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Causes of Premature Ejaculation

Let's face it— you're not proud of your problem, but it’s way more common than you might think it is! You might even contemplate whether or not it's worth going to a doctor, especially without insurance or Medicare. But even though sexual dysfunction is rather normal at some point in men's lives, you shouldn't take too long to consult a certified physician.


But visiting a doctor is not easy, even more now because of the COVID-19 pandemic. It is even harder for the people without access to private or company-provided insurance, recent immigrants or visa holders, or individuals who’d like to avoid long waiting hours at clinics. Telemedicine and online doctors are great alternatives to these issues.


Premature ejaculation is as valid a problem as anything else, and knowing its causes can help you be more confident and clear about when you should contact a care provider.


A sick man sitting on a bed



Understanding the Problem


Premature ejaculation occurs sooner than either partner would like, causing much mental and physical discomfort to both partners.


This isn't a huge concern if it's occasional. However, your doctor may diagnose you with premature ejaculation (PE) if you experience the following:


  • Regular discharge just under a minute after penetration
  • You aren't able to control or delay ejaculation during sex a majority of the time
  • Due to feelings of distress and anxiety, you tend to avoid being sexually intimate with your partner

Causes


There are a number of causes as to why you may be experiencing premature ejaculation frequently. One reason may be low levels of serotonin in the brain. Serotonin is the "happy chemical" in your body, and if there is not enough amount of it, the time to ejaculate may shorten.


Psychological Reasons


Mental health problems may manifest physically. The issues include:

  • Depression
  • Anxiety
  • Body Dysmorphic Disorder
  • Feelings of guilt or shame
  • Having a history of sexual trauma
  • Repressed sexual identity
  • False expectations of sexual performance
  • Relationship troubles

These may cause premature ejaculation. You may want to consult a virtual doctor or a therapist for online sessions if you notice any of these symptoms.


A person writing down in a journal and speaking to a doctor online


Age Factor


Although PE can happen at any age, growing old may affect the timing of your ejaculation. Aging also affects the quality of your erections and the time you can maintain them for.

Partner Problems


You may experience PE if there is trouble in paradise. It may cause you to become stressed or upset, and it negatively affects your partner too. Discussing the issue with your partner and trying couples counseling or sex therapy may help sort out the problem.

Indirect Surfacing


PE may also occur due to erectile dysfunction (ED). Sometimes you may experience difficulty having or maintaining an erection, and it can be hard to differentiate the problem. Erectile dysfunction treatment should be done first. Often, PE goes away after ED is treated.

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