Premature Ejaculation (PE) is a common sexual dysfunction that affects many men worldwide. It is characterised by the inability to control or delay ejaculation during sexual intercourse, leading to dissatisfaction and frustration for both partners. According to the International Society of Sexual Medicine, PE is the most prevalent male sexual dysfunction, affecting up to 30% of men of all ages. However, the actual prevalence may be higher, as many men are reluctant to seek medical help for this problem.

Premature Ejaculation can be classified into two types: primary and secondary. Primary PE is a lifelong condition that occurs from the first sexual encounter and is usually associated with psychological factors such as anxiety, stress, and performance anxiety. Secondary PE, on the other hand, is a condition that develops later in life and is often due to physical or medical factors such as prostate problems, diabetes, or hormonal imbalances.

Premature Ejaculation is a common sexual dysfunction that can affect men of all ages. Despite its prevalence, many men feel ashamed or embarrassed to discuss the issue with their partners or healthcare providers. This can lead to feelings of isolation, anxiety, and even depression. In addition to the emotional impact, PE can also have a negative effect on sexual relationships. It can leave both partners feeling dissatisfied and can cause strain on the relationship. Premature ejaculation is a subjective issue and can be defined differently for each person or couple. What one person considers to be "premature" may not be the same for another. experiencing occasional premature ejaculation is not necessarily a cause for concern. However, if it is a frequent or persistent issue, it may be a sign of a more serious underlying medical condition, such as erectile dysfunction, hormonal imbalances, or neurological disorders. However, it's important to know that PE is a treatable condition, and there are effective treatment options available.

Symptoms of Premature Ejaculation

Premature ejaculation (PE) can be a distressing condition that affects the sexual health and overall well-being of men. Understanding the symptoms of PE is an important step in seeking proper diagnosis and treatment.
Men with PE may experience a range of symptoms, including physical and emotional effects including :

• Ejaculating within one minute of penetration or before desired.
• Inability to control or delay ejaculation during sex.
• Feelings of frustration, embarrassment, or shame due to early ejaculation
• Avoidance of sexual intimacy or decreased sexual satisfaction
• Relationship problems due to sexual dysfunction
• Anxiety or stress related to sexual performance

Premature Ejaculation can affect men of all ages and can be caused by a variety of factors, including psychological and physical factors. Some common psychological factors include anxiety, depression, relationship issues, and stress. 
Physical factors can include hormonal imbalances, inflammation or infection of the prostate or urethra, and certain medications. If you are experiencing any of the above symptoms and feel like they are impacting your sexual or emotional well-being, it's important to talk to a healthcare provider about possible treatment options.
 

Causes of Premature Ejaculation

​​While the exact cause of premature ejaculation is not fully understood, it is believed to be a complex interplay of psychological, biological, and environmental factors. Understanding the underlying causes of premature ejaculation can help individuals and couples address the issue and find an effective treatment option

• Psychological Factors: Anxiety, stress, and depression are some of the most common psychological factors that can contribute to PE. These can lead to performance anxiety, making it difficult to relax during sexual activity and leading to premature ejaculation.
• Hormonal Imbalances: Hormonal imbalances, such as low levels of testosterone or high levels of thyroid hormone, can also cause PE.
• Erectile Dysfunction: Men who have trouble achieving or maintaining an erection (erectile dysfunction) may develop PE as a result of the anxiety and pressure to perform during sexual activity.
• Prostate Problems: Prostate problems, such as inflammation or infection, can cause PE. This is because the prostate gland plays a role in the production of seminal fluid, which helps transport and nourish sperm.
• Inherited Traits: Some men may have a genetic predisposition to developing PE, which can be passed down through their families.
• Substance Abuse: Alcohol, drugs, and tobacco can all contribute to PE by affecting the body's nervous system and causing hormonal imbalances.

Understanding the causes of premature ejaculation is crucial for effective management and treatment of the condition. Whether it is a physical, psychological, or a combination of both, seeking professional help is the first step in addressing the issue. With the right diagnosis and treatment approach, men can regain control and improve their sexual health and overall quality of life.

At MASSH, we understand that sexual health is an important aspect of overall health and well-being, and we are committed to providing safe and effective treatment options that allow our patients to regain confidence and improve their quality of life. If you're struggling with a sexual health condition, we encourage you to schedule a consultation with us to explore your options and take the first step toward a healthier and happier you.