by Mahendra Sahni on Jan 06, 2023


Is your early ejaculation physical, psychological, or both? Do you also know whether it is a lifelong condition or an acquired one? You have a strong mind. extremely potent. Except that it's failing you in this instance. Literally.

You assumed that this was a young man's issue. All you needed to do to be able to control your emotions and ejaculation was to gain more experience. But things are just getting worse.

You decide that action MUST be taken. What then?

Whether your premature ejaculation is physical, psychological, or both will determine the course of treatment you should take.

Premature Ejaculation: Is It All In Your Head?

No, not always. It's extremely difficult to understand. The five stages of male sexual function are as follows:

  • Sexual desire
  • Erection
  • Sexual activity 
  • Ejaculation 
  • Orgasm.

Many men's health professionals have questioned whether or not psychological factors play a role in early ejaculation. Premature ejaculation is the most prevalent sexual disorder in men under the age of 40. It impacts between 30 and 70 percent of American males at some point in their lives. In the past, it was thought to be a psychological illness, but more recent research suggests that there may also be a sensory or neurologic component to the issue.

Can You Experience Acquired Or Enduringly Early Ejaculation?

Whether or not they believed they had the acquired form, the majority of PE patients received the final diagnosis of lifelong premature ejaculation. Many people who sought treatment for acquired PE were largely discovered to be able to compensate for their lifelong PE with an occasional sex incident or to cause an orgasm in their partner using various methods. Overall, 23% of people with ED and 18.5% of people with low desire had extremely sensitive penises.

An occasional PE episode has no lasting effects. When PE occurs in 50% or more of sexual attempts, the diagnosis is typically made. On the other hand, rather than being based on an exact amount of time, the condition might be based on both partners' assessment that the ejaculation happened earlier than desired.

What Causes Premature Ejaculation, How Does It Work?

Sexual interaction is a very complex process. To complete the task, a coordinated response from the brain, connective tissue, muscles, blood flow, and nerves is required. Problems could occur at any point during the procedure.

The Ejaculatory Process

The brain or central nervous system affects the ejaculatory process (CNS). Dopamine, norepinephrine, serotonin, GABA, acetylcholine, oxytocin, and nitric oxide are just a few of the neurotransmitters that are involved. Dopamine and serotonin, which help with ejaculation with dopamine and inhibit it with serotonin, are the two crucial neurochemical factors.

The ejaculatory process has three stages:

  1. Emission

The hypogastric nerve regulates the first stage of emission, in which semen is excreted into the urethra while passing through the prostate.

  1. Ejection

The periurethral, bulbocavernosus, and pelvic floor muscles all contract rhythmically as a result of the pudendal nerve, ejecting semen from the tip of the penis. The bladder's urinary sphincter closes at the time of ejection to prevent semen from refluxing back into the bladder.

  1. Orgasm

The pressure in the penis' spongy tissue during ejaculation stimulates the brain center via the pudendal nerve and results in an enjoyable sensation. Any of these ejaculation mechanisms going bad leads to ejaculation dysfunction or ED.

Premature Ejaculation: Psychological Definition.

PE is characterized by a negatively affected sexual life, including pain, annoyance, frustration, and the avoidance of intimate sexual contact with the person or partner. It can be specific to a partner or set of circumstances, or it can be generalized.

Lifelong Premature Ejaculation

Intravaginal ejaculation occurs within a minute of the first sexual encounter in the case of lifelong premature ejaculation. Serotonin 5HT1A receptors are more sensitive than serotonin 5HT2C receptors, and other theories involving genetic factors could also be possible causes. A combination of oral medication and therapy is frequently used as the premature ejaculation treatment for lifelong PE.

Acquired Premature Ejaculation 

Intravaginal ejaculation with acquired type premature ejaculation gradually falls to 3 minutes or less over time. Diseases like erectile dysfunction (ED) and prostatitis, hyperthyroidism, psychological factors, and romantic relationships can all contribute to it.

Which Is Worse: Physically Premature Ejaculation Or Psychological?

Physical and psychological premature ejaculation can both vary in severity, but psychological premature ejaculation is frequently more difficult to treat. 

Treatment options for premature ejaculation vary depending on the underlying cause, but in most cases, your doctor or a PE specialist will recommend a mix of clinical and psychological therapy.

Any type of premature ejaculation becomes more difficult to treat the longer it goes untreated. Therefore, treatment for premature ejaculation should be started within six months of becoming aware of the symptoms.

The Following Scale Rates The Severity Of Premature Ejaculation:

Mild: Mild symptoms start within 30 to 60 seconds of vaginal penetration.

Moderate: Within 15 to 30 seconds of vaginal penetration, there is moderate.

Severe: Severe symptoms appear 15 seconds or less after vaginal penetration, at the beginning of the sexual activity, or prior to sexual activity.

Studies that found a positive correlation between psychiatric diagnoses in men with PE show that psychological factors, while not the only causes, have been found to greatly contribute to premature ejaculation.

Men who experience premature ejaculation have different nerve conduction/latency times and hormonal differences from healthy men, according to numerous researchers. According to the theory, some men's genitalia is overly sensitive or hypoexcitable, which prevents the nerves from slowing down the electrical impulses to postpone orgasm.

However, organic and psychological associations (such as anxiety) imply that hormonal or biochemical parameters only play a minor role in premature ejaculation, whereas biochemical markers (such as prolactin) may contribute to the condition.

Other Potential Premature Ejaculation Causes

Excess Masturbation

Male teenagers are trained to reach climax quickly during masturbation or other sexual activities out of fear of being caught, which is one psychological explanation for premature ejaculation. It can be challenging to reverse this quick sexual climax pattern, and relationships may suffer.


You might have discovered that several of your family members also have PE after talking about it with them. So is your early ejaculation psychological or physical as a result?

Traumatic Or Psychiatric

Premature ejaculation can be either acquired or lifelong. Premature ejaculation that lasts a lifetime is probably brought on by a serious psychological issue, like depression or anxiety. Trauma experienced as a child or teen may be the cause of severe sex anxiety. Conflict with parents, sexual assault, molestation, and incest may cause PE to start early and persist. With the first attempt at coitus, PE begins to exist for life.

Performance Anxiety

After a string of successful, long-lasting sexual encounters, acquired premature ejaculation appears. It typically manifests as a form of performance anxiety, or the fear of disappointing their partner. Fear of an impending premature ejaculation can result in a self-fulfilling prophecy. One typical "old" defense for this type of PE is that the partner caused the man to become overly excited. In situations where the partner expresses exasperation or when a woman has trouble achieving orgasm by vaginal penetration, erectile dysfunction may come before premature ejaculation. Women may hide their annoyance by feeling inadequate or by being unwilling to express their worries.

Alcohol And Drugs

Some PE cases may be explained by psychotropic medications. But unless the level of intoxication is so high that erections cannot be achieved or maintained for vaginal penetration, alcohol should aid PE.

In The End

Premature ejaculation is a sexual complication. If not treated promptly, it can lead to serious sexual issues in the future. To get quick results, try the above-mentioned premature ejaculation treatments. You can get back to your old sex life with your partner by getting the right treatment at the right time.

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  • elena
    Mar 05, 2024 at 11:38

    I appreciate the insights shared in this article, particularly the emphasis on seeking professional advice for mardana kamzori ka nusksha. It’s reassuring to know that there are various treatment options available and that it’s not something anyone has to face alone.


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