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What Causes Premature Ejaculation?

What Causes Premature Ejaculation?

A lot of men who suffer from premature ejaculation tend to keep it to themselves. Men tend to feel embarrassed because of it, so they usually don’t bother with finding out what causes premature ejaculation, or what they can do about it.

Premature ejaculation might not be a serious health problem, but it can affect a man’s mental health. It can cause them to feel depressed, anxious, or even guilty if they suffer from this condition.

Which is why it is important for men to take premature ejaculation seriously, and to do their due diligence in trying to understand this condition.

And the best way to go about it would be to understand what causes premature ejaculation in the first place.

What is premature ejaculation?

Premature ejaculation is a condition wherein a man ejaculates sooner than he might expect. On the average, men ejaculate about 5 to 5 1/2 minutes after starting sex. For a man suffering from premature ejaculation, it happens within a minute of starting sex.

The problem with premature ejaculation is that it could potentially cause the man’s partner to feel unsatisfied with sex. If it happens constantly, it can have a negative impact on a man’s relationships.

What causes premature ejaculation?

Premature ejaculation can be caused by a number of things. Here are some of the possible causes.

Mental health concerns

It’s becoming increasingly known that a man’s mental health can have an effect on their sexual performance.

In the case of premature ejaculation, feelings of anxiety or depression can be possible causes.

In the case of anxiety, a man can feel “afraid” that he might not be able to satisfy his partner.

These feelings can sometimes cause a man to ejaculate prematurely because it’s the body’s way of dealing with the anxiety.

Depression can also have a similar effect, and both of these problems can lead to worse anxiety and worse depression.

This, in turn, can lead to a man suffering even more from premature ejaculation, or even erectile dysfunction.

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In order to avoid this cycle, it is important to get in touch with a therapist to help deal with these feelings.

There’s nothing wrong about talking about it, and finding out what you can do to prevent it from happening.


Too much stress can affect a man’s sexual performance. For one, it can cause erectile dysfunction, and it can also cause premature ejaculation.

This is because the mental strain of stress can affect a man’s ability to focus during intercourse.

What happens is that a man is unable to control himself, and can experience premature ejaculation.

Premature ejaculation can also make a man’s stress worse, which in turn leads to further cases of premature ejaculation. Just like depression and anxiety, it might be a good idea to talk to a therapist about it.

Spending some time to yourself to relax and unwind can also help. Changing some things in your workplace, or changing your work habits can also help ease stress and make it easier for you to relax.

All of these things can help prevent premature ejaculation.

Thyroid problems

Thyroid problems can also sometimes play a role when it comes to premature ejaculation. Your thyroid gland releases hormones that are responsible for regulating various bodily processes.

And when a person suffers from hyperthyroidism, or the thyroid producing too much thyroid hormones, it can affect a person’s sexual ability and cause premature ejaculation.

If premature ejaculation is caused by thyroid problems, then it would be best to consult your doctor about it.

Other possible symptoms of hyperthyroidism include nervousness, irritability, anxiety, difficulty sleeping, and fatigue.

Old age

The older a man gets, the more difficult it could be for him to perform in bed. This is especially true in the case of erectile dysfunction, which is common among older men.

However, older men can also suffer from premature ejaculation.

What causes premature ejaculation in the elderly is that they are no longer able to control or delay their orgasm, which in turn can cause them to ejaculate quickly.

This can happen even if a man has not experienced premature ejaculation while he was young.

In some cases, therapy can help deal with premature ejaculation in the elderly.

It is also possible to use certain types of creams and ointments that numb the penis, which helps prevent premature ejaculation.


Lastly, conditioning can be a possible cause of premature ejaculation. This can start while a man is still in his teens, when he tries to reach orgasm quickly when masturbating.

This could be either because he’s hiding, or he does not have a lot of time to himself.

Over time, this can condition a man to ejaculate quickly, and when he experiences actual intercourse, this can cause premature ejaculation and become a problem.

One way to deal with this would be to use a process called controlled masturbation. This is a technique wherein a man masturbates until before he reaches climax, and then stops.

This helps them identify when they might ejaculate, and helps them control their ejaculation better.

It can also help desensitize the penis, and makes it harder for a man to ejaculate.

Premature ejaculation can happen to men at any age, so it’s important to be able to discuss this with your doctor.

Not only can seeking medical attention improve sexual performance, it could also positively impact a man’s mental health and sense of fulfillment.

Hello Health Group does not provide medical advice, diagnosis or treatment.


Premature ejaculation, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2721550/, Accessed September 29, 2020

Premature Ejaculation: Causes & Treatment – Urology Care Foundation, https://www.urologyhealth.org/urologic-conditions/premature-ejaculation, Accessed September 29, 2020

Premature ejaculation – Diagnosis and treatment – Mayo Clinic, https://www.mayoclinic.org/diseases-conditions/premature-ejaculation/diagnosis-treatment/drc-20354905, Accessed September 29, 2020

Ejaculation problems – NHS, https://www.nhs.uk/conditions/ejaculation-problems/, Accessed September 29, 2020

Can premature ejaculation be controlled? – NHS, https://www.nhs.uk/common-health-questions/sexual-health/can-premature-ejaculation-be-controlled/, Accessed September 29, 2020

Premature Ejaculation – Causes and Treatment | familydoctor.org, https://familydoctor.org/condition/premature-ejaculation/, Accessed September 29, 2020

Premature ejaculation – Better Health Channel, https://www.betterhealth.vic.gov.au/health/healthyliving/premature-ejaculation, Accessed September 29, 2020

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Written by Jan Alwyn Batara Updated Sep 20
Fact Checked by Hello Doctor Medical Panel