Types and causes of premature ejaculation

psychiatrist, sexologist, psychotherapist
  • Published:
    06 July 2022
Types and causes of premature ejaculation

    There are three types of premature ejaculation: psychogenic, organic, and combined (showing signs of psychogenic and organic disorders).

    Psychogenic causes of premature ejaculation: 

  • First of failed sexual experience;
  • Lack of ejaculation control experience at the beginning of intercourse;
  • Non-standard situations (suddenly interrupted intercourse due to external disturbances, e.g., the appearance of other people);
  • The necessity to finish intercourse quickly;
  • Anxiety;
  • Tension;
  • Excessive focus on the genitals, and erections;
  • Anxiety, fears, and the tendency to ejaculate quickly due to unfavorable sexual conditions;
  • Lack of involvement of one of the partners during intercourse;
  • Low intercourse or masturbation frequency, causes excessive sexual arousal;
  • Quick and abrupt genital withdrawal;
  • Fear of being unable to deliver sexual satisfaction to the partner;
  • Quick friction, fast body movements of the male/female partner;
  • The expectation of sexual failure syndrome;
  • Inflated, unrealistic expectations about intercourse;
  • Phobias;
  • Depression;
  • Emotional tension, which is not related to sexual activity;
  • Unresolvable family issues;
  • Difficulty identifying and describing one's own and others' emotions (alexithymia).

    Organic causes of premature ejaculation: 

  • Urological problems (urethritis, cystitis, folliculitis, prostatitis, vestibulitis, enuresis, prostate adenoma);
  • Pelvic and spine fractures;
  • Paracentral Lobule syndrome, connected with disruptions in the nerve structures of the brain which are responsible for ejaculation (about 3-4% of cases);
  • Hypersensitivity of the penis head (an increased number of nerve endings in the penis head and their higher sensitivity to pressure and friction than normal);
  • Parkinson's disease;
  • Chronic depression;
  • Diabetes mellitus;
  • Renal failure;
  • Cancer diseases;
  • Endocrine disruption;
  • Genetic predisposition;
  • Medication (neuroleptics, antidepressants, antiepileptic drugs, beta-blockers).

    The combined premature ejaculation includes different psychogenic and organic causes. For instance, a man suffering from a genitourinary disease and in conflict with his female/male partner has premature ejaculation due to his fear of the consequences of the disease and of not satisfying his female/male partner. Lacking adequate support from female/male partners, anxiety, and tension during every consecutive intercourse will lead to the development of neurosis and the perpetuation of habitual premature ejaculation.

    Several factors that may indirectly affect the development of premature ejaculation: age of 45 and over, sedentary lifestyle (including sedentary work), obesity (more than 15 kg overweight), smoking (even a few cigarettes per day), alcohol and drugs, nutritional imbalance (predominance of fast carbohydrates), avitaminosis, lack of regime (insufficient sleep and rest time), working in hazardous conditions and/or hard physical labor. 

    In case, you or your partner experience cases of premature ejaculation mentioned above, we advise you to examine the dynamics of these disruptions and consult with a  specialist for treatment options.

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