Premature ejaculation is a type of sexual dysfunction that occurs in men when semen leaves the body (ejaculate) sooner than wanted during sex. It often before or shortly after penetration during sexual intercourse. Premature ejaculation is a common problem that affects 30% to 40% of men. It can be a frustrating experience for both sexual partners, which makes your lives unenjoyable. 

• Premature ejaculation can be attributed to various factors, which can be broadly categorized into physical and chemical causes, as well as emotional or psychological causes.

• Physical causes include erectile dysfunction diagnosis, hormonal imbalances such as oxytocin, luteinizing hormone, prolactin, and thyroid-stimulating hormone, as well as low levels of dopamine and serotonin in the brain, which are responsible for sexual desire and excitement. Additionally, an extra sensitive phallus to stimulation can also contribute to premature ejaculation.

• On the other hand, emotional or psychological causes can play a significant role in this condition. Factors such as stress, depression, relationship problems, and performance anxiety can all contribute to premature ejaculation.

• It is important to consider these various causes when addressing and treating premature ejaculation, as a comprehensive approach is often necessary to effectively manage this condition.

How ejaculation works

Ejaculation, a pleasurable event, involves the release of semen through the penis, which is under the control of the brain. The brain receives signals from the spinal cord, indicating a certain level of excitement, and subsequently instructs the reproductive organs to proceed. As a result, semen is expelled through the penis.

Ejaculation consists of two distinct phases:

1. Emission: During this phase, sperm travels from the testicles to the prostate. It combines with seminal fluid to form semen. The vasa deferentia, which are tubes, facilitate the movement of sperm from the testicles to the base of the penis, passing through the prostate.

2. Expulsion: In this phase, the muscles located at the base of the penis contract, leading to the forceful expulsion of semen from the body. Ejaculation and orgasm typically occur simultaneously. It is worth noting that a significant number of men experience climax without ejaculation.