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- Ejaculation occurs before the man wishes it to occur.
- Ejaculation occurs too quickly to sexually satisfy his partner.
- Prostate problems, such as prostatitis
- A problem with the nerves
- Medications that increase sexual stimulation
- Certain medical conditions (eg, thyroid problems)
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- Lack of sexual experience
- Lack of knowledge of male and female sexual responses
- Causing pregnancy
- Contracting a sexually transmitted disease
- Poor sexual performance
- Guilt about sex
- Interpersonal problems between sexual partner
- Early sexual experiences that precondition a man to rapid ejaculation, usually from fear of being caught
- You suddenly developed persistent premature ejaculation and have never experienced it before.
- You have other neurological symptoms.
- You are taking medication that may cause premature ejaculation.
- The condition is getting much worse or causing severe problems for you.
- Recognize when you are about to ejaculate
- Take steps to delay it
- Biofeedback—electrical feedback that helps you learn to control the muscles that cause ejaculation.
- Start and stop method—stopping sexual stimulation for 30 seconds when nearing climax, then resuming.
- Squeeze method—same as start and stop method, but includes gently squeezing the base of penis before the 30-second stop period.
- Sexual positions—trying different sexual positions that may allow greater control over the muscles that cause ejaculation.
- Fears or guilt
- Interpersonal problems with your partner that may contribute to the condition
- Learn how male and female sexual responses work.
- Improve communication with your partner before engaging in sexual activity.
- Have sex in situations that are private and relaxed.
American Urological Association Foundation http://www.urologyhealth.org/
The American Academy of Family Physicians http://familydoctor.org/
Health Canada http://www.hc-sc.gc.ca/index%5Fe.html
Sex Information and Education Council of Canada http://www.sieccan.org/
Premature ejaculation. American Academy of Family Physicians website. Available at: http://familydoctor.org/familydoctor/en/diseases-conditions/premature-ejaculation.html . Updated February 2011. Accessed September 14, 2012.
Premature ejaculation. American Urological Association website. Available at: http://www.urologyhealth.org/urology/index.cfm?article=122 . Updated January 2011. Accessed September 14, 2012.
Premature ejaculation. EBSCO DynaMed website. Available at: http://www.ebscohost.com/dynamed/what.php . Updated August 28, 2012. Accessed September 14, 2012.
Pryor, JL, Althof, SE, Steidle, C, et al. Efficacy and tolerability of dapoxetine in treatment of premature ejaculation: an integrated analysis of two double-blind, randomised controlled trials. Lancet 2006; 368:929.
Montague, DK, Jarow, J, Broderick, GA, et al. AUA guideline on the pharmacologic management of premature ejaculation. J Urol 2004; 172:290.
- Reviewer: Adrienne Carmack, MD
- Review Date: 09/2013
- Update Date: 09/30/2013