Premature Ejaculation 101:

What Causes It & How To Fix It

Written by: Don Watson | Updated: April 5th, 2023

There's only one thing worse than erectile dysfunction, and that's premature ejaculation. Thousands if not millions of men battle the condition year after year, much to their own dismay. Sex is a team sport after all, there's no fun to be had if you can't carry your end of the bargain.

Dealing with premature ejaculation can be a very trying process that can effect a man's self esteem and sexual satisfaction.

We've gone over natural ways to treat premature ejaculation before on our site, but we also think its prudent to explain some of the causes behind the dreaded scourge of PE. No man is exactly the same and the biological reasons behind the condition are as varied as the men who report it. If you are able to track down the root cause of your PE, you're in a much better situation to start doing something about it. There's two main camps when it comes to trying to pin down the cause of premature ejaculation, those who explore the mental aspects behind the condition and those who explore the physical aspects. Both might be what's holding any individual back, but you can be certain at least one of them is playing their part.

Enough small talk though, let's start dissecting this issue, hopefully we'll be able to shed some light on this affliction.

Mental Causes Of Premature Ejaculation

Sexual arousal starts in the mind, as unbelievable as it might seem even men can not be in the mood if they have too much on their minds or their week hasn't gone especially well. Premature ejaculation is actually rarely diagnosed as a distinct medical problem that doctors can prescribe a quick fix for, leading most people to believe that this condition primarily comes from the mind.

Anxiety is thought to be an extremely powerful force behind premature ejaculation. If you are particularly anxious about your sexual performance or ability to go the distance, it has the ability to seriously hinder your ability to actually last as long as you'd like to. It sounds counterproductive, but that's just the nature of anxiety. The anxiety felt doesn't have to directly be because of sex, either. Anxious feelings from things going on in the home or family life completely unrelated to sex can create the same chemical cocktail in the brain that prevents a man from enjoying a full sexual romp.

Those who frequently deal with erectile dysfunction or difficulty maintaining an erection also tend to find themselves in the premature ejaculator category as well. Worrying about how long your erection is going to stick around for can create a mental pattern of constantly rushing through sex and crossing over the edge much too soon because you'd like to use it while it's still there.

Any sort of mental strife can contribute to premature ejaculation, actually. If you're feeling guilty for whatever reason there's a much higher likelihood of PE rearing its ugly head. Commonly, things like guilt from a very conservative upbringing with strict reservations around sex might lead you to feel uncomfortable with the idea of sex so your body compensates by getting the encounter with as soon as it possibly can. If there are issues or mental hang ups with your relationship this can also create issues. Some people only experience premature ejaculation with certain partners. If this is you, think about what is different between the relationship where you're having difficulty with PE and the relationships where you didn't. There may be a missing element of trust or connection that ultimately is affecting your sexual prowess.

There's a clear pattern here, a racing mind makes for a racing orgasm. Those who are able to learn to be more comfortable in their own skin and with their sexual partners in general tend to report a much lower rate of PE symptoms than people who are dealing with mental anguish. It might seem like a problem of the chicken or the egg, but I remind my readers to please just relax and take a deep breath, if it's a mental thing it's something you're just going to have to work through on your own.

Physical Causes Of Premature Ejaculation

On a physiological level premature ejaculation has been explored as well. There are some conditions that tend to have PE come along with it as a side effect. Ultimately everything we do can be traced back to the chemical soup found inside our bodies if you look hard enough, so there's a few things that can happen physiologically that won't be doing you any favors.

The thyroid regulates a lot of the hormones in the body and men with either hyperthyroidism or hypothyroidism can report issues of having to deal with PE. Hormones like testosterone and other sex hormones factor heavily into the sexual functioning of a male human being, so anything that can throw that balance out of whack can end up being a problem.

A chemical imbalance in the brain can also contribute to PE. The three most commonly talked about neurotransmitters in the brain are dopamine, serotonin, and norepinephrine. Men who take SSRI medication that makes serotonin stick around in their brain for longer often report that their premature ejaculation issue has been helped or even cured by the medication. It is for this reason that some doctors prescribe the medication at low doses to some men as a last resort, but I recommend against going on powerful psychotropic drugs just to get a few more minutes with your dearly beloved. If you are battling with mental issues like depression that are a result of a chemical imbalance in the brain, there's a good chance getting treatment will also clear up other issues you may have like premature ejaculation.

Things like UTIs can also impact the functioning of your penis. Inflammation and infection will hamper how well your reproductive system works and PE is just one of the many issues that can be caused. These conditions cause a change in how your body processes sex on a physical level, so this is something that should be looked into as well.

Now this is the least common physical cause of PE, but any sort of nerve damage caused by a disease, trauma, or surgery will also affect your ability to last in the bedroom. The nervous system is after all responsible for the physical sensations felt during sex, abnormal function of the nervous system means abnormal function of the reproductive system as well.


So there you have it, a comprehensive look at the mental and physical issues surrounding PE. If any of the above conditions seem like they could describe you, you should immediately try and figure out some way to get to the bottom of your issues and fix them. The physical issues can be fixed relatively easy by a simple doctor's visit and routine medication, but it's seldom that easy.

The mental aspect of sex is definitely where the problem lay the majority of the time in my opinion. Sometimes it just takes a few successful sexual encounters for you to get your mojo back and leave PE in the dust for good. If you just want a worry-free sexual encounter without having to think about how long you're going to last, a delay spray is a good way to get yourself there immediately. Once you've had a few good romps with the delay spray, use that confidence you've gained to keep things going in an all natural fashion.

About Don Watson

My name is Don Watson and I love to support my wife Angela's passion for human sexuality. It pays dividends for me personally and I enjoy writing about the topic as I'm a sexual person by nature. I concern myself with everything on the website that has to do with the male reproductive system to compliment my wife's female-oriented content. Have any questions? You can contact me via email.

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