Premature Ejaculation: Symptoms, Diagnosis & Treatment

Close to 40% of the world’s male population struggles with premature ejaculation. Despite its prevalence, the societal taboo has made it difficult for men to seek and get the medical attention they need to treat the complication and have a healthy s*xual relationship.

Premature ejaculation happens when the male ejaculates early during s*xual intercourse than his partner would like. It is a type of s*xual dysfunction that affects not only a man’s s*xual relationships but also their emotional well-being.

This article will explore everything you need to know about premature ejaculation, its symptoms, and diagnosis, along with which we will share with you the premature ejaculation treatment available at Prime Purush.


Why is Getting Treatment for Premature Ejaculation Necessary?

Before we proceed to further explain more about premature ejaculation, its allied causes, and diagnosis, let us give you a brief glance through the complications.

The biggest reason we prioritize getting medical help for premature ejaculation at Prime Purush is to foster a healthy s*xual relationship between partners. The condition also takes a toll on the patient mentally, which is another reason why prioritizing proper treatment is the need of the hour.

Most men suffering from premature ejaculation live in shame, thinking they are incompetent, even to the point that it affects their s*xual well-being and libido. At Prime Purush, we prioritize early diagnosis and treatment to help our patients enjoy their s*x life again.

With that out of the way, let us walk you through everything that you need to know about Premature Ejaculation.

What is Premature Ejaculation (PE)?

Premature ejaculation, or PE, is a type of s*xual dysfunction where the male partner climaxes and ejaculates earlier than they or their partner would like.

But the question that comes next is, “What is the time frame to determine that?” According to the American Urological Association, an ejaculation is considered premature if:

  • Occurs sooner than the individual or their partner would have liked it to be
  • Occurs before or right after penetration
  • Causing distress to the individual or their partner

According to the American Psychiatric Association, premature ejaculation is divided into three types – mild, moderate, and severe. So, if we had to define it in short and simple words, most doctors consider premature ejaculation as one where the semen is ejaculated within one to three minutes of initiating s*xual intercourse.

What are the Symptoms of Premature Ejaculation?

Now that you have a brief understanding of the meaning of the disease let us understand the symptoms of premature ejaculation. The primary symptom of premature ejaculation is being unable to delay ejaculation during s*xual intercourse, leading to early semen ejaculation.

Before we discuss the symptoms of long-term or consistent premature ejaculation, let us touch base with occasional episodes of premature ejaculation.

We often encounter patients at Prime Purush who reach out to us in a panic expressing their anguish over the lack of performance in the bedroom due to premature ejaculation. However, they follow this up by saying it happens infrequently or has happened for the first time.

This is why we emphasize patient education at Prime Purush. While it’s always ideal to seek medical help when one feels there is something wrong, it is also important to note and inform the patient that occasional premature ejaculation is normal.

However, if the symptoms of PE are recurrent and affect an individual’s s*xual relationship with their partner, that’s where things require medical attention.

Now, there are two types of premature ejaculation:

Lifelong – This type of PE occurs throughout the patient’s life, where they experience the inability to prolong their orgasm or ejaculation right from their first s*xual encounter.

Acquired – This happens when the patient has a normal s*xual history but has suddenly started experiencing signs of PE.

In most cases, if you are seeking medical help for PE, remember that your doctor will ask about the symptoms, medical history, and frequency of PE. So, it is ideal to have those answers ready.


What are the Causes of Premature Ejaculation?

The causes of premature ejaculation are classified into two categories – physical and/or chemical causes and psychological causes.

Let us understand them in detail:

Physical or chemical causes include:

  • Underlying or undiagnosed erectile dysfunction issue
  • Imbalance in the oxytocin levels
  • Imbalance in luteinizing hormone or thyroid-stimulating hormone levels
  • Imbalance in serotonin or dopamine levels
  • Highly sensitive penis
  • Swelling or infection in the urethra or prostate
  • Genetic predisposition

Psychological causes include:

  • Performance anxiety (wanting to be perfect for their partner and being anxious throughout the process)
  • Stress
  • Relationship issues with partner
  • Depression

When it comes to identifying the cause of premature ejaculation, the doctor will run multiple tests to determine the hormonal levels in the body. If the condition isn’t due to any prevalent physical complication, that’s when emotional evaluation comes into the picture.

Since PE has the potential to disrupt your relationships and body image issues, it is always ideal to get help whenever needed. Seeking a doctor’s help can help you identify the cause and implement the necessary treatment to overcome the complications.

Identifying the causes and getting immediate treatment is crucial to reduce the risks of complications that come with premature ejaculation, including stress, relationship problems, and fertility problems.

How is Premature Ejaculation Diagnosed?

The first step to getting early ejaculation treatment is to get a confirmed diagnosis. Since PE can happen occasionally too, getting a diagnosis can be a little challenging at first.

At Prime Purush, the diagnosis process starts with detailed questioning better to understand our patient’s s*xual and medical history. Some of the questions that are part of the diagnosis process include asking about:

  • The duration they have been having this issue
  • Circumstances under which the patient underperforms
  • Frequency of the condition
  • Happening during every s*xual attempt with the partner
  • Happening with every s*xual partner they are being intimate with
  • Happening during masturbation
  • Issues with maintaining an erection, etc.

Once our specialists get an answer to all these questions, it becomes easier for them to diagnose the patient. Diagnosis also involves thorough blood tests to check the hormonal levels in the body, which is typically a major contributor to premature ejaculation.

We urge our patients to be as open and transparent as possible with their answers because that helps the urologists at Prime Purush provide the patients with tailored diagnoses and treatment to help them overcome complications in the long run.

How is Premature Ejaculation Treated?

Following a confirmed diagnosis, the next step is to get the best treatment for premature ejaculation. There are three primary categories of treatment available for premature ejaculation – behavioral techniques, medications, and counseling (if the cause is psychological).

So, let us get each of these treatments sorted and explained:

1. Behavioral techniques

Often, premature ejaculation is directly caused by the constant anxiety and pressure that’s laden with having s*xual intercourse with a partner.

Besides that, there’s therapy available for premature ejaculation. In this, the doctor advises the patient to masturbate around one to two hours before engaging in s*xual intercourse. Doing so might reduce the risks of premature ejaculation during the “main event.”

If your premature ejaculation is anxiety-driven, doctors during behavioral therapy might suggest abstaining from s*x for some time until complete recovery.

2. Medications

When it comes to exploring fast ejaculation treatment, the main role of medication is to delay orgasm or numb the penis to avoid an early climax during s*xual intercourse.

Some of the categories of approved and used medications for premature ejaculation include:

  • Topical numbing agents (creams and ointments) include active ingredients like benzocaine, lidocaine, or prilocaine, which delay an early orgasm and reduce the risks of premature ejaculation.
  • Oral medications include active ingredients whose main function is to delay an orgasm. Some of the most important types, in this case, include anti-depressants, pain relievers, and Phosphodiesterase-5 inhibitors. Kindly remember that these are prescription drugs, which means that your doctor will need to write a prescription for you to be able to use them.

3. Counseling

In several cases, premature ejaculation is a direct consequence of an underlying psychological complication. It could be stress, anxiety, depression, etc.

If the patient’s cause is determined to be psychological, they are referred to a mental health professional. The counseling sessions involve identifying the mental triggers contributing to premature ejaculation and finding constructive ways to overcome the issues.

Side note: Some doctors also suggest having s*xual intercourse with condoms, which makes the penis less sensitive, thereby reducing the risks of premature ejaculation.


Do Exercises Help with Premature Ejaculation?

Besides these above-mentioned treatment options, at Prime Purush, we also advise our patients to try different forms of exercises, including pelvic floor exercises.

In several cases, weakened pelvic floor muscles contribute to premature ejaculation. Hence, indulging in exercises like kegel exercises has been found to be quite beneficial.

They address the early ejaculation causes and tighten and strengthen the muscles to delay orgasm and ejaculation. You’d have to discuss your best options and the ideal treatment regime with your doctor before starting anything.

What is the Pause-Squeeze Technique, and how does it Help with PE?

The pause-squeeze technique is a procedure that helps the patient experiencing premature ejaculation to gain better control over their orgasm and be able to hold and delay it in the long run.

Here’s what needs to be done:

  • Start with the s*xual activities with your partner to a point where you stimulate your penis and edge yourself to the point of orgasm.
  • Right as you feel ready to ejaculate, you or your partner have to squeeze the end of the penis (area where the head joins the shaft). Continue squeezing it for a few seconds until you lose your urge to ejaculate.
  • Repeat this process for multiple times during s*xual intercourse.

Doing so multiple times while having s*x with your partner restores your sense of control over your orgasm and ejaculation. Over time, it becomes easier for the patient to delay their ejaculation.


  1. Is there a medical test for premature ejaculation?

The diagnosis of premature ejaculation typically involves comprehensive questioning by the urologist followed by counseling of the patient. The doctor might prescribe a few blood tests to determine the hormone levels that trigger risks of premature ejaculation.

  1. Can a urologist fix premature ejaculation?

Although speaking about premature ejaculation and other types of s*xual dysfunction is often considered taboo, it is crucial that we break down the walls and get help when needed. With proper and timely diagnosis, there is treatment available for premature ejaculation.

  1. How can I cure my premature ejaculation naturally?

Besides modern medicine and other treatment options, the best way to cure premature ejaculation naturally is by making healthy changes to one’s diet, lifestyle, and activity levels throughout the day.


Treatment for premature ejaculation is available out there, provided that you are getting the help you need. Even though discussing s*xual dysfunction, especially in men, can be a societal taboo, it is time we put them behind and get the needed help. With proper treatment, one can enjoy a healthy and fulfilling s*xual relationship with their partner.

At Prime Purush, our specialists are here to understand your shortcomings in a non-judgemental and safe environment. We understand that openly discussing such issues can be a challenge. However, we urge you to get medical help and find desired resolutions.  

Consult Now Get a Call Back

Continue with WhatsApp


Continue with Phone