Cause Of Premature Ejaculation | Reasons For Premature Ejaculation

ANXIETY:

• First time sex or sex for the first time with a new person, sex after a long interval

• Sexual performance – drive to be perfect/ideal

• Pressured to be a good lover and wanting to share a ‘good’ sex

• Body appearance/image – self and/or partner

• Sexual partner –

• The place of sexual encounter (anxiety-fear of being noticed or caught)

• Fantasy – when trialling something (e.g. new posture) that a person had it in dream for long time

• Generally anxious person

NEGATIVE FEELINGS:

• Guilt due to masturbation and irrational beliefs combined with perceived fear about the sexual ability, body appearance, bodily strength can all make the person very anxious

• Fear – of being caught/noticed/attacked

• Others reasons to feel guilty – when breaking the religious, moral or family values

PARTNER

• The sexual partners can sometimes put enormous pressure on the man to perform well

• Negative comments made by the partner – both in private or in public in a sarcastic way

NEUROLOGICAL

Lifelong premature ejaculation can be caused by a chemical imbalance in important brain centres, which may result in a lower ejaculatory threshold. As these men need less stimulation before they ejaculate, ejaculation can happen sooner than desired.

ASSOCIATED SEXUAL PROBLEM (S)

Erectile dysfunction: Acquired premature ejaculation is most commonly caused by erectile dysfunction. It is thought that men with erectile problems begin to ejaculate quickly to compensate for not being able to keep an erection. This may be because of the need for intense stimulation to get and maintain an erection or from anxiety about difficulty in getting and keeping an erection. If a man has erectile problems and experiences premature ejaculation, treating the erectile problems first is important.

Similarly, other underlying sexual problems (that sometimes the person is not even aware of) can be presenting as premature ejaculation.

MEDICAL CONDITIONS

It is rare for premature ejaculation to be caused by a physical disease or conditions.

MIXED CAUSES:

It is quite possible for many men to have more than one cause. In such case, a careful history is important to understand the sequence of all events leading to premature ejaculation.