What Exactly is Premature Ejaculation?

Premature ejaculation (PE) occurs when a man ejaculates sooner than desired during sex, typically within a short time, often less than 2 to 3 minutes.

Occasional PE is also referred to as rapid ejaculation, premature climax, or early ejaculation. While occasional PE may not raise concerns, it can be frustrating if it affects sexual enjoyment and relationships. If it happens frequently and causes issues, consulting a healthcare provider is recommended.

Premature Ejaculation and Erectile Dysfunction (ED)

PE can sometimes be a challenge for men experiencing erectile dysfunction (ED), where they struggle to achieve or maintain a firm erection for intercourse. Since an erection fades after ejaculation, differentiating between PE and ED can be tricky. Treating ED first is usually advised because resolving ED might also ease PE concerns.

How Does Premature Ejaculation Work?

Premature Ejaculation is the quick and pleasurable release of semen from the penis. It’s controlled by your brain, specifically the central nervous system. When you’re sexually stimulated, signals travel from your spinal cord to your brain. Once you reach a certain level of excitement, your brain sends the signal to your reproductive organs, prompting them to release semen through the penis (ejaculation).

There are two main phases of ejaculation:

Phase 1: Emission

During emission, sperm moves from the testicles to the prostate gland. There, it mixes with other fluids to form semen. The tubes called vasa deferentia help transport sperm from the testicles to the prostate. (When referring to just one of these tubes, it’s called a vas deferens.)

Phase 2: Expulsion

Expulsion happens when muscles at the base of the penis contract, pushing semen out of the penis. Ejaculation and orgasm (climax) often happen simultaneously. Some men may have a climax without ejaculating. Generally, erections subside after this phase.

What are the Causes & Symptoms of the Premature Ejaculation?

The exact causes of quick ejaculation or premature ejaculation (PE) aren’t fully understood, but several factors could contribute to it. These include biological, chemical, and emotional reasons. Here are some specific causes:

  • Serotonin: This natural substance in your body affects mood, emotions, sleep, and sexual desire. High levels can delay ejaculation, while low levels may lead to PE.
  • Psychological Issues: Mental health issues like depression, anxiety, stress, guilt, unrealistic expectations about sex, lack of confidence, or past sexual repression can be linked to PE. Addressing these emotional problems can often help.

The main symptom of PE is the inability to delay ejaculation for more than three minutes after penetration. It can happen in all sexual situations, including during masturbation.

PE can be categorized as lifelong (happening almost every time from the first sexual encounter) or acquired (developing after previously not having ejaculation issues).

Many people may feel they have symptoms of PE, but these symptoms may not fully meet the criteria for diagnosis. Experiencing early ejaculation occasionally is common.