Premature Ejaculation: Causes, Symptoms, Risks and Treatment

Premature Ejaculation: Causes, Symptoms, Risks and Treatment


By Dr. Pradeep Kolhe, Sexology

Premature ejaculation is an uncontrolled ejaculation of semen; either prior to or right after the penetration; with minimal sexual stimulation. This can be a cause of unsatisfactory sex both for both the partners involved.


Psychological Causes:

  1. Doctors are of the opinion that indulging in sexual encounters early on in life may initiate a pattern of premature ejaculation that is generally difficult to be altered in one’s later life.
  2. Anxiousness in getting an erection may lead to a habit of rushed ejaculation
  3. Anxiety, guilt and depression.
  4. Relationship issues with your partner.

Biological Causes:

  1. Abnormal hormonal levels
  2. Abnormal level of neurotransmitters (brain chemicals)
  3. Abnormality in the ejaculatory system’s reflex activity
  4. Certain thyroid disorders such as hyperthyroidism and hypothyroidism
  5. Infection and inflammation of the urethra or prostate
  6. Inherited factors and traits
  7. Nerve damage due to trauma or surgery; although its rare


The primary indication of premature ejaculation is the inability to delay semen discharge by a minimum of one minute; right after penetration or even during masturbation.


  1. If you consistently have trouble in getting or maintaining an erection, you may be at a greater risk of premature ejaculation.
  2. The risk also heightens if you suffer from performance anxiety.
  3. Stress can limit your ability to focus and relax during a sexual intercourse; the two factors that are primarily required when you indulge in lovemaking.


  1. In order to remedy this condition, one should limit his alcohol intake and abstain from smoking.
  2. Practicing certain techniques that delay ejaculation such as learning to recognize and manage those sensations which stimulate the ejaculation can help as well.
  3. Using a condom every time while having sex can help minimize the sensations experienced by the penis, thus delaying ejaculation
  4. Changing and trying out different postures while having sex can somewhat help in delaying ejaculation.
  5. Behavioral therapy or counseling can cut out anxiety that may have otherwise triggered premature ejaculation.
  6. Various AYURVEDIC formulations are extremely effective and successful. Such patients may contact AYURVEDIC doctor.