- Definition: Premature Ejaculation (PE) is the involuntary release of semen during sexual intercourse, occurring earlier than desired by the individual or couple.
- Prevalence: Affects approximately 20-30% of men worldwide.

Types of Premature Ejaculation

- Primary PE: Lifelong condition, present since first sexual experience.
- Secondary PE: Acquired condition, developed after a period of normal sexual function.
- Variable PE: Intermittent or situational PE.

Causes of Premature Ejaculation

- Physical Causes:
- Neurological disorders (e.g., multiple sclerosis, Parkinson's disease)
- Hormonal imbalances (e.g., thyroid disorders)
- Prostate or urethral inflammation
- Erectile dysfunction
- Psychological Causes:
- Anxiety
- Depression
- Stress
- Relationship issues
- Low self-esteem
- Lifestyle Factors:
- Smoking
- Excessive alcohol consumption
- Substance abuse

Symptoms of Premature Ejaculation

- Involuntary ejaculation during intercourse
- Ejaculation within 1-2 minutes of penetration
- Difficulty controlling ejaculation
- Reduced sexual satisfaction
- Emotional distress

Diagnosis of Premature Ejaculation

- Medical history
- Physical examination
- Laboratory tests (e.g., blood tests, urine tests)
- Psychological evaluation

Complications of Untreated Premature Ejaculation

- Relationship problems
- Low self-esteem
- Depression
- Anxiety
- Decreased quality of life

Prevention and Self-Care

- Maintain a healthy lifestyle
- Manage stress
- Exercise regularly
- Practice relaxation techniques
- Communicate openly with partner

When to Seek Medical Help

- If symptoms persist or worsen
- If experiencing difficulty achieving orgasm
- If experiencing pain or discomfort during intercourse
- If experiencing relationship problems due to PE