Premature Ejaculation

Premature Ejaculation

Ejaculation is the expulsion of semen from the body. During sex when a man start ejaculate sooner with his partner . It can be frustrating if it makes sex less enjoyable that impact on relationships. How does ejaculation works:- Ejaculation is controlled by CNS( central nervous system) with two phases
1. Emission
1. Emission:- when sperms moves from the testicles to the prostate and mixes with seminal fluid to make semen .
2. Expulsion :- occur when muscles at the base of the penis contract ,this forces semen out of the penis.

Premature ejaculation and erectile dysfunction

Sometimes PE is a problem for men who have erection problem (ED). This is when men are not able to get or keep an erection that firm enough for sex. Since an erection goes away after ejaculation it can be tough to know if the problem is PE or ED .PE may not be a problem once ED is treated.
  1. Serotonin:- serotonin is a natural substance in our body made by nerves. High amount of serotonin in the brain increase the time to ejaculation low amount can shorter the time to ejaculation.
  2. Psychological causes:- There are some other causes such as  -:
  3. Depression
  4. stress
  5. Lack of confidence.
  6. Relationship problem
  7. guilt
  8. Unrealistic expectation about sexual performance.

Erectile Dysfunction (ED)

Erectile Dysfunction (ED) can impact men’s sexual health, leading to a lack of hardness, loss of libido, and decreased interest in sex. It can also manifest as issues with homosexuality, high female hormone levels in males, or hereditary sexual problems. Additional concerns may include low semen volume and excessive or daily nightfalls. Seeking medical advice and exploring appropriate treatments can help address these challenges and restore sexual well-being.

ED/Lack of Hardness: 

Erectile Dysfunction (ED) can cause difficulties in achieving or maintaining a firm erection, impacting sexual performance and satisfaction. Consulting a healthcare professional can help identify underlying causes and explore treatment options.

Loss of Libido: 

Decreased sexual desire or loss of libido can be attributed to various factors, including hormonal imbalances, stress, or psychological factors. Seeking medical advice can assist in understanding the underlying causes and potential interventions.

Lack of Interest in Sex:

 When individuals experience a diminished interest in sexual activity, it can be related to physical, emotional, or relationship factors. Open communication with a healthcare provider can help address these concerns and develop a suitable treatment plan.

Homosexual Problem:

It’s important to note that homosexuality is not a problem or disorder. However, individuals who have concerns about their sexual orientation can benefit from seeking support from qualified professionals who specialize in LGBTQ+ health and well-being.

High Female Hormones in Males:

 Elevated levels of female hormones in males can disrupt hormonal balance and impact sexual function. A medical evaluation can help determine the underlying cause and guide appropriate treatment options.

Hereditary Sexual Problem: 

Certain sexual issues or dysfunctions can have a hereditary component. Understanding the family history and consulting with a healthcare professional can provide insights into potential hereditary factors and suitable interventions.

Low Volume Semen: 

Reduced semen volume can be influenced by factors such as hormonal imbalances, medication side effects, or certain health conditions. A healthcare provider can conduct a thorough evaluation to determine the underlying cause and suggest appropriate management strategies.

Excessive/Daily Nightfalls: 

Nocturnal emissions, also known as “nightfalls,” are a normal occurrence in men, typically happening infrequently. However, if excessive or daily nightfalls become a concern, discussing the issue with a healthcare professional can help determine any underlying causes and provide guidance on managing the situation.

Other issues:-


Ageing cause changes in erection. For older men. erection may not be as firm or as large erection may not last as long before ejaculation occurs . The feeling that ejaculation is about to happen may be shorter . these changes can lead to an older man ejaculation earlier.


It a man does not feel that he has control of when ejaculation occur and if there is worry by the man, PE may be present . talk to your health care provider . he may ask you

“how often PE happen?

“ How long have you had this problem?”

“does this happen with just one partner or all partner?”

“does PE happen with each attempt at sex?”

“how are your personal relationship?”

“is there anything that make PE worse or better (i.e drugs, alcohol etc)

Treatment:-psychological therapy , behavioral therapy and drug are the main treatment for PE.

Psychological therapy :- counselling of the patient as well as both the partners is done in this therapy . purpose is to work through felling and emotion which helps in greater sexual confidence and understanding to help your partners satisfaction. Psychological therapy is done along with behavioral and drug treatment .

Behavioral therapy :-

it the exercise to help build tolerance to delay ejaculation .

the sneeze method :-

in this you or your partner stimulates your penis until you are close to ejaculation . then formly squeeze your penis so that erection partialy goes away . the squeeze method may help you better control and delay climax.

The stop –start method :-in this method penis in stimulated until just before ejaculation . then stops until the urge to climax lets up. As you regain control again repeat it this is repeated 3 times than you ejaculation . this method will help to have control on your own self.

Medical therapy :-

doctor noticed that men and women or antidepression have delayed orgams .drug such as fluoxetine, paroxetine, sertraline , clomipramine  and tramadol affect serotonin levels.

According to Ayurveda “ shukra stamban “ drugs are advised such as akarkara kaunchbeej ,  swetmushli , vang bhasma , chandraprabhavati etc are given or treatment from yogis ayurveda .

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