Premature Ejaculation: Causes, Types and How to Overcome

Premature Ejaculation: Definition, Types, Causes, Interesting Facts, Negative impacts, PE Treatment and Tips at My Canadian Pharmacy


Table of Contents

  1. The Types and Causes of Premature EjaculationThe Types and Causes of Premature Ejaculation
    1. Lifelong Premature Ejaculation
    2. Acquired Premature Ejaculation
    3. Physical Causes
    4. Psychological Causes
  2. Premature Ejaculation: Facts Vs Fiction
  3. The Negative Impacts of Premature Ejaculation
  4. Treating Premature Ejaculation
    1. Selective Serotonin Reuptake Inhibitors (SSRIs)
    2. Priligy (Dapoxetine)
    3. Viagra Super Force
    4. Topical Anesthetics and Condoms
  5. Self-help Techniques

» The most common sexual dysfunction in males, premature ejaculation (PE) affects up to 30% of men at some point in their lives, and still it remains an embarrassing condition which men do not feel comfortable to admit, let alone discuss. This guide to premature ejaculation will give you the low-down you need on the causes of the condition, the negative impact it may have and advice on best treatments.

The Types and Causes of Premature Ejaculation

Premature ejaculation is a very common male medical condition, especially in males under 40, yet its exact causes are still not thoroughly investigated. The subject is effectively taboo. but failure to address the problem only serves to exacerbate the issue for sufferers.

Coming up with definition what exactly is premature ejaculation is not an easy task since different men ejaculate at different times, but if it’s a major concern for both partners, then that’s an adequate working definition.

Let’s start exploring the problem by looking at the two major types of premature ejaculation.

Lifelong Premature Ejaculation

If a man has experienced premature ejaculation since the very onset of his sexual life, he has a primary/lifelong premature ejaculation problem. Often hereditary in nature, it continues over the man’s whole life and can be explained by psychological or physical factors.

Lifelong PE is usually caused by psychological factors, for example, particular upbringing or an early sexual experience of traumatic nature.

Acquired Premature Ejaculation

If a man goes for years without facing any ejaculation problems but then either steadily or suddenly begins to ejaculate prematurely, he has secondary/acquired premature ejaculation. The condition can develop suddenly, or it may arise slowly.

It can be triggered by health conditions such as high blood pressure, diabetes, excessive drinking or drug abuse. There may also be psychological triggers for the condition, for example, stress, depression, or a sexual performance anxiety.

Let’s look at the specific causes in more detail.

Physical Causes

Ejaculation is coordinated by chemical agents called ‘neurotransmitters’ released in the brain by nerve cells. Serotonin is the neurotransmitter which helps to prevent ejaculation. If your serotonin levels are disturbed – or if the serotonin signals in your brain aren’t working properly – you can experience premature ejaculation.

Alternative reasons might be abnormal reflex activity within your ejaculation system or having an excessively sensitive penis.

There are also some medical conditions that can activate premature ejaculation, including diabetes, certain prostate-related conditions, ED, or an overactive thyroid.

Psychological Causes

The psychological roots of PE vary from one man to another. It can be activated by triggers such as stress, depression, anxiety and relationship calamities. Lifestyle choices such as drug abuse, heavy drinking, and unfortunate circumstances, such as workplace or financial hardships, can escalate the problem.

Premature ejaculation may, unfortunately, be exacerbated by personal frustrations and emotional reactions to the problem itself.

Premature Ejaculation: Facts Vs Fiction

When dealing with or talking about premature ejaculation, the line between reality and myths is often quite blurred. Let`s separate the facts from the fiction.

The Key Facts

  • Premature ejaculation is not a disease and any man, even the most sexually active one, can experience it.
  • 1 in 3 men faces premature ejaculation at some time in their lives.
  • Premature ejaculation is recognized by World Health Organisation as a medical condition.
  • Substances like beer, wine, and some drugs can lower inhibitions and enhance sexual satisfaction – but abuse of them can lead to the inability to orgasm, to erectile dysfunction, and to premature ejaculation itself.
  • Masturbating before sex may extend the period of time it takes a man to ejaculate.
  • Sleep deprival results in low serotonin levels in the brain, which makes your body to ejaculate
  • Women climaxing too rapidly have been directly linked to premature ejaculation, with many women admitting the same anxieties as men for unsatisfying sexual intercourse.

The Key Fiction

  • Premature ejaculation is a condition that only affects sexually inexperienced men and teenagers.
    • No, it doesn’t decline with age
  • Alcohol, marijuana, cocaine and other artificial stimulants can temporarily delay ejaculation.
    • No, there is no evidence suggesting that taking certain foods or substances can immediately trigger or affect premature ejaculation.

Are premature ejaculation and ED related?

Premature ejaculation and ED are entirely different conditions. Premature ejaculation indicates that a man is able to achieve and maintain an erection but is unable to control his ejaculation. ED indicates that a man cannot get or sustain an erection entirely, or long enough for a satisfactory sexual intercourse.

Premature ejaculation affects men of all ages and is more common, while ED tends to affect older men primarily, and is often directly linked to other health problems.

The Negative Impacts of Premature Ejaculation

Premature Ejaculation factsMost men are embarrassed by premature ejaculation and choose not to mention it. This can result in major detrimental effects on a man’s quality of life and relationships. Premature ejaculation can make men feel angry, depressed, anxious, inadequate, with low self-esteem and potentially unable to form sexual relationships in the future.

Most men suffering from premature ejaculation hope that the problem will somehow resolve itself. It probably won’t. Others lose hope and, consequently, don’t attempt potentially useful techniques.

The Effect on the Partner

Premature ejaculation always affects the partner, because sex is an essential part of any relationship. While a man, ejaculating too soon, is unable to enjoy intercourse, trapped in a sexual cul-de-sac, his partner feels frustrated and disappointed. This can put a strain on the relationship and can lead to separation.

The best way for couples to handle premature ejaculation – and the most effective way to combat it — is to honestly talk about it. By adopting special techniques, both partners can reap the pleasures of a fulfilling sex life.

Treating Premature Ejaculation

For many years, premature ejaculation was being treated with cognitive and behavioral therapies exclusively, but nowadays, pharmacological treatments are available, as well.

It is crucial to remain patient since it may take a while to find the most effective treatment or a combination of treatments. Discussing the problem with your doctor is the best way to locate the most appropriate treatment.

» Selective Serotonin Reuptake Inhibitors (SSRIs)

Originally developed to tackle depression, SSRIs have proved to be useful in delaying ejaculation. SSRIs are not licensed to treat PE, but a growing number of GPs prescribe SSRIs for this purpose. The most popular SSRIs applied in PE treatment are Fluoxetine, Sertraline, and Paroxetine. Some men feel an improvement immediately, while others may notice first improvements in a few weeks.

The most common side effects of SSRIs are fatigue, feeling sick, excessive sweating and diarrhea. These symptoms are usually mild and tend to last for the first two or three weeks of administration.

» Priligy (Dapoxetine)

This is a new SSRI exclusively applied in the treatment of premature ejaculation. It prolongs the period of time it takes to ejaculate and gives additional control over the ejaculation. Unlike other SSRIs medications, Dapoxetine is characterized by extra rapid absorption-elimination cycle in the body and thus can be taken ‘on-demand.’ When prescribed Dapoxetine, you will be advised to take it one to three hours in advance of intercourse, and avoid taking it more than once per day. Its fast-acting property makes Dapoxetine a perfect SSRI for using it as a PE treatment, but not as a general antidepressant.

Dapoxetine is not suited for men suffering from the following conditions:

  • A tendency to faint
  • Epilepsy
  • Heart conditions
  • A clotting or bleeding disorder
  • Mental health problems, such as bipolar disorder, depression or mania
  • Glaucoma
  • Any problems with liver, or kidneys

Dapoxetine’s most common side effects include sick feelings, headaches, and dizziness. There are some ways to mitigate possible side effects:

  • If you are feeling dizzy or light-headed, attempt sitting with your head positioned between your knees, or lie down until dizziness fades away
  • If you are feeling sick, confused or sweaty, those are the signs that fainting may occur. Remain seated until the feeling disappears so that you do not fall and injure yourself
  • If you have a headache, you can take a painkiller recommended by your doctor

Drinking a full glass of water while taking the tablet can reduce these effects.

» Viagra Super Force (Sildenafil Citrate 100 mg & Dapoxetine HCl 60 mg)

Super P-Force is made up of two separate drugs. One is Sildenafil (generic Viagra), which was designed to address the problem of ED. Sildenafil provides increased blood flow to the penis while preventing the outflow in order to ensure long-lasting erection. The second ingredient is Dapoxetine, a SSRI class drug that confronts premature ejaculation. This will take care of your lasting performance and prevent an early ejaculation. Super P-Force works by blocking receptors to slow the ejaculation process to help you last longer, and have more penile stamina. This enhanced stamina will help boost your confidence in bed.

Side Effects

Super P-Force (Viagra Super Force) can have the following side effects (effectively, those are a sum of the side effects of its two components):

  • Nausea
  • Dizziness
  • Increased heartbeat rate
  • Headache
  • Hypertension
  • Muscle pains

If you have an erection that lasts beyond four hours, stop using Super P-Force and seek urgent medical attention. Speak with your GP if you have further questions about the side effects of P-Force.

» Topical Anesthetics and Condoms

Certain topical anesthetics, for example, lidocaine and prilocaine, can be effective, but they can penetrate into the vagina and minimize a woman’s sexual sensation.

Condoms are a proven tool to help prevent premature ejaculation, and they are particularly useful when combined with topical anesthesia.

Self-help Techniques

The ‘Stop-Start’ Method

The man needs to stimulate his penis until he nearly ejaculates, allows it to abate, and then starts again, repeating the process several times if needed.

The ‘Squeeze’ Method

A technique whereby the patient stimulates his penis until he experiences the urge to ejaculate, but then stops and squeezes the penis head until the sensation and desire  diminish.

Counseling and Therapy

Both partners can reap the benefits from sexual therapy, as well as psychological and relationship counseling. Also, pay attention to the techniques for preventing and delaying  ejaculation, as well as exercises to reduce stress and enhance relaxation.

Talk About It

To get back on track of a fulfilling sex life, start an open conversation about premature ejaculation with your partner and take the first steps to deal with it together. Like most medical conditions, PE is nobody’s fault, so putting collective efforts to confront it is the smart way forward.

There Are Muscles Down There

The gym junkies among you know that your muscles will remain underdeveloped if you don’t exercise regularly. Exactly the same principle applies to the Pubococcygeus Muscle, the muscle of your penis. Kegel exercises, as well as ejaculation tips,  are a good starting point.

Be Patient

As frustrating as premature ejaculation is, men need to remember the Aesop`s fable of the tortoise and the hare and the moral of the fable: no matter how disadvantaged you think you are, perseverance will always pay off in the end.

Get Plenty of Sleep

Lack of sleep results in low serotonin levels in the brain and the diminished serotonin levels urge your body to ejaculate more rapidly.