Understanding Premature Ejaculation

In the U.S., about 1 in 3 men 18 to 59 years of age have problems with PE. The exact cause of PE is not known, but the brain chemical serotonin may play a role. High amounts of serotonin increase the time to ejaculation. Low amounts can shorten the time to ejaculation, and lead to PE.

Psychological factors such as anxiety, guilt, or depression can contribute to PE. In some cases, PE may be related to a medical cause such as hormonal problems, injury, or a side effect of certain medicines.

Psychological therapy, behavioral therapy and drugs are the main treatments for PE. You can talk with your health care provider to decide which is best for you. More than one type of treatment may be used at the same time.

• Behavioral therapy uses exercises to help build tolerance to delay ejaculation. The goal is to help you train your body away from premature ejaculation.

• Psychological therapy may help. The goal of therapy is to learn the source of problems and find solutions that may end PE. It can also help couples learn to grow closer. Psychological therapy can help you become less nervous about sexual performance. It can also g ive you greater sexual confidence and understanding to improve your partner’s satisfaction.

• Medical therapy. No drugs have been approved in the United States to treat PE. Still, there are some numbing creams or sprays that have been shown to slow ejaculation in men with PE.

With the simple techniques listed above, about 95 out of 100 men will recover from PE. There is no way to promise recovery, but learning how to relax helps. If the problem remains, continue to work with your health care provider to find solutions. ​​​​​​​