Premature ejaculation (PE) is the lack of control a man has over ejaculation. It is the most common sexual concern reported by Australian men. PE can occur during foreplay, on insertion, or shortly after penetration.
Symptoms
The main signs of premature ejaculation include:
- Ejaculation taking place in next to no time — usually within 1-3 minutes after vaginal penetration
- Inability to control ejaculation before or after penetration
- Distress and frustration about lack of control
- Avoidance of sexual intimacy because of the issue
Common Causes
Premature ejaculation can have a variety of causes — many of them psychological:
- Early sexual experiences — conditioning that may persist into adulthood
- Rushing during intimate moments — e.g. fear of being caught
- Relationship difficulties and emotional strain between partners
- Frustration, emotional stress, or depression
- Sexual abstinence over long periods
- Performance anxiety
- Hormonal imbalances or oversensitivity
Impact on Relationships
PE often causes distress and emotional tension between a man and his partner. It can lead to anxiety, avoidance of intimacy, and over time may affect the stability of a relationship. Recognising PE as a treatable condition is the first step toward improving things.
Treatment
The most effective approach is to seek professional medical guidance — either from your GP or a sexual health specialist. Several treatment options exist, including:
- Behavioural techniques (start-stop, squeeze method)
- Topical anaesthetics
- Oral medications
- Counselling or sex therapy
- Treating any underlying conditions, including erectile dysfunction
PE and ED Often Co-Occur
Premature ejaculation and erectile dysfunction often appear together. Some men rush to ejaculate because they fear losing their erection. Treating ED with medication like sildenafil (the active ingredient in Kamagra) can sometimes help with PE indirectly by reducing performance anxiety.
This information is provided for general education only and is not a substitute for medical advice. Please consult a healthcare professional for diagnosis and treatment.