Mind & Mood Clinic

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Premature ejaculation treatment

Premature Ejaculation

What is PE / Premature Ejaculation?

Premature ejaculation is a form of sexual dysfunction that happens when a man experiences an orgasm and discharges (ejaculates) semen earlier than he or his partner would want. It frequently occurs prior to or immediately after penetration during intercourse. Premature ejaculation may be irritating and can lead to frustration for you and your sexual partner .

What is usual premature ejaculation time ?

Most men lasts for 5 to 10 min.  A study of 500 couples discovered that the average time for ejaculation was roughly 5-and-a-half minutes after beginning intercourse. Premature ejaculation is defined by international rules as ejaculating within one minute of entering your partner.However, you and your partner must determine whether you are satisfied with the time it takes you to ejaculate.

Cause of premature ejaculation

Cause of premature ejaculation

Premature ejaculation is caused by physical, physiological, and emotional/psychological causes.

Among the physical and chemical issues are:

  • A diagnosis of underlying erectile dysfunction.
  • A physiological issue with oxytocin levels, which plays a role in male sexual performance. Other hormones that influence sexual function include luteinizing hormone (LH), prolactin, and thyroid stimulating hormone (TSH) (TSH)
  • Low levels of serotonin or dopamine, brain chemicals involved in sexual desire and excitement.
  • Over sensitive Penis

Among the emotional or psychological factors are:

  • Anxiety
  • Stress.
  • Relationship issues
  • Depression.

Ayurvedic treatment for premature ejaculation

Several Ayurvedic medications, such as kaunch beej, kamini vidrawan ras, and yauvanamrit vati, are considered for premature ejaculation. Ashwagandha (Withania somnifera) is a popular plant for premature ejaculation due to its high aphrodisiac qualities.

Premature ejaculation treatment

Dr. Rameez Shaikh, MD Consultant Psychiatrist and Sexologist says that “Depending on the reason, there are several therapy options for premature ejaculation. Among these are behavioural treatment, counselling, and medicines. Most reasons of premature ejaculation are often addressed initially with behaviour therapy and/or psychotherapy to address any underlying emotional issues, performance anxiety, or stress”

Behavioral treatment

Behavioral treatment entails experimenting with various strategies to postpone your orgasm. Its purpose is to educate you how to regulate your body and emotions. Among the methods are:

  • Start and Stop
  • Distracted thinking
  • Squeeze therapy


Antidepressants, particularly selective serotonin reuptake inhibitors such as citalopram, escitalopram, fluoxetine, paroxetine, and sertraline, as well as the tricyclic antidepressant clomipramine, can help postpone premature ejaculation.

Creams and sprays that provide anaesthetic (numbing) relief

Premature ejaculation has also been treated with erectile dysfunction drugs such as sildenafil, tadalafil, vardenafil, and Avanafil, particularly in men with underlying erectile dysfunction.


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