Premature ejaculation: what it is, causes and how to treat

The premature ejaculation often raise doubts in many people, especially at the time of adolescence. Fear or fear on the topic, together with disinformation, makes the sexual act often loaded with anxiety .


What is Premature Ejaculation?

Premature ejaculation is a topic that concerns many men. It is believed that about 20 to 30% of them suffer from the problem. PE occurs when orgasm comes before the desired time during sexual intercourse.

It is normal for this to happen once, twice, but when the problem becomes routine it is necessary to go to the doctor.

It is believed that one in three men has premature ejaculation, causing discomfort in the relationship, as he is embarrassed with his performance and the partner is dissatisfied because he was unable to reach orgasm. Premature ejaculation can also happen during masturbation.


Premature ejaculation can be called primary or secondary.

The main characteristics of the primary are:

The primary is related to the problems identified throughout the patient’s life, and affects about 65% of cases of premature ejaculation. There is still PE that occurs even before penetration, almost 50% of men are affected with the problem.

  • Symptoms usually appear from the first sexual intercourse;
  • In almost 90% of cases, ejaculation occurs in less than 1 minute of penetration;
  • As age advances, the problem tends to worsen.

The main characteristics of the secondary are:

The secondary is when premature ejaculation occurs after some problem or trauma. These problems can be diseases such as hyperthyroidism, phimosis, hypersensitivity of the glans and also neurological, psychological or medication problems.

Secondary ejaculation can also occur after prostatitis, an inflammation that occurs in the prostate. When treating the problem with antibiotics the problem can be solved, but if there is no treatment, PE can be intensified.

It is also considered secondary when premature ejaculation with the same person always occurs.


It is believed that premature ejaculation can occur for some reasons, such as biological factors, such as diabetes , or psychological.

Psychological factors are the most disturbing, as they are insecurity most of the time. This insecurity is due to the charge that is generated on men since the first sexual intercourse.

They believe that they need to have a great performance from the beginning to please their partner or to prove how good they are in bed.

The most well-known biological factors are:

  • Thyroid disorders;
  • Genetic factors;
  • Inflammation or infection in the prostate or urethra;
  • Hormone levels above normal;
  • Levels of neurotransmitters above normal;
  • Abnormal activity of the ejaculatory system;
  • Damage to the nervous system caused by traumatic or surgical experiences.

The psychological factors that are involved in PE are:

  • Anxiety;
  • Erectile dysfunction;
  • Relationship problems;
  • Use of psychotropic drugs.

Risk factors

There are two factors that can cause premature ejaculation more easily:

  • Stress: Mental and, especially, emotional instability means that the concentration is not complete. The same is true with relaxation, causing PE to be recurrent.
  • Erectile dysfunction: Men who have a problem with having or maintaining an erection can cause ejaculation to occur quickly.

What are the symptoms?

The most common symptoms of premature ejaculation are:

  • Frustration and avoiding intercourse, as well as masturbation;
  • Not being able to delay erection during sexual intercourse;
  • Difficulty holding the erection with less than a minute of penetration.


The doctor recommended for consultation in cases of premature ejaculation is the urologist or psychiatrist. The consultation is only worthwhile if the events occur with a certain frequency.

If premature ejaculation occurs only once or twice, it is considered natural, and can be caused by   stress or another momentary problem.

Experts say that normal ejaculation occurs, on average, five minutes after the start of penetration. For ejaculation to be considered premature, it must occur between the first and the second minute of penetration. Or even before penetration happens.

At the doctor’s appointment, the doctor will ask a series of questions about sexual intercourse, about your ejaculation and even about how your relationship is doing, as the factors are often psychological.

Another function of the doctor is to calm the patient, as many men are ashamed to assume the problem. In the office, the doctor is used to seeing several other people with the same problem, not least because premature ejaculation is something very common.

For the diagnosis to be given, it is necessary to carry out a complete physical examination, in addition to the conversation. Blood tests can be ordered so that the doctor can assess the level of testosterone in the patient’s bloodstream.

Treatments for premature ejaculation: how to care?

Treatment for premature ejaculation can be done in several ways. It is known that if men should have the support of their partners (os), because the emotional side relaxes and the man is able to concentrate more.

In addition, it is possible for men to work on techniques other than penetration, such as oral sex.

Below, we will inform the techniques best known and practiced by men who suffer from premature ejaculation.


Hypnosis has been proven to be an effective method. Studies say that ejaculation is a subconscious act and, therefore, hypnosis sessions serve to make the erection last longer. The men taking part in the treatment said there was a significant improvement after they started treatment.

Sex therapy

Sex therapy is the act of masturbating a while before sexual intercourse, to make the erection last longer during sex. Discovering other sources of pleasure, in addition to penetration, is a good way to guarantee extra time and take the pressure off man.

”Starts and stops” method or penile exercises

This method consists of stimulating the man sexually until he feels that he is almost reaching orgasm. When he feels this, the stimulation should be stopped for 30 seconds. After that time, it must be started again. Thus, orgasm is delayed until the moment of ejaculation.

Grip Technique

The technique is very similar to the start and stop method. After stimulation and the feeling that ejaculation is close, it is recommended to stop and gently squeeze, for several seconds, the final part of the penis (where the glans meets the axis).

That done, stop for 30 seconds and return to penetration or masturbation until orgasm comes. This technique can be done several times and, generally, the man waits for his partner or partner to also reach orgasm so that, yes, he can also ejaculate.

Drug treatment

The last treatment is done with drugs that prolong ejaculation. Antidepressants can be used, as well as anesthetic ointments to decrease sensitivity.

The drugs indicated for premature ejaculation patients are:

  • Clomipramine ;
  • Anafranil .

The doctor should always be consulted before these drugs are used. The self-medication can cause serious health problems to patients. It is recommended to follow the instructions in the package insert.

Treatment with specific foods

There are some foods that can help in the treatment of premature ejaculation. Milk, eggs and derivatives are indicated, as they can bring the feeling of happiness, causing the body to relax.

Spinach also helps, as it is an ally to fight anxiety. The same occurs with citrus fruits that, in addition to reducing anxiety, bring a sense of well-being to the entire body.

Tantric massage

In this type of massage, the patient is relaxed and encouraged to control ejaculation. The masseuse makes light movements on the penis, perineum, testicles and other erogenous regions.

Increase foreplay time

Increasing the time of foreplay is a way to excite the woman and ensure more time in bed, since there is no penetration. Performing this activity also allows the woman to reach orgasm more quickly.


Exercising the pelvic floor muscle, known as CP, is another way to treat premature ejaculation. Exercise should be done when urinating. It consists of trying to interrupt the pee for 5 seconds. When you are able to control your urine, you can also control your orgasm.


Asparagus milk, white onions, wild yam, passion flower and clove tea are herbs that can help in the treatment of PE. Drinking clove tea twice a day can bring good results.

Decrease smoking, alcohol intake and drug use

There are studies that claim that cigarettes, alcohol and drugs also affect premature ejaculation and erection. By reducing the consumption of both products, a better performance of man can be guaranteed.


NEVER self-medicate or stop using a medication without first consulting a doctor. Only he will be able to tell which medication, dosage and duration of treatment is the most suitable for his specific case. The information contained on this site is only intended to inform, not in any way intended to replace the guidance of a specialist or serve as a recommendation for any type of treatment. Always follow the instructions on the package insert and, if symptoms persist, seek medical or pharmaceutical advice.

Natural treatment for premature ejaculation: how to solve it?

All disorders or dysfunctions of the organism must be treated and monitored by specialist doctors. Thus, treatment should always consist of methods to alleviate the problem.

One of the natural or non-pharmacological possibilities to solve or reinforce the treatment of premature ejaculation is through relaxation or care for mental health . This is because dysfunction is also closely associated with emotional and mental factors.

Having conversations and a good relationship with the partner, finding relaxing therapies, avoiding sex on very tiring days (physically and mentally) can be effective options.

In addition, ways to relax are very diverse and can be done at home, such as using teas, massages and even leisure activities.

Physical exercise and good nutrition also play an important role in the treatment.


Premature ejaculation does not pose any health risks, but shyness and complications in life together can occur due to the problem. PE can also bring problems in relation to fertility. In some cases, treatment is necessary to get pregnant.

How to live with the problem?

Men suffering from PE must perform the techniques taught above in order for ejaculation to slow down. If this has no effect, it is necessary to consult the psychiatrist or psychologist, as the problem must be depression or anxiety.

How to prevent premature ejaculation

A good way to avoid the problem is to maintain a sincere relationship with your partner, with conversations on the topic and adaptation to techniques. The problem can be reduced, there is no exact formula to prevent premature ejaculation, but there are techniques that can help, such as:

  • Use a condom so that the sensitivity of the penis is greater;
  • Control anxiety;
  • Practice the techniques indicated in the treatment;
  • Change the sexual position you are used to using.