What is Premature Ejaculation?

Premature ejaculation is a kind of sexual dysfunction in men where orgasm or ejaculation is achieved before or just after the start of intercourse. International guidelines describe premature ejaculation as an ejaculation that regularly occurs within 1 minute of intercourse. It leaves the partners unsatisfied and frustrated and can affect relationships in long term.

How common is Premature Ejaculation?

You would find relief in the fact that you are not alone; premature ejaculation is the most common sexual dysfunction problem that men face. It is estimated that about 30% to 40% of men suffer from premature ejaculation.

What are the different types of Premature Ejaculation?

There are two types of premature ejaculation:

  1. Primary/Lifelong premature ejaculation: It is a condition where the problem of premature ejaculation was always present, right from the first intercourse.
  1. Secondary/Acquired premature ejaculation: This is the kind of premature ejaculation that has manifested itself later in life. Earlier, the person had successful sexual intercourse without any ejaculatory problems.


When should you consult a doctor?

Many men feel that they suffer from premature ejaculation even if they experience it a few times, but this does not meet the diagnostic criteria. You need to consult a urologist if you are experiencing this issue almost every time.

You might feel uncomfortable talking about your personal issues with the doctor, but you need to understand that he is a professional who can help resolve your problems. Moreover, premature ejaculation is a curable condition, so you must seek treatment for the same. You can seek consultation from the expert urologists and sexologists at  Dr. Monga Medi Clinic who have experience of 75 years in treating sexual dysfunction issues and have been conferred with “The Best Sexologist Doctor in Delhi NCR”.

What are the causes of premature ejaculation?

The reason behind premature ejaculation can be either psychological or biological. Let’s have a look at them:

Biological causes:

  • Abnormal hormone levels such as oxytocin, luteinizing hormone (LH), thyroid-stimulating hormone (TSH), or prolactin.
  • Low levels of neurotransmitters (chemicals released by the brain) such as dopamine or serotonin that are responsible for sexual stimulation.
  • Extra sensitivity of penis towards any stimulation.
  • Men suffering from erectile dysfunction have a tendency for premature ejaculation.
  • Infection or inflammation of the prostate gland or urethra.
  • Family history (genes).

Psychological Causes:

  • Performance anxiety. Could be due to prior unpleasant sexual experiences, suffering from ED, or stress of performing with a new partner. 
  • Low self-confidence and poor body image.

How is premature ejaculation diagnosed?

A physician does a physical examination and will ask you some questions to diagnose if you have premature ejaculation.  The questions that your doctor can ask you are:

  • Since when you have been getting the symptoms of PE?
  • How often does it happen?
  • Does it also happen with different partners?
  • How is your relationship with your partner?
  • Do you suffer from erectile dysfunction?
  • How much is your alcohol intake?

Lab testing is only suggested if there are any abnormalities found during the physical exam or you have an underlying diagnosis of erectile dysfunction, in order to rule out any other undiagnosed chronic medical conditions like diabetes, hypertension, thyroid abnormalities, etc.

Do not get misled by quacks and get a proper diagnosis and safe treatment by expert and trusted andrologists and sexologists at Dr. Monga Medi Clinic.

What is the treatment for premature ejaculation?

Treatment for your premature ejaculation depends upon the cause of your symptoms.

Medical Therapy:

 If your physician identifies any biological reason for your PE, your treatment options can be:

  • Antidepressants: Though not conventionally approved by FDA for treatment of PE, some antidepressants do provide relief with the symptoms, but they should be used only under medical supervision.
  • Anesthetic creams and sprays: They are applied topically on the head and shaft of the penis and are left for 10 to 30 minutes to decrease the sensitivity of the penis and thus delay ejaculation. You must, however, remember to wash it off before sex to prevent numbing the vagina.
  • Erectile dysfunction medications: ED and PE are often closely associated, thus erectile dysfunction medications such as Viagra (sildenafil), Cialis (tadalafil) are also used to relieve premature ejaculation, especially in men who also have a diagnosis of ED.

Psychological Therapy:

If the underlying cause of your PE has been identified as psychological, then psychosexual counseling is very helpful. Though it might take some time, it is important to keep some patience as it will resolve your issues.

You can talk to expert sex counselors at Dr. Monga Medi Clinic and discuss your problem without any hesitation as maintaining your privacy is the commitment of doctors here. Through one-to-one counseling, the psychologists will help you address your anxiety, stressors, and analyze and give advice about your relationship with your partner.

Self-Help Therapy:

There are certain remedies that you can do yourself at home and improve your symptoms of premature ejaculation:

  • Practice regularly Kegel exercises to strengthen your pelvic floor muscles. These are the muscles which you use to hold your urine or passage of gas. Hold these muscles tight for 3 seconds and then release for 3 seconds. Do 10 repetitions of these about 3 times a day.
  • Wear a condom. This will reduce the excessive sensitivity of the penis and help delay ejaculation.
  • Practice the “start and stop” method where the penis is stimulated until you feel you are reaching orgasm. Stop at that point until the feeling passes away. Start the stimulation again. Do this 3-4 times and prolong the ejaculation time.
  • Some men feel that masturbating 1-2 hours before the sexual encounter also delays the ejaculation time.

How can Dr. Monga Clinic help patients with premature ejaculation?

It is always recommended to seek solutions for your sexual problems only from an authorized and trusted andrologist/sexologist. It can be very dangerous to go to quacks who make big false promises and render unscientific and unsafe treatments. At Dr. Monga Medi Clinic you can be assured of ethical practices. They have been serving patients for the past 75 years in resolving their sexual dysfunction issues with their knowledge and expertise. At Dr. Monga Medi Clinic, you will get:

  • Individualized treatment plan made just for you after understanding the root cause of your problem and your treatment needs after thorough one-to-one counseling sessions and diagnosis.
  • An amalgamation of Modern Medicine and authentic Ayurvedic treatment through the hands of Integrated Medicine specialist, Dr. Yuvraj Monga, who has also been honored as “The Best Sexologist Doctor in Delhi NCR”.
  • Comprehensive treatment, including ayurvedic medicines and procedures, modern medicines, diet, lifestyle changes, and sexual health counseling.
  • All procedures, surgeries, and treatments are done through the latest and modern equipment, with the implementation of all sanitization protocols.
  • Affordable, yet the best treatment is given.
  • Complete privacy and anonymity are assured.
  • Consultations and regular online follow-ups through Telemedicine are also available.

Frequently Asked Questions (FAQs)

What is the ejaculation time that is considered premature ejaculation?

If ejaculation regularly happens before or just at the start of sexual intercourse within 1 minute, it is termed premature ejaculation. Regardless of the time, if the person does not have any control over his ejaculation, and it leaves both the partners unsatisfied, it is also considered premature ejaculation.

Does premature ejaculation cause infertility?

PE is not a direct cause of infertility, but the female can have difficulty conceiving if ejaculation occurs before proper penetration.

What is sex therapy?

Sex therapy is a counseling therapy, wherein the patient is explained about the science behind erection, ejaculation, and other sexual functions so that the patient understands the cause of his problem, which instills trust in the treatment and helps in the early resolution of symptoms. The sex therapist also gives simple tips which can be followed for better and more successful sexual intercourse.  Because sexual issues are not discussed openly in our society, people develop several misconceptions. The sex therapist provides the correct information and tells about the myths and facts.

Can any specific diet help in premature ejaculation?

Yes, there are expert dietitians at Dr. Monga Medi Clinic who can guide you about the foods that help in premature ejaculation.