Premature Ejaculation

What is premature ejaculation?

Ejaculation is commonly called premature, or too fast, if a man has an orgasm before or within a few minutes after entering his partner. It is a problem only if it prevents a couple from having sexual experiences that are satisfying for both partners.

About one third of American men are not able to control the timing of their ejaculations. This problem is more likely to affect younger men. It is less common as men get older. However, some men may struggle with this problem into old age.

How does it occur?

Many mental and physical factors affect the timing of orgasm. Examples of mental factors are guilt, anxiety, fear, and excitement. Physical factors include the intensity of sexual arousal and the sensitivity of the skin of the penis.

Infrequent sex also affects control. A man with normally good control may reach orgasm quickly after a long time without sex. Premature ejaculation is also common the first few times a man has sex with a new partner. Medical problems are rarely a cause.

How is it treated?

Many men can learn to control their ejaculation. Men with good control can enjoy a long period of sexual arousal before choosing to ejaculate. This means learning how to control the various factors affecting the timing of orgasm.

Men with concerns about premature ejaculation should seek help from a health professional who has training and experience in treating sexual problems. The healthcare provider or therapist can suggest ways to lengthen the time between sexual arousal and orgasm. For example, a man might change the usual thoughts and fantasies he has during sex. Also, learning and practicing the "start-stop" or "squeeze" techniques can help.

In rare cases your healthcare provider may prescribe medicines that help prevent premature ejaculation.

To learn more, ask your provider or a sex therapist for information. Check with your State Board of Mental Health or State Board of Healing Arts for specialists in this area.