What is premature ejaculation or premature ejaculation?

Premature ejaculation, or as it is scientifically known as premature ejaculation, is the state of reaching orgasm and ejaculation in a shorter time than required.

Premature ejaculation often causes embarrassment or low self-confidence in a man. Premature ejaculation can be a problem when premature ejaculation occurs frequently and interferes with the sexual pleasure of the man and his partner.

The incidence of premature ejaculation in men at some point in life is estimated between 30% - 70%, and many factors contribute to the development of premature ejaculation in men, including stress, depression, and many conditions that affect the mental and psychological state of men

Causes of premature ejaculation or premature ejaculation

There are many biological factors and health problems that can be the cause of premature ejaculation, so all factors must be taken into account when diagnosing to determine the appropriate treatment.

Factors that contribute to the development of premature ejaculation and premature ejaculation in men include:

Causes of pathological premature ejaculation

Psychological causes of premature ejaculation

Causes of pathological premature ejaculation

Medical conditions that can be a cause of premature ejaculation in men include:


Thyroid diseases.

Prostate gland diseases.


Addiction to alcohol or narcotic drugs.

Disruption of levels of sex hormones, such as testosterone.

Psychological causes of premature ejaculation

Physical or psychological factors that may not be associated with any disease are considered the most important causes of premature ejaculation, and include the following:

Excessive sexual stimulation or hypersexuality.

Lack of experience and sexual education.

Having sex for the first time.

Stress and tension in the relationship between spouses.

Lack of acceptance of the apparent body of one of the parties.

sexual assault.

Stress, anxiety and depression.

Feeling of guilt when premature ejaculation occurs.

Symptoms of premature ejaculation or premature ejaculation

The main symptoms that indicate premature ejaculation include:

Premature ejaculation always occurs before or within a minute of starting the actual sexual relationship.

Inability to control ejaculation during sexual intercourse.

Feeling frustrated, tense, or avoiding sexual intercourse, when premature ejaculation occurs repeatedly.

There are also symptoms of secondary premature ejaculation, which may accompany premature ejaculation and is not characteristic of it, the following:

Difficulty interacting with others.

Psychological and mental disorders.

Decreased trust in the relationship between the two partners.



How is premature ejaculation or premature ejaculation diagnosed?

Premature ejaculation in men is diagnosed by the appearance and recurrence of the main symptoms, and the diagnosis begins by introducing the doctor to the medical and sexual history of the man to determine the apparent causes of premature ejaculation.

Sometimes the doctor resorts to conducting some clinical tests, such as examining the prostate gland, or conducting neurological tests to determine the pathological condition causing premature ejaculation in the patient.

Treating premature ejaculation or premature ejaculation

Treatments for premature ejaculation include behavioral therapy and drug treatments if behavioral therapy does not work.

Behavioral treatment of premature ejaculation

Premature ejaculation medication

Behavioral treatment of premature ejaculation

Behavioral therapy is one of the effective ways to treat premature ejaculation, and it is characterized by the possibility of doing it at home without the need for the use of drug treatments. Behavioral therapy helps to get rid of premature ejaculation in 60% to 90% of men with premature ejaculation.

Behavioral treatment for premature ejaculation includes the process of pressing lightly with the fingers of the hand on the penis when feeling an orgasm and ejaculation for 20 seconds in a manner similar to holding urine when it comes out, and repeating the process when feeling close to orgasm, which improves ejaculation control and prevents the recurrence of premature ejaculation in men.

Other behavioral treatments for premature ejaculation include:

Use a condom.

Thinking of something other than sexual intercourse during sex.

Strengthen your pelvic floor muscles by doing pelvic floor exercises or Kegel exercises.

Sexual stimulation until an orgasm is approaching, then stop for 30 seconds, start stimulation again and repeat the process three or four times.

Reaching orgasm hours before sexual intercourse may help delay ejaculation.

Premature ejaculation medication

Medicines to help treat and treat premature ejaculation include:

Anesthetic cream or spray, such as Lidocaine, which is used 30 minutes before sexual intercourse and can help delay premature ejaculation. And the cream or spray must be washed off the genitals before starting sexual intercourse so that the partner does not lose sensation or cause loss of erection and numbness in the penis.

Dapoxetine, a fast-acting antidepressant, is prescribed to treat premature ejaculation after consulting a doctor, and its side effects include nausea, headache, dizziness, and diarrhea.

Antidepressants from the group of selective serotonin reuptake inhibitors, where delayed ejaculation is one of its side effects, including fluoxetine, sertraline, and paroxetine, and they are used to treat severe premature ejaculation, but It is not recommended to use it periodically without consulting a doctor, because of its side effects that may include drowsiness, loss of sexual desire, and nausea.

Phosphodiesterase-5 inhibitors, which may help treat severe premature ejaculation, and types of these drugs are sildenafil, vardenafil, and tadalafil, and these drugs can be used alone or in conjunction with Use of selective serotonin reuptake inhibitors.

Tramadol, which may help delay ejaculation, but this drug is not recommended for the treatment of premature ejaculation because it causes addiction risk.

How can premature ejaculation or premature ejaculation be prevented?

Premature ejaculation can be prevented by consulting a psychiatrist to get help to solve the problems of stress and depression that may accompany the spouses and that affect the marital relationship between them.

It is also possible to prevent the worsening or development of premature ejaculation by following behavioral treatments when symptoms of premature ejaculation begin, in addition to consulting a specialist doctor to determine the cause of premature ejaculation, and prescribing the necessary treatments to get rid of premature ejaculation.

Complications of premature ejaculation or premature ejaculation

Premature ejaculation is not often associated with serious complications, but not treating premature ejaculation early can cause some psychological and life complications, including the following:

Low self-confidence.

Imbalance of the relationship between the two partners and the occurrence of pressures in them, which may lead to conflicts, separation or divorce.

Difficulty getting pregnant, when ejaculation occurs outside the female genitals.

What is the course of premature ejaculation or premature ejaculation?

Premature ejaculation usually improves on its own and without using any of the early ejaculation treatment methods, because it is associated with anxiety and stress in most cases, as many men suffer from premature ejaculation for a short period during their lives.

Also, when using pharmacological and behavioral treatments used to treat premature ejaculation, the outlook for improving premature ejaculation is good.

Medicines related to premature ejaculation


lidocaine topical



lidocaine, prilocaine


Vitamin E, C, B6, B9, B12, Zinc, Selenium, Carotenoids, Omega 3, Acetylcysteine, Carnitine, Coenzyme Q

Aloe Vera, Arginine, Vitamin C, Oats, Tea Tree, Menthol, Big Berry, Vitamin E

pointy mint

Pointed mint, almond oil, menthol


L-Arginine, Menthol Crystals, Tea Tree Oil, Aloe Vera Extract, Vitamin E, Vitamin C

Agarwood Oil, Avocado, Sunflower Seed Oil, Ginseng, Lidocaine, Panthenol, Dimethicone, Vitamin E, Methyl Nickel.

Glycerin, Panthenol, Chamomile, Thyme

Panthenol, Aloe Barbadensis Leaf Extract, Glycerin, Water.

Vitamin E, Menthol Crystals, L-Arginine, Methyl Nicotine

L-Arginine, Methyl Nicotine, Menthol, Vitamin E

Oats, Horny Goat Weed, Arginine Hydrochloride, Maca Root, Quahog Herb

topical creams

Topical creams contribute to reducing premature ejaculation by reducing the sensation of a local anesthetic that delays ejaculation. Sexual health experts recommend applying creams about 10 to 15 minutes before intimacy, but they warn that using them may cause a temporary loss of sensitivity. In the genitals, and a decrease in sexual desire. 

2- Zinc supplements Zinc helps to strengthen the immune system for the entire body, and is considered one of the essential minerals that work on the production of the male hormone “testosterone”, as well as increasing sexual desire. Previous scientific studies have found that there is a close link between a mineral deficiency A study published in 2009 confirmed that taking zinc supplements can increase testosterone production, increase sexual desire, and contribute to the treatment of premature ejaculation. Doctors warned against excessive intake of zinc supplements, explaining that Excessive intake of it may cause nausea, vomiting and damage to the stomach, and kidneys

. 3- Changing the diet The food that a person eats contributes to controlling the ejaculation process during intimacy, and experts say that eating food Or, which contains zinc and magnesium, contributes to improving sexual ability, and treating the problem of premature ejaculation. Sexual health experts advise eating the following foods, to treat the problem of premature ejaculation: - Oysters. - White pulp. - Soybeans.- Wheat grains. - Beans. - Sesame. - Spinach. - Peas. - Chickpeas. - Beef, lamb. - Dark chocolate. - Garlic. When you feel the urge to ejaculate, then resume sexual activity again when you feel calm.

Pelvic floor exercises

Pelvic exercises contributed to improving sexual practice, increasing the duration of intimacy and eliminating premature ejaculation. According to a study published in 2014 in the Journal of Urology, men who practiced pelvic floor exercises improved their ability to have sexual intercourse, and got rid of premature ejaculation problems. Experts say The way to exercise it is for the person to stand and then tighten the pelvic muscles for 3 seconds, and let them relax for another 3 seconds, and the person repeats the exercise for at least 10 times at a time, and then walks a little. Sexual health experts that there are types of condoms that contribute more than others to increasing the duration of intimacy, explaining that they are often made of thick latex. premature ejaculation.