Premature Ejaculation And Other Ejaculation Disorders

Ejaculation problems, such as premature ejaculation, are among the most common sexual problems for men.

One definition of premature ejaculation is ejaculation that occurs before or soon after penetration. Another definition is ejaculation that occurs before the partners want it to occur, making ejaculation a somewhat subjective condition.

Premature ejaculation may be a lifelong problem or something that occurs later in life. According to the Mayo Clinic (2009), up to one-third of all men experience early ejaculation at some point in their life. Although the exact causes of premature ejaculation are unknown, underlying physical causes may include:

  • Hormone imbalances
  • Inflammation and infection of the prostate or urethra
  • Neurotransmitter (brain chemical) imbalances
  • Reflex problems in the ejaculatory system (ejaculation is a reflex response of the nervous system)
  • Thyroid problems.

Physical causes are more likely if premature ejaculation has been a lifelong problem. In many cases, premature ejaculation has a psychological component, ranging from guilt about sex to relationship problems to past trauma.

In most cases, a combination of psychological and medical treatment is the most effective way to deal with premature ejaculation problems. Treatment may include:

  • Participating in sex therapy with a behavioral program component, which can improve self-control
  • Taking an antidepressant medication two hours before sexual activity (antidepressants often interfere with sexual function)
  • Using a cream on the penis that reduces its sensitivity, which can delay ejaculation
  • Using Viagra