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