Premature Ejaculation

Premature ejaculation is the phenomenon of abnormality in ejaculation occurring in men when the semen is released or ejected from the penis early without fulfilling the desires. It is a common problem in sexually active men due to various physical and mental health issues.

Diagnosing Premature Ejaculation

  • 1. To diagnose premature ejaculation, health care providers ask for health history and sex life. 
  • 2. There can also be a physical examination if problems are related to ejaculation and keeping the erection. 
  • 3. A blood test can also be done to check for the appropriate hormonal levels.

How can one Treat Premature Ejaculation?

Treating premature ejaculation includes behavioural techniques, exercises, counselling, and medications.

Behavioural Techniques 

Simple changes in behaviours like going for masturbation before intercourse. This technique has proven to delay ejaculation while having sex with a partner.


Pelvic floor exercises or Kegel exercises make the muscles strong enough to have control over them. Finding the muscles of the pelvic floor to have strength by stopping urination. Exercise those muscles that help you in keeping gas from passing out. The exercise must be done regularly in patterns to have perfection over it.

Pausing and squeezing technique

The technique wherein the penis is stimulated and the male has complete sexual arousal that is entirely ready to ejaculate is stopped by squeezing the penis head. The squeeze is kept for some seconds to diminish the urge of ejaculation. This is repeated to practice until there is no need for such a technique to treat premature ejaculation.


Condoms of thicker latex make the penis slightly less sensitive, which eventually delays ejaculation. There are specially designed climax control condoms with benzocaine (a numbing agent) coating to delay ejaculation.


Numbing gels, creams, and sprays like prilocaine, benzocaine, and lidocaine are used to treat premature ejaculation. They are topical treatment options to be applied for 10-15 minutes to allow delayed ejaculation.

Oral medications approved by FDA include  

Antidepressants like SSRIs, for example; 

  • 1. Paroxetine (examples are Paxil, Pexeva, Brisdelle)
  • 2. Escitalopram (Lexapro)
  • 3. Citalopram (Celexa)
  • 4. Sertraline (Zoloft)
  • 5. Fluoxetine (Prozac)

Pain relievers like 

  • 1. Tramadol (examples are Ultram, Conzip, Qdolo)

PDE 5- inhibitors (Phosphodiesterase-5 inhibitors) like 

  • 1. Sildenafil (Viagra)
  • 2. Tadalafil (Adcirca)
  • 3. Avanafil (Stendra) 
  • 4. Vardenafil


  • 1. Counselling about relationship problems with a mental healthcare expert to reduce anxiety and stress. The combination of counselling and drug therapy works best for treating such premature ejaculation problems. 
  • 2. To get back sexual intimacy and closeness with the sexual partner, talk about the problem, and solve the relationship.

Causes of premature ejaculation 

  • 1. Psychological causes
  • 2. Psychological factors leading to premature ejaculation include:
  • 3. Early experiences in sex
  • 4. Sexual abuse
  • 5. Poor body 
  • 6. Depression
  • 7. Overthinking and worrying before intercourse cause premature ejaculation
  • 8. Guilty feelings 

Other factors: 

  • 1. Erectile dysfunction
  • 2. Anxiety
  • 3. Relationship problems

Biological causes

  • 1. Abnormal hormone levels
  • 2. Irregular chemical messengers
  • 3. Swelling
  • 4. Infection 
  • 5. Inherited traits

Foods to cure premature ejaculation


Oysters with high vitamin B6 content and zinc help increase the hormone testosterone production to eventually solve sexual dysfunction in men and deal with premature ejaculation.


Chillies help in dilating blood vessels to enhance blood flow. Therefore, they are solving the problem of premature ejaculation to increase blood flow in penile vessels.


Caffeine in coffee boosts metabolism and increases blood circulation in the entire body, thereby treating premature ejaculation.


Pork has vitamin B1 enrichment to improve erectile functioning by strengthening nervous functioning. 


Onions and Garlic help in thinning blood, which is good for the circulatory system’s health. Thus, improving premature ejaculation.


The fish is rich in healthy fatty acids called Omega-3 fatty acids, which prevent blood clotting in the arteries and veins. Trout, mackerel, and fresh tuna are some other examples of omega-3 fatty acids to treat ejaculation prematurely. 

Oranges and bananas

Fruits rich in potassium help in maintaining sodium levels as well. They keep blood pressure regulated at a normal range. 

Frequently Asked Questions

How long does premature ejaculation usually last?

Premature ejaculation in men only lasts for one to 1.5 minutes or less. This ejaculation time is far less in ordinary men; according to studies, they last for almost 8-10 minutes.

What is the leading cause of premature ejaculation?

  • 1. Physical problems
  • 2. Chemical imbalances
  • 3. Emotional problems
  • 4. Psychological factors

How do I know if I have premature ejaculation?

Unable to delay ejaculation for at most minutes in the penetrative sex. 

Is premature ejaculation normal?

Yes, an occasional premature ejaculation is always considered a normal physiological phenomenon under certain stress conditions. 

What is premature ejaculation time?

According to international guidelines, premature ejaculation lasts about 5-6 minutes. This is different from premature ejaculation as it lasts only for about a minute.

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