Premature ejaculation

Medically Reviewed by Dr Sravya, MBBS, MS 


Male sexual dysfunction that is quite common is premature ejaculation (PE). Although the exact incidence of the disorder is unidentified independent of age or race, it may affect as many as 20–30% of males.

Increase ejaculation time

Early ejaculation may affect a patient’s mental and emotional well-being as well as their interpersonal connections with spouses and/or partners. Despite this, there remains a therapeutic need unfulfilled since this aspect of male sexual wellness is typically disregarded.

As a result, physicians must first inquire about the patient’s sexual history. However, a thorough medical history, psychiatric history, and physical exam are frequently required to provide context for the PE and to examine possible causes of obtained PE.

Accurately managing the beginning of suitable therapy or altering ongoing treatment depends on having a clear knowledge of the patient’s expectations for therapeutic results. Establishing genuine therapy goals with the patient is the most effective way to do this.

Table of Contents

Solutions for Patient Management and Increase ejaculation time

1) Control of ejaculatory function by serotonin (5-HT)

2) Cognitive behavioural therapy

3) Additional Proposed Pharmacological Management Solutions

4) Psychological and Psychosexual Therapy

5) Counseling for premature ejaculation

Causes of premature ejaculation


In conclusion, early ejaculation is a frequent sexual disorder that can have a considerably negative effect on a person’s quality of life and personal relationships. It is characterized by an inability to regulate ejaculation, which causes it to occur during sexual activity earlier than planned. There are a variety of psychological and physical causes for this illness.

While early ejaculation can be unpleasant and frustrating, it’s vital to remember that there are effective management and coping mechanisms for this problem. In addition to counseling and therapy, behavioral strategies like the squeeze technique can assist people improve their ejaculatory control and handle any underlying psychological issues like performance anxiety.

Medical therapies, such as topical anesthetics, oral drugs, and even off-label usage of some antidepressants, can be administered by healthcare practitioners to postpone ejaculation and enhance sexual pleasure in situations where psychological measures are insufficient.