Introduction to Premature Ejaculation and Its Causes

Also known as involuntary ejaculation, premature ejaculation happens whenever you reach orgasm before you want or intend to. Some studies have reported that it takes about 5-10 minutes on an average to reach ejaculation from the moment you are aroused. But this is irrelevant if both partners are satisfied with their sexual life. Premature ejaculation can become a problem if your partner wants you to stay erect for a longer time than you usually do. This can be very frustrating for a relationship. Premature erection is a common problem. It has been estimated that about 70% of men worldwide suffer from this sexual condition. Some men aren’t even aware that they have this problem, probably because their partners might be hesitant about discussing it.

Causes of pre-ejaculation

Premature ejaculation is usually a temporary condition that largely affects inexperienced or very young men or those who are at the initial stages of a relationship. Most cases of premature ejaculation are caused by stress, performance anxiety or excitement. Quick climaxing may be a habit developed during youth but may persist later in life. Premature ejaculation is sometimes caused by physical conditions such as extreme penile sensitivity, multiple sclerosis, damaged nerves or other neurological troubles.

Primary pre-ejaculation – Conditioning, trauma and upbringing

Premature ejaculation can be categorized as primary premature ejaculation and secondary premature ejaculation. Primary premature ejaculation occurs when you have experienced this condition ever since you became sexually active. Unlike temporary premature ejaculation, primary or lifelong premature ejaculation is rarely caused by any physical condition. It is likely to be caused by the following psychological factors.

Conditioning: Experts believe that your early experiences with the sex act can influence and condition your future sexual activity. For instance, if, as a teenager, you have conditioned yourself to quickly ejaculate so that you don’t get caught having sex or masturbating, you will find it tough to break this habit.

Trauma: If you have had a traumatic sexual experience, particularly at a young age, you might suffer from sexual anxiety for the rest of your life. Traumatic experiences may range from the comparatively mild, such as being caught while masturbating, to the really serious, such as being sexually abused.

Upbringing: If you have had a repressive upbringing, particularly where sex is concerned, you might find it hard to relax while having sex, and may consider sexual activity as sinful or wrong. Too many sexual inhibitions can often lead to pre ejaculation.

Secondary premature ejaculation – Psychological and physical causes

Secondary pre ejaculation occurs if you have had normal ejaculation when you first became sexually active, but suddenly develop this condition. The causes for secondary pre ejaculation can be linked to both physical as well as psychological factors. Commonly experienced psychological factors include unresolved problems such as emotional or sexual issues between you and your partner or other conflicts within a relationship, performance anxiety, particularly when it’s a new relationship, as well as stress and depression. The physical causes that contribute to secondary pre ejaculation include medical conditions such as multiple sclerosis, diabetes, hypertension, prostate problems, alcoholism and hypothyroidism.

Delayed ejaculation

There are a number of physical as well as psychological factors that can cause delayed ejaculation. The psychological causes that lead to delayed ejaculation, such as conditioning, trauma, depression, stress, relationship problems and repressive upbringing, are the same as those of pre ejaculation. Physical causes such as injury to the spinal cord, diabetes, prostate or bladder surgery and multiple sclerosis also contribute to the likelihood of premature ejaculation. A few medications also lead to delayed ejaculation. These medications include antidepressants, hypertension drugs as well as recreational drugs. Excessive alcohol is also known to cause pre-ejaculation.

Retrograde ejaculation

Retrograde ejaculation can be caused by injury to the muscles or the nerves that surround your bladder. During a normal ejaculation, semen is thrust out through your urethra and is blocked from going into your bladder by the muscles that surround it. If however, the bladder nerves or muscles are damaged due to some reason, the semen will go into the bladder instead of the urethra. The most likely causes of retrograde ejaculation include bladder or prostate surgery or medical conditions such as multiple sclerosis, diabetes or medications such as alpha blockers that are used in the treatment of high blood pressure.