Premature Ejaculation and Steps to Treat It
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Premature Ejaculation and Steps to Treat It

Written by 
Dr. Mir Osman Ali
 and medically  reviewed by Dr. Chithranjali Ravichandran

Education: MBBS

Professional Bio:

Dr. Mir Osman Ali is a General Practitioner and a Family Physician with nine years of clinical experience. He completed his MBBS from the Deccan College of Medical Sciences in 2014. He specializes ... 

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Published on Apr 27, 2017 and last reviewed on Sep 16, 2023   -  3 min read


Early ejaculation during sex affects the sexual needs of both partners. Read the article below to learn more about it.

Premature Ejaculation and Steps to Treat It

The definition or explanation about premature ejaculation is a little bit complex. In simple term, it is a condition in which one sexual partner achieves orgasm earlier than the other. There is no standard time period to define premature ejaculation.

For example, a male may climax in 10 minutes but the female usually climaxes around five to six minutes approximately. If both are satisfied then it is not considered as premature ejaculation. If the male prolongs ejaculation up to 15 to 20 minutes but the female usually requires 30-35 minutes including foreplay for orgasm then in this case male can be considered for premature ejaculation. This may be premature or normal for the male. As such arbitrary definition exists in this matter.

Definition of Premature Ejaculation:

Let us see the definition by Society for Sexual Medicine.

  • Ejaculation that always or nearly always occurs before or within one minute of vaginal penetration from the first sexual experience is considered as lifelong premature ejaculation.
  • If there is clinically significant or bothersome reduction in latency time, often to about three minutes or less then it is considered premature ejaculation that is acquired during life time.

Causes of Premature Ejaculation:

The most important causes include,

  1. Inability to delay ejaculation on all or nearly all vaginal penetrations.
  2. Stress factors such as negative distress, bother, frustration or intimacy issues also play an important role.
  3. Performance anxiety about sex and other associated psychological problems like depression.
  4. Bad family history, previous relationship experience and bad memories of early sexual experiences like trauma.
  5. Asexual feelings that is in short staying neutral.
  6. Considering the effects of marital and non-marital sex and its associated social issues or taboos.
  7. Less involvement of female partner in intimacy or negative sexual response or feedback from the partner.
  8. Erectile dysfunction or inability to develop erect penis.
  9. Lack of knowledge about sex.
  10. Addiction of drugs, substance of abuse, alcohol, etc.


Some laboratory tests can be conducted such as serum testosterone levels (free and total), serum prolactin levels and psychological evaluation.


Steps to Manage Premature Ejaculation:

  • Relieve anxiety as much as possible.
  • Practice Master and Johnson technique (stop-start technique), in which stop sexual feel just before ejaculation. After some time start your stimulation again and repeat the procedure.
  • Also one can follow squeezing technique to pause ejaculation by placing the thumb and forefinger between the lower shaft of penis and tip of the penis. Squeeze it gently to subside the ejaculation. After this continue the act.
  • Give a second attempt as second attempts tend to be longer than first one.

These measures are effective in most patients. If you still feel the need then contact a sexologist. Conversely, one can get online doctor prescription for premature ejaculation since doctors prescribe certain medications.

The next step to gain further knowledge is to consult a sexologist online -->

Frequently Asked Questions


What Causes Fast Ejaculation?

Premature ejaculation may be caused due to physical problems, chemical imbalances, as well as psychological problems like childhood sexual traumas. However, there may be other health problems causing premature ejaculation.


What Can Be Done to Cure Premature Ejaculation?

Some steps can be taken to deal with premature ejaculation:

- Using a thick condom.

- Masturbating 1 to 2 hours before sex.

- Taking deep breaths to control ejaculatory reflex.

- Taking breaks during sex.

- Distracting thought.


What Is the Time Period of Premature Ejaculation?

Ejaculation less than 1 to 1.5 minutes after penetration has been considered premature ejaculation. The average ejaculation time is anywhere between 3 minutes to 7 minutes.


Is It Normal to Have Premature Ejaculation?

Occasional premature ejaculation may be considered normal, but frequent incidents may indicate any underlying problem. It is best to seek medical advice if frequent episodes of premature ejaculation are experienced.


What Can Be Done to Permanently Cure Premature Ejaculation Naturally?

To prevent premature ejaculation, one can:

- Use vitamin and mineral supplements.

- Masturbation.

- Squeeze technique.

- Stop-start method.


Which Medicine Makes Sex Last Longer?

Some FDA-approved medicines like Sildenafil, Avanafil, Tadalafil, and Vardenafil can improve sexual performance.


Is It Possible for Premature Ejaculation to Affect Relationships?

Premature ejaculation can affect relationship satisfaction as sexual gratification is an important part of a relationship for both partners. The condition may also discourage men from forming new relationships, affecting their mental and psychological health.


Is It Possible to Overcome Premature Ejaculation?

There is no permanent cure for premature ejaculation. Over time, men identify their problems and learn to control ejaculations by various means. In other cases, any health issue that may be causing premature ejaculation can be treated with the help of medical aid.


Is It Possible for Premature Ejaculation to Become Permanent?

Premature ejaculation is not permanent and tends to improve on its own. Men also learn to control and delay ejaculation during sexual intercourse.


How to Be Mentally Prepared to Avoid Premature Ejaculation?

To prepare mentally to prevent premature ejaculation, a man can:

- Practice the start-stop technique.

- Develop mindfulness of the process.

- Distracting thoughts.


How Effective Is the Squeeze Technique?

The squeeze technique, basically, is when a man is close to ejaculation and squeezes the area where the head of his penis, or glans, joins the shaft for 30 seconds. This contracts the muscle involved in ejaculation and erection, suppressing the urge to ejaculate and allowing for longer sex.


Is It Possible for a Tight Pelvic Floor to Cause Premature Ejaculation?

It is rather the opposite; a strong pelvic floor can delay ejaculation and even double the time. Stronger muscles give better control over the pelvic floor muscles that are active during the entire ejaculatory phase.


How Effective Are Squats in Curing Premature Ejaculation?

Squats, especially front squats, help in strengthening the pelvic floor muscles, which can greatly improve premature ejaculation times.

Last reviewed at:
16 Sep 2023  -  3 min read

Dr. Mir Osman Ali

Dr. Mir Osman Ali

General Practitioner


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