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Sexual issues don’t just bring with it physical problems, they often have the potential to escalate into psychological complications, too. Sexual performance is very important for men, which is why, if there is something preventing them from having a healthy sexual life because of a problem in their health, it will leave them disturbed.

This mental health could escalate to other psychological problems such as depression, anti-social behaviours including solidarity and the likes. While there are may sexual health-related problems, you might not have heard of, but premature ejaculation is not one of them. Vast amounts of men face the issue, but many of them also do not end up seeking the treatments designed to solve the issue, instead choosing to continue with the problem in them and bring about a slow, harmful deterioration to life and its quality.

What is a premature ejaculation?

Often, men find themselves dissatisfied after an act of sex, for they tend to end too soon than anticipated. This behaviour usually ends up frustrating not only the men but also the women, as both of them tend to have a dissatisfying sexual life. The ability to not last longer in bed can cause severe psychological problems and also hurt relationships.

However, there is no set time when a man should ejaculate during a sexual act. It’s considered too soon if you have an orgasm before intercourse or are only able to last less than a minute from the time you must have started.

Its generally considered a sexual problem because once ejaculated, the penis tends to lose its erection thus ending the sexual act prematurely. This usually ends in people having less and less time having sex, and hence an apparent lack of enjoyment in having sex.

The exact cause that leads to men having premature ejaculation is mostly unknown. However, many pieces of research have outlined low levels of serotonin in the patient’s brain as the reason for shorter time ejaculation.

On the other hand, there could be psychological/mental/emotional factors at play for this problem. These could include –

  • Stress
  • Depression
  • Guilt
  • Relationship Problems
  • Performance anxiety

At times PE is also attributed to an erectile dysfunction problem. However, this could be a combination of other issues as well, especially of the penis does not remain firm during sex.

More importantly, a pattern is formed in men who suffer from PE, as they tend to develop a habit to rush into ejaculating every time they have sex.


The treatment for the premature ejaculation problem is often done so by treating erectile dysfunction. At CSM, Dr Srinivas Madhavaram could suggest medications of different kinds that will help men maintain an erection for more extended periods. On the other hand, Dr Madhavaram will also look to treat the problem with a combination of conventional treatment and mental health management. This is done so because only medications can only cure to a certain level, but mental clarity will provide with more support towards solving the problem in a big way.

Premature ejaculation and other sexual health problems are becoming common, yet most men do not want to talk about it or get a treatment done for the same. Be it social reputation or fear of knowing that a problem exists in them, sexual health problems can be treated and are not something men need to live with it for the rest of their lives.