Premature Ejaculation

What is premature ejaculation?

Ejaculation may be called premature, or too fast, if a man has an orgasm before or within a few minutes after entering his partner. It is a problem only if it prevents a couple from having sexual experiences that are satisfying for both partners.

About one third of American men are not able to control the timing of their ejaculations. This problem is more likely to affect younger men than older men. However, some men may always struggle with this problem.

How does it occur?

Many mental and physical factors affect the timing of orgasm. Examples of mental factors are guilt, anxiety, fear, and excitement. Physical factors include the intensity of sexual arousal and the sensitivity of the skin of the penis.

Infrequent sex also affects control. A man with normally good control may reach orgasm quickly after a long time without sex. Premature ejaculation is also common the first few times a man has sex with a new partner.

Medical problems are rarely a cause.

How is it treated?

Many men can learn to control their ejaculation. Men with good control can enjoy a long period of sexual arousal before choosing to ejaculate. This means learning how to control the various things that affect when you have an orgasm.

If you are concerned about premature ejaculation, ask for help from a healthcare provider who has training and experience in treating sexual problems. The healthcare provider or therapist can suggest ways to lengthen the time between sexual arousal and orgasm. For example, you might change the thoughts and fantasies you have during sex. Also, learning and practicing the "start-stop" or "squeeze" techniques can help. Ask your provider about these techniques.

In rare cases your provider may prescribe medicines that help prevent premature ejaculation.

To learn more, ask your provider or a sex therapist for information. To find a specialist in this area, ask your provider or check with your State Board of Mental Health or State Board of Healing Arts.