Causes of Premature Ejaculation

Experts are still not 100% sure about exactly what causes premature ejaculation. While it was once thought to be purely psychological, it is now understood that premature ejaculation is more complicated and involves a combination of both psychological and biological factors.

Psychological causes

Some doctors and sexual health experts believe that early sexual experiences may establish a pattern that can be difficult to change later in life such as:

  • Situations in which you may have hurried to reach climax when you were younger.
  • Guilty feelings that increase your tendency to rush through sexual encounters
  • High stress levels

Other factors that can play a role in causing premature ejaculation include:

  • Anxiety. Many men with premature ejaculation also have problems with anxiety — either specifically about sexual performance, or caused by other issues.
  • Erectile dysfunction. Men who are anxious about obtaining or maintaining their erection during sexual intercourse may form a pattern of rushing to ejaculate which can be difficult to change.

Biological causes

Experts believe that a number of biological factors may also contribute to premature ejaculation, including:

  • Abnormal hormone levels
  • Abnormal levels of brain chemicals called neurotransmitters
  • Abnormal reflex activity of the ejaculatory system
  • Certain thyroid problems
  • Inflammation and infection of the prostate or urethra
  • Inherited traits

Whether premature ejaculation is caused by physiological or biological causes or a combination of the two, the good news is that a premature ejaculation treatment can be highly effective for most men.