Early Ejaculation
Premature ejaculation (PE) is a frequent sexual dysfunction that happens when a man ejaculates (releases semen) during sexual activity before he wants to and before he would like to, generally before or soon after penetration. This may have a detrimental effect on sexual relationships as well as both partners' general enjoyment and well-being.

Key points to understand about premature ejaculation include:
1. Time Frame: PE is generally defined as ejaculating within one minute of penetration or before both partners desire it to happen. However, there is no strict time limit, and what constitutes "premature" can vary from person to person and situation to situation.

2. Causes:
Psychological Factors:
Anxiety: Performance anxiety, particularly in new sexual situations or with a new partner, can lead to PE. Fear of not satisfying one's partner can create stress and nervousness, which can exacerbate the issue.
Stress: High levels of stress, whether related to work, personal life, or other factors, can interfere with sexual performance and contribute to PE.
Relationship Issues: Conflicts, communication problems, or unresolved relationship issues can affect sexual performance and contribute to PE.
Depression: Depression can affect sexual function in various ways, including causing PE.

Biological and Physical Factors:
Hypersensitivity: Some men have a heightened sensitivity in their genital area, making them more prone to quick arousal and ejaculation.

Abnormal Hormone Levels: Hormonal imbalances, such as low levels of serotonin, may contribute to PE.

Prostate Issues: Certain prostate conditions, such as prostatitis or an enlarged prostate, may affect ejaculation control.

Neurological Factors: Conditions affecting the nervous system, such as multiple sclerosis, may interfere with ejaculation control.

Behavioral Factors:
Masturbation Habits: Frequent or rushed masturbation practices may train the body to ejaculate quickly, leading to PE during partnered sex.

Infrequent Sexual Activity: Lack of sexual activity or infrequent sexual encounters can result in heightened excitement and quicker ejaculation when sexual opportunities arise.

Medications and Substance Use:
Some medications, especially those affecting the central nervous system, can influence ejaculation control.

Substance abuse, such as alcohol, tobacco, or illicit drugs, may contribute to PE.

Medical Conditions:
Certain medical conditions, such as diabetes, high blood pressure, or heart disease, can affect blood flow and nerve function, potentially contributing to PE.

3. Primary vs. Secondary PE: Primary PE refers to lifelong premature ejaculation, which has been a problem since a person's first sexual experience. Secondary PE develops later in life and can be triggered by factors such as stress, relationship problems, or other underlying health issues.

4. Symptoms of Premature Ejaculation:
The primary symptom of premature ejaculation (PE) is the consistent and recurrent inability to delay ejaculation during sexual activity, resulting in ejaculation occurring sooner than the individual or their partner desires. While the core symptom is timing-related, PE can manifest in several ways, and individuals may experience additional emotional or psychological symptoms associated with their condition.

Here are some common symptoms and characteristics of PE:
Ejaculation Occurs Quickly: The hallmark symptom is that ejaculation typically occurs within one minute of penetration or even before penetration in some cases. This rapid ejaculation happens consistently over time, distinguishing it from occasional instances of early ejaculation.

Lack of Control: Individuals with PE often feel a lack of control over their ejaculation. They may describe feeling unable to delay or hold back their climax, regardless of their efforts.

Frustration and Distress: PE can lead to frustration, embarrassment, and distress for both the person experiencing it and their sexual partner. These negative emotions can, in turn, exacerbate the issue.

Relationship Strain: PE can strain intimate relationships, as it may lead to dissatisfaction and tension between partners. Communication problems and feelings of inadequacy can arise.

Anxiety and Performance Pressure: The fear of experiencing PE can create anxiety and performance pressure, which can further contribute to the problem. This anxiety can become a self-fulfilling prophecy, making PE worse.

Avoidance of Sexual Intimacy: Some individuals with PE may start avoiding sexual activity altogether to prevent the embarrassment and disappointment associated with rapid ejaculation.

it's essential to remember that occasional instances of quick ejaculation do not necessarily indicate PE. PE is diagnosed when these symptoms occur consistently and cause distress or problems in the individual's sexual life. If you suspect you have PE or are experiencing these symptoms, it's advisable to seek guidance from a Sexologist.

Dr. Vinod Raina, Best Sexologist in Delhi
Address: E-34 Ekta Apartment Saket, New Delhi-110017
Contact: 7687878787, 9871605858