The Health Advisory Clinic > Premature Ejaculation

Premature Ejaculation

What is Premature Ejaculation?

Premature ejaculation is an inability to control ejaculation effectively, this results in ejaculation before or quickly after sexual penetration. Usually, this happens before a person wishes and with the little sexual stimulation.

The timing of this varies greatly on the individual; in some cases, it takes less than one minute, and in some cases, more than 10 minutes.

It causes a significant amount of distress for the person concerned and regularly results in a lack of sexual satisfaction for both parties. This typically results in an increase in sexual anxiety which is usually the root of the problem.

As many as one in three men reported premature ejaculation experiences, as it is one of the most common forms of sexual dysfunction in men. It can either be a lifelong problem that has been present from a man’s first sexual activity, or it can be an issue that is acquired over time. It can affect men of all ages, both young and old, as long as they remain sexually active.

Is premature ejaculation normal?

Experiencing occasional episodes can be considered normal. However, if you have issues with most or all sexual encounters, this can result in suboptimal sexual satisfaction in your relationship and is not considered healthy.

What would be considered as premature or abnormal ejaculation?

Research has shown that the average time for ejaculation to occur during intercourse is five and a half minutes. The length of time sex should last generally dictated by the couple, and how happy they are to wait before ejaculation.

What are the most common causes of premature ejaculation?

Anxiety, stress, emotional strain, and other underlying psychological issues are the leading causes of sexual dysfunction. But to get an accurate diagnosis, we advise consulting your doctor, as in some cases it can be due to an undiagnosed underlying medical condition. In some cases, premature ejaculation can be caused by neurological conditions, thyroid disease, prostate diseases, or certain medications.

Here are the most common psychological issues that result in sexual dysfunction:

  • Depression
  • Early sexual experiences
  • Poor body image
  • Relationship problems
  • Anxiety

What can I expect during a consultation about premature ejaculation?

Our specialist will ask about your sexual and social history, as well as review your medical history. The doctor will also check if you are currently taking any medications, and any medications you had taken in the past.

Blood tests, urine tests, and a prostate ultrasound may be necessary. To reduce the duration of your ejaculation, your doctor may prescribe oral tablets or creams, however, this will be a case by case basis. 

Is there anything I can do to help with my premature ejaculation?

Many men consider using barrier methods, and you can try to reduce sensation that can cause premature ejaculation by using a condom during foreplay and intercourse. You can use the gels, creams, and possibly a spray that has been prescribed by our doctor, these have proven to be successful in helping to treat the problem. These are applied to the penis before intercourse, however, some of these can reduce the sensation in your sexual partner

Studies have shown that breathing exercises help to deal with performance anxiety which is the root of many men’s sexual dysfunction. Having open and honest conversations with your partner about any stress or anxiety causing these events are a proven method that reduces these symptoms over time and therefore, decreasing levels of sexual dysfunction. 


It is possible to condition myself without medication so that I can control my orgasms better?

Premature ejaculation is the most common ejaculation-related health condition. It is a medical condition where a man ejaculates too quickly during intercourse. Currently, it affects up to 30% of men globally. Premature ejaculation may result in reduced satisfaction for both the affected person and their partner

There are certain home remedies and exercises that may help delay ejaculation or help you become more aware of their sensations and how to handle them. However, this is always not easy because premature ejaculation can be complex, involving both physical and mental aspects.

Below are some few self-help techniques that may help you control your orgasms better:

  • You may consider masturbating an hour or two before having sex
  • Taking breaks between sex and distracting yourself by perhaps thinking about entirely different things
  • Using a thick condom to help decrease sensation
  • Taking deep breaths to briefly shut down your ejaculatory reflex (an automatic body reflex, during ejaculation, happens)
  • Having sex with your partner on top, so they can pull out when you are close to ejaculating

However, your best bet towards solving an ejaculation problem is to visit your doctor. Besides the appropriate treatment, your doctor may also unearth potential issues that may be affecting your sexual health and offer you advice on how to solve them. What’s more, you may be shown relevant techniques on how to condition your body and control premature ejaculation.

I feel uncomfortable talking about this with my current partner. What should I do?

Research has shown that a significant number of men suffering from premature ejaculation often feel embarrassed telling their female partners. Unfortunately, this embarrassment can somehow prevent them from openly talking to their spouses about the issue. Ultimately, this lack of communication can potentially cause issues of trust in the relationship, which in turn, will lead to animosity and resentment. This is why you should talk to your current partner about your situation.  

PE is not just about you, it also affects your immediate partner. So, it is important to have a frank and honest discussion with your partner about it. You and your partner must work together to combat PE. Once you have a common objective, you’ll have a better chance of defeating it.

How can I treat premature ejaculation? What are their potential side effects?

Currently, numerous types of oral medication can be used to treat premature ejaculation. However, it is important to note that these drugs should only be prescribed by your doctor. These medications can come with side effects, such as feeling sleepy and nausea.

Apart from oral drugs, there are also aesthetic creams and sprays filled with a numbing agent used to treat PE. These are usually well tolerated by most patients. However, some men report a temporary loss of sensitivity as well as decreased sexual pleasure.

How long should a man last before ejaculation?

A study that looked at 500 couples from five different countries established that the average time taken to ejaculate during intercourse was about five and a half minutes.   

If you ejaculate much faster than the average time taken, it may be beneficial to start considering ways that can help boost your ejaculation time, especially if this is a problem for you and your partner.

However, there is no standard definition of how long intercourse should last. This is entirely up to both parties to decide if they are satisfied with the time taken. 

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