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Understanding Premature Ejaculation + What You Can Do About It

by | Apr 15, 2021 | MENS HEALTH, SEXUALITY

A man who has recovered from premature ejaculation, also referred to as early ejaculation.

Premature ejaculation (PE) is a struggle, but that doesn’t mean it’s impossible to overcome by any means. If you or someone you love has premature ejaculation issues, then you might be thinking that it’s all over – your sexual life is finished. However, that’s just completely false. While early ejaculation has been painted in pop culture and the media as an irreversible lifelong condition, this just isn’t true. There are plenty of ways to combat and counter premature ejaculation and the side effects.

What Exactly is Premature Ejaculation?

Before we look at ways to deal with it, let’s go over what exactly premature ejaculation is. There’s a misunderstanding out there that people with this condition are uncontrollably aroused all the time, and that the slightest sexual trigger can set off orgasm and ejaculation – think Andy Samberg in The Lonely Island’s comedy-pop hit “Jizz in My Pants.” However, this is a very simplified view of the issue. Premature ejaculation can manifest in that way, but it’s much more common that some sort of sexual activity occurs before any orgasms occur.

Premature ejaculation can affect men of any age – it isn’t limited to the old or young or in-between. There are a number of things that can cause premature ejaculation, including the main causes usually being psychological in nature – they’re hard to pin down exactly, however, as sexuality is such a complicated area to try to pin down. According to The Mayo Clinic, there are a number of biological factors that can cause premature ejaculation as well, including hormonal imbalance, an inflamed prostate, abnormal neurotransmitter levels, and genetic factors. Long story short, there are so many causes of premature ejaculation that finding which abstract puzzle of causes is behind any specific case can be like finding a needle in a haystack.

Can You Treat Premature Ejaculation?

The first step towards treatment of premature ejaculation is identifying what the causes are. In any individual’s case, like we mentioned before, there can be a number of causes and reasons behind it. If someone is suffering from premature ejaculation, the first thing they should do for treatment is seek out the advice of a medical professional. Talking to your primary care physician and just being honest about your early ejaculation struggles is the most effective way to getting immediate diagnosis and treatment. Walking your doctor through what you experience when you deal with premature ejaculation can help enlighten your doctor as to whether the causes are biological or psychological in nature.

If the causes that play a role are found to be biological, then treatment will likely be somewhat simple. If there is an infection of the testes or prostate, then a simple prescription of antibiotics may be the only solution necessary. If there is a hormone imbalance due to a condition like hypothyroidism, then supplemental hormones might be the course of action that needs to be taken. Biological causes usually have physical treatments that can instantly solve the underlying issue and clear the entire problem.

There are an endless amount of products such as creams and sprays advertised to treat premature ejaculation and other erectile dysfunctions. While these products may provide some help to some people, ensure you speak with your doctor and discuss potential side effects before introducing any medicated topical products to your treatment plan.

If the cause is found to be psychological in nature, then treatment might be a bit trickier. Below, we’ll go over some of the methods that medical professionals recommend as management of premature ejaculation to those who suffer from sex-related anxiety and the like.

Ways to Treat Psychological Causes of Premature Ejaculation

While fighting with your own brain can seem like a futile act, there are many legitimate ways to deal with psychologically-induced premature ejaculation, delayed ejaculation, and erectile dysfunction. Once identified as the issue, sufferers can try any of the methods below to combat the issue.


Working with a sex therapist is something that has become more and more common for both individuals and couples alike. In the modern age, people are able to feel much more comfortable discussing their sexuality with professionals, which is fantastic for dealing with issues that in the past were deemed to be too intimate to discuss with anybody.

Sex therapists can use behavioral therapies and suggest alternative types of sex, such as non-penetrative sex or oral sex as a way to warm people up to sex more gradually. Therapists might also suggest couples walk through their sexual acts to identify when ejaculation occurs, to see if there are any obvious triggers that might be causing early orgasm.


While meditation is a word that has a big reputation that isn’t entirely positive, there have been many recorded instances of it helping people deal with their psychological issues. Meditation can bring peace and relaxation into a person’s life, which can significantly lessen stress and performance anxiety. Since both of these are linked to premature ejaculation, it’s something that’s definitely worth trying.

Physical Techniques

It might sound strange, but there are physical exercises that individuals can do in order to combat their premature ejaculation. These include Kegel exercises, which when practiced correctly, can help people control the time they ejaculate by constricting and relaxing their pelvic muscles. Pelvic floor exercises can also assist with maintaining an erection, as they will help to strengthen the core pelvic muscles which are used during sex.

Another physical technique you can try is edging, which is the intentional delaying of your orgasms. This can be practiced alone through masturbation or with a partner. Edging is something that everyone has likely tried before, but maybe they didn’t know it had a name – it definitely does, and can help sufferers of premature ejaculation to build up a sort of tolerance to sexual stimuli. This can help establish both the regularity of sexual acts and the individual’s ability to control their own orgasms.


Sexuality is a complicated area to treat, especially when you’re dealing with something as abstract as premature ejaculation, which can have many different causes and therefore, many different treatments. If you’re a sufferer of premature ejaculation, we hope this article gave you some hope that there are plenty of methods out there to treat the disorder and solutions to sexual healthy living – good luck out there!

Modern Intimacy is a group therapy practice, founded by renowned Psychologist and Sex Therapist, Dr. Kate Balestrieri. This inclusive blog is designed to provide a wealth of information and resources for mental health, relationships, and sexuality. Subscribe today to get the latest information from our expert contributors from all around the world.


Author Bio

Dr. Kate Balestrieri is a Licensed Psychologist (CA, FL, IL + NY), Certified Sex Therapist, Certified Sex Addiction Therapist, and PACT III trained Couples Therapist. She is the Founder of Modern Intimacy. Follow her on TikTok and IG @drkatebalestrieri and the Modern Intimacy team on IG @themodernintimacy.



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