Premature Ejaculation (PME): Understanding, Causes & Treatment Options
Premature Ejaculation (PME) is one of the most common but least discussed sexual health issues faced by men. At our Sexual Medicine Clinic, we are here to help you understand that you're not alone—and that effective, evidence-based treatments are available.
What is Premature Ejaculation (PME)?
Premature Ejaculation is defined as ejaculation that occurs sooner than desired, either before or shortly after penetration, with minimal sexual stimulation and before the individual wishes it.
In simpler terms, PME happens when a man ejaculates too quickly during sex—often before he or his partner is satisfied.
It is classified as:
Lifelong PME: Present from the first sexual experiences.
Acquired PME: Develops later in life after previous normal sexual function.
Situational PME: Occurs only with specific partners or under certain conditions.
Variable PME: Occurs inconsistently or occasionally.
PME is not just a physical issue—it can affect confidence, cause relationship stress, and lead to avoidance of sexual activity.
How Common is PME?
Studies show 20% to 30% of men worldwide experience some form of PME.
In India, PME is the most commonly reported sexual complaint in men.
Despite its high prevalence, many men suffer in silence due to stigma, guilt, or embarrassment.
Remember: PME is treatable, and seeking help is the first step toward a better quality of life and intimacy.
What Causes Premature Ejaculation?
PME often has multifactorial causes, meaning a mix of physical, psychological, and relational factors may be involved.
1. Psychological Causes
Performance anxiety
Stress or depression
Relationship conflicts
Fear of failure or negative sexual experiences
2. Biological Causes
Hypersensitivity of the penile nerves
Altered serotonin levels in the brain
Genetic predisposition
Hormonal imbalances
Prostatitis or other urogenital issues
3. Lifestyle Factors
Lack of sexual experience or infrequent sex
Substance use (e.g., alcohol or drugs)
Poor sleep or chronic fatigue
Our clinical evaluation helps identify whether the cause is psychogenic, organic, or mixed, to provide personalized treatment.
How is PME Diagnosed?
Diagnosis starts with a confidential consultation. You are not being judged—we’re here to help.
We may explore:
Duration and pattern of the symptoms
Relationship or psychological factors
Frequency of ejaculation and satisfaction level
Any associated erectile difficulties
We may use diagnostic tools such as:
Intravaginal Ejaculatory Latency Time (IELT): the time between penetration and ejaculation.
Standardized questionnaires to assess severity and impact.
Blood tests and physical examinations are rarely needed unless another condition is suspected.
Treatment Options for PME
There is no one-size-fits-all approach to PME. At our clinic, we tailor treatment based on the underlying causes and patient goals.
1. Behavioral Techniques
Start-Stop Technique: Pausing stimulation before ejaculation.
Squeeze Technique: Applying pressure to reduce arousal.
Sensate Focus Therapy: Reconnecting with your body and sensations through gradual intimacy exercises. These techniques are taught over time and often practiced with a partner.
2. Psychosexual Therapy
Addresses anxiety, low confidence, and negative sexual conditioning.
Effective for both lifelong and acquired PME.
May involve Cognitive Behavioral Therapy (CBT) and relationship counseling.
Especially useful when combined with medical therapy
3. Medications
SSRIs (Selective Serotonin Reuptake Inhibitors): Delay ejaculation by modifying neurotransmitter levels.
Examples: Paroxetine, Sertraline, Dapoxetine (on-demand).
Topical anesthetics (lidocaine/prilocaine): Reduce penile sensitivity.
Tramadol (used cautiously for off-label benefits).
These treatments are generally safe under medical supervision and often combined with therapy for best results.
4. Couple’s Counseling
Involving the partner can improve communication, reduce pressure, and restore sexual confidence.
Enhances mutual understanding and shared solutions.
Why Choose Our Clinic for PME?
Confidential, Non-Judgmental Care: We understand the sensitive nature of PME and provide safe space for open dialogue.
Multidisciplinary Team: Experts in urology, psychiatry, and sex therapy.
Holistic Treatment Plans: Medical + Psychological + Behavioral.
Evidence-Based Practice: Guided by global standards and clinical guidelines.
You’re Not Alone—And You Don’t Have to Struggle in Silence
Premature Ejaculation is more common than you think—and it is treatable. You deserve satisfying and confident intimacy. If PME is affecting your quality of life or relationships, we encourage you to reach out. Let’s work together to restore control, confidence, and connection.
