Conditions Basics

What is premature ejaculation?

Premature ejaculation occurs when you ejaculate semen sooner than you want to during sex. This is a common sexual problem.

What causes it?

Most cases of premature ejaculation do not have a clear cause. Premature ejaculation may occur with a new partner. It may happen only in certain sexual situations or if it has been a while since the last ejaculation. Psychological factors such as anxiety, guilt, or depression can also cause it. In some cases, it may be related to a medical problem or a side effect of certain medicines.

What are the symptoms?

The main symptom is not being able to control ejaculation during sex. It occurs sooner than the person wants, with little stimulation. This can make the person feel anxious about having sex. And it can leave one or both partners feeling frustrated.

How is it diagnosed?

Your doctor will discuss your medical and sexual history with you. A physical exam will also be done. This condition can have many causes. So your doctor may order lab tests to rule out any other medical problem.

How is premature ejaculation treated?

In many cases premature ejaculation gets better on its own over time. Treatment may not be needed.

Your doctor may recommend techniques to help delay orgasm. Counseling or behavioral therapy may help reduce anxiety related to this problem.

Antidepressant medicines are sometimes prescribed. One of their side effects may be delayed orgasm.

A doctor may also suggest over-the-counter products, such as numbing creams, gels, sprays, and wipes. These and other options, such as using a condom or a double condom, may be used to reduce feeling.