is made of nerves. It is said that a higher amount of serotonin in the brain increases the ejaculation time. And likewise, a lesser level can decrease the time of ejaculation which ultimately leads to PE.

    How Are the Causes of Premature Ejaculation Diagnosed?

    The causes of premature ejaculation are diagnosed by a detailed sexual history. To diagnose PE, doctors usually ask questions such as:

    • How long has PE been a problem? When did it start?
    • What is the length between the partner’s penetration and ejaculation?
    • How much control does a man have on ejaculation?
    • How distressed does he feel about the situation?
    • How distressed does his partner feel?
    • Are there any psychological, emotional, or relationship issues of concern?

    A complete physical examination of the male genital organs is very important for the diagnosis of any sexual problem in men.

    An internationally recognized scientific scale known as a premature education diagnostic tool is very useful in diagnosing the severity of premature ejaculation.

    Premature Ejaculation Examination:

    It is important to know how long should a man last before ejaculation to identify PE. Premature Ejaculation examination can be done at home according to this chart:

    Men with an intravaginal ejaculatory latency time (IELT) of less than 1 minute Confirmed PE
    Men with an intravaginal ejaculatory latency time (IELT) of 1-1.5 minute Probable PE
    Men with an intravaginal ejaculatory latency time (IELT) of more than 2 minute Negative PE

    Food to Avoid Premature Ejaculation

    Adding Zinc and magnesium to your diet can help you overcome your PE issues and can also improve your sexual health as well. By making some changes in your diet, you can increase the time that you take to climax. The right food guide has also helped many with erection problems. Read our blog ultimate food diet Guide to cure Premature Ejaculation.

    S.No Food Functions
    1. Carrots Improves blood flow during sexual intercourse.
    2. Watermelon Helps in producing L-arginine
    3. Garlic Improves blood circulation and copulation
    4. Bananas Increases endurance
    5. Avocado Reduces Premature Ejaculation
    6. Asparagus It boosts sex drive in men.
    7. Oysters Increases endurance time and reduces PE.
    8. Walnuts Helps in reducing impotency and PE
    9. Dark Chocolate Improves overall sexual health.
    10. Fish Helps fighting depression and anxiety.

    Premature Ejaculation Treatment

    Treatment for premature ejaculation usually depends upon the man’s relationship status and the cause of the condition (whether it is lifelong or acquired). There are several treatments available for premature ejaculation including SEX THERAPY, BEHAVIORAL TECHNIQUES, PELVIC FLOOR REHABILITATION PROGRAM( PELVIC GYM), TOPICAL THERAPY (use of lignocaine based sprays over the penis), ORAL MEDICINES, and SURGERIES.

    The latest and Advanced Shock Wave Therapy Machine from Germany is now available in Gurgaon at the Institute of Andrology and Sexual Health (IASH) for a painless, non-invasive, drug-free, safe, and effective premature ejaculation treatment in Gurgaon. For booking an appointment for any of the sexual or ejaculation problems like, retrograde ejaculation, dhat syndrome with our Sexologist in Gurgaon please visit our Online consultation page Hindi audience can read Shighrapatan ka Ilaj Hindi (शीघ्रपतन का इलाज) for better understanding.

    • Behavioral Therapy: Behavioral treatment involves experimenting with various techniques to postpone your orgasm. Your body and your emotions will be taught how to be under your control. methods consist of:
      • The Squeeze Method: Using this method, you or your partner stimulates your penis up to the point of climax, followed by a gentle 30-second pressure on the penis’ head to cause you to lose your erection. Before allowing yourself to orgasm, practise this technique several times. Practice this technique often until you can control when your orgasm will happen.
      • The Stop-Start Method: By using this method, you or your spouse stimulates your penis just before an orgasmic outburst and then stops the stimulation for around 30 seconds while you regain control of your reaction. Before allowing yourself to orgasm, use this “start and stop” technique three or four times. Once you have good control, keep using this technique.
      • Distraction Techniques: By using this method, you or your spouse stimulates your penis just before an orgasmic outburst and then stops the stimulation for around 30 seconds while you regain control of your reaction. Before allowing yourself to orgasm, use this “start and stop” technique three or four times. Once you have good control, keep using this technique.
    • Medical Therapy: There are several medicines to get rid off Premature Ejaculation which you can try:
      • Derantox Capsules 1 mg
      • To play Gel 1 mg
      • Vigor Max Juice
    • Sex Therapy: While having Sexual intercourse with your partner Wear a Condom, Condom can decrease sensitivity to your penis and help delay Ejaculation and increase the sex time.

    Facts About Premature Ejaculation

    Premature ejaculation is the most common male sexual problem and affects men of all ages.

    • Premature ejaculation is more common in younger people.
    • This is because ejaculation generally takes longer as men get older and younger men may be less sexually experienced or feel less secure with the situation in which they are having sex.
    • Estimating the prevalence of PE is difficult since many men do not want to talk about it, while others may not even perceive that they have PE.
    • However, recent research indicates that 25-30% of men struggle with PE.
    • PE can happen at any age and its prevalence is witnessed across all age groups.

    At IASH this surgery is performed microscopically after a very detailed assessment of the patient and only after confirming the penile hypersensitivity. The risks and benefits of the surgery are explained thoroughly before the surgery.

    Frequently Asked Questions

    Q1. What is the most important cause of premature Ejaculation?

    Ans. The most important cause of premature ejaculation is Biological problems, Emotional and Psychological Factors and Chemical Imbalances.

    Q2. How can I Cure my premature ejaculation?

    Masturbating for 1 to 2 hours before having sex. using a thick condom to help decrease sensation. taking a deep breath to briefly shut down the ejaculatory reflex (an automatic reflex of the body, during which you ejaculate) having sex with your partner on top (to allow them to pull away when you’re close to ejaculating)

    Q3. Is it normal to have Quick Ejaculation?

    Ans. It’s common to occasionally lose control of ejaculation. Only when premature ejaculation occurs frequently is it a concern. The majority of guys occasionally experience orgasm before they’d want. For instance, a man may ejaculate quickly the first time he has intercourse.

    Q4. What are the Symptoms of Premature Ejaculation?

    Ans. Being unable to delay ejaculation for longer than three minutes after penetration is the main sign of premature ejaculation. However, it could happen in any sexual setting, including when masturbating.

    Q5. Can premature ejaculation cause infertility?

    Ans. Premature ejaculation does not usually cause infertility (in a couple), although sometimes it can cause problems for couples trying to become pregnant.

    Q6. How to reduce Penile Hypersensitivity?

    Ans. Penile Hypersensitivity can be reduced by a number of methods as described below:

    • Use of TOPICAL ANAESTHETIC SPRAYS
    • Use of Condoms
    • Surgery
    FAQs - Dr. Chirag Bhandari

    Frequently Asked Questions

    Q1. Who is Sexologist Doctor?

    A1. A sexologist is a medical professional who specializes in the field of sexual health. I am Dr. Chirag Bhandari, a sexologist, and I have dedicated my career to diagnosing and treating various sexual health issues.

    Q2. How to identify a Best Sexologist?

    A2. To identify a top sexologist, consider their credentials, experience, specialization, patient reviews, and your personal comfort. I have extensive experience in treating sexual health issues and am dedicated to providing the best care possible.

    Q3. Why Choose Dr. Chirag Bhandari for the treatment of your Sexual Problems?

    A3. Choosing Dr. Chirag Bhandari means choosing a dedicated and experienced sexologist who is committed to addressing your sexual health concerns. My clinic provides personalized care and effective treatment options.

    Q4. What is the Consultation Fee at Dr. Chirag Bhandari's Clinic?

    A4. Consultation fees at my clinic may vary. Please contact my clinic directly for specific information about fees and payment options.

    Q5. What is the duration of time slot for a Consultation at Dr. Chirag Bhandari's Clinic?

    A5. The duration of a consultation can vary depending on the nature of your concerns. Initial consultations may take longer as we gather essential information about your condition.

    Q6. Do I pay every time I undergo a Consultation?

    A6. Consultation fees are typically charged for each visit. However, we may offer package deals or discounts for multiple consultations. Please inquire at the clinic for more details.

    Q7. Do I need to Book an Appointment on the Scheduler of Website for an Online Consultation?

    A7. Yes, for online consultations, it is advisable to book an appointment through our clinic's website scheduler. This helps ensure you receive dedicated time for your consultation.

    Q8. I wish to proceed with an Online Consultation, what are the Steps ahead?

    A8. To proceed with an online consultation, visit our clinic's website and use the appointment scheduling system to book a convenient time. You'll receive further instructions via email or phone.

    Q9. Can masturbation have a negative impact on my overall health?

    A9. Masturbation is generally considered a normal and healthy sexual activity. However, excessive or compulsive masturbation may lead to physical or psychological issues. It's essential to maintain a balanced approach to ensure it doesn't interfere with your well-being.

    Q10. Is Sexual Disorders common?

    A10. Yes, sexual disorders are relatively common, and they can affect people of all ages. It's essential to seek professional help if you're experiencing any sexual health concerns.

    Q11. What are the Sexual problems that you Providing the treatment in clinic?

    A11. I provide treatment for a wide range of sexual problems, including but not limited to erectile dysfunction, premature ejaculation, low libido, sexually transmitted infections, and more. Feel free to discuss your specific concerns during the consultation.

    Q12. How long does it take to get rid of premature ejaculation or Erectile Dysfunction?

    A12. The duration of treatment for premature ejaculation or erectile dysfunction varies depending on the individual's condition and the chosen treatment plan. It can take several weeks to several months to see improvements. We'll discuss this during your consultation.

    Q13. I am suffering with Penile Infections/ Balanitis/ Balanoposthitis/ STDs/ STIs/ Phimosis/ Paraphimosis.

    A13. Penile infections and related conditions require careful evaluation and treatment. I can help diagnose and provide appropriate treatment options based on your specific condition during a consultation.

    Q14. I am suffering with Sexual Dysfunction, what do I expect in my consultation?

    A14. In a sexual dysfunction consultation, you can expect a thorough assessment of your medical history, a physical examination, and a discussion of your symptoms and concerns. We'll work together to create a personalized treatment plan.

    Q15. What is a Level 1 Consultation for patients suffering with Sexual Dysfunction?

    A15. The meaning of "Level 1" consultations can vary. At my clinic, a Level 1 consultation may involve an initial assessment and diagnosis of your sexual dysfunction. Specific details will be provided during your visit.

    Q16. What is a Level 2 Consultation for patients suffering with Sexual Dysfunction?

    A16. A Level 2 consultation may involve a more in-depth assessment, additional testing, or a review of your progress. This level is determined based on your specific needs and the nature of your condition.

    Q17. I have already had so many bad and failed experiences with previous Clinics/ Doctors in my City/ Country, how do I trust Dr. Chirag Bhandari?

    A17. I understand your concerns. Trust is essential. I am dedicated to providing the best care possible, and I encourage you to read patient reviews and testimonials to gain confidence in my expertise. My goal is to help you achieve the best results.

    Q18. What are all the payment options available at Dr. Chirag Bhandari's Clinic?

    A18. We accept various payment options, including cash, credit/debit cards, and health insurance in some cases. Please inquire at the clinic for specific details about payment methods.

    Q19. Is the Consultation Fee/ Online Assessment Fee/ Treatment Fee Refundable or Transferable?

    A19. The refund and transfer policies for consultation fees, online assessments, and treatment fees can vary. Please discuss these policies with our clinic staff to understand your options.

    Q20. Can I get an approximate idea of the cost of the treatment?

    A20. The cost of treatment can vary widely depending on the specific condition and the treatment plan. We'll discuss treatment costs during your consultation, and our team will provide you with an estimate based on your individual needs.