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Posted by on March 17, 2019

The ejaculation early or premature is, with erectile dysfunction, a disorder of the most frequent male sexuality. As explained by sexologist in Delhi, its causes are varied: they can be psychological, behavioral, neurobiological or genetic.


While definitions vary across countries and medical societies, they all agree on three points. Premature ejaculation results in:

  • an ejaculation that occurs too quickly, before the man or his partner wish and that, consistently or very often;
  • an inability to “hold” or control ejaculation;
  • the psychological impact negatively.

It should be noted, however, that premature ejaculation, during first sexual intercourse or a new relationship, is normal. It becomes problematic only if it persists and constitutes a real embarrassment, says the best sexologist in Delhi.

We distinguish:

  • the ejaculation early primary that is present in each report, with different partners throughout life.
  • the ejaculation early secondary or acquired appears as it was not present in previous sex. It is usually associated with an underlying disease such as prostatitis, an erectile or a neurological disorder, or a psychological problem, says top sexologist in Delhi, India.

Who is affected by premature ejaculation?

According to sex specialist doctor in Delhi, premature ejaculation affects 20 to 30% of men.

However, it is difficult to obtain precise figures, especially as the diagnostic definition has long remained vague. On the other hands, very few men who consider themselves affected by this disorder consult a sexologist doctor in Delhi for this reason.

According to the best sex doctor in Delhi, India the prevalence of premature ejaculation would vary between 3 and 30% depending on the studies.

Causes of premature ejaculation

It is now known that premature ejaculation, which has long been considered a purely psychological disorder, is also linked to neurobiological disorders and/or genetic susceptibility.

The exact causes are however unknown.

Several biological factors could contribute to this disorder, including:

  • hypersensitivity of the glans,
  • a hyperexcitability of the ejaculation reflex,
  • disorders of the transmission of nerve messages in the brain or hypersensitivity of certain nerve receptors (especially serotonin receptors),
  • inflammation of the prostate (chronic prostatitis),
  • abnormalities of the thyroid gland (hyperthyroidism),
  • a neurological disease, such as multiple sclerosis.

To date, no large-scale study has clearly demonstrated the role of any of these neurobiological causes.

It is clear that some psychological and environmental factors also have a role to play, says sexologist in South Delhi.

Evolution and possible complications

Premature ejaculation is not a disease in itself. It is a disorder that becomes problematic only if it is a source of embarrassment, discomfort or distress for the person who complains or for his partner, sexologist in North Delhi explains.

Thus, the psychological consequences of premature ejaculation can be very negative, for the subject as for the couple. Men who suffer from it may develop symptoms of depression, anxiety, or even fall back on themselves by avoiding any romantic or sexual relationship, says sexologist in East Delhi.

This is why it is important to talk about it, especially since solutions exist, whether medical or not.

Symptoms of Premature Ejaculation, People at Risk and Risk Factors


According to the recommendations by the best sexologist doctor in Delhipremature ejaculation has symptoms:

  • Ejaculation occurs always or almost always before intravaginal penetration or within one minute after penetration
  • there is an inability to delay ejaculation during each or almost every vaginal intercourse
  • this situation has negative consequences, such as distress, frustration, embarrassment and / or avoidance of sexual relations.

According to sexologist in West Delhi, there is insufficient scientific evidence to extend this definition to non-heterosexual sex or intercourse without vaginal penetration.

Several studies show that among men suffering from permanent premature ejaculation:

  • 90% ejaculate in less than a minute (and 30 to 40% in less than 15 seconds),
  • 10% ejaculate between one and three minutes after penetration.

Finally, according to the ISSM, 5% of these men ejaculate involuntarily even before penetration.

People at risk

Risk factors for premature ejaculation are not well known.
Unlike erectile dysfunction, premature ejaculation does not increase with age. On the contrary, it tends to decrease with time and experience. It is more common among young men and at the beginning of a relationship with a new partner, says sex doctor in Delhi, India.

Risk factors

Several factors can promote premature ejaculation:

  • anxiety (including performance anxiety),
  • having a new partner,
  • low sexual activity (infrequent),
  • the withdrawal or abuse of certain drugs or drugs (especially opiates, amphetamines, dopaminergic drugs, etc.),
  • alcohol abuse.

Prevention and medical treatments of premature ejaculation

Can we prevent premature ejaculation?

Often, when premature ejaculation is transient or unimportant, the premature ejaculation treatment in Delhi is primarily based on psychosexual counseling. Thus, several measures or techniques can help delay the time of ejaculation, including:

  • bring the partner to stimulate the penis until ejaculation is imminent, then pause to relieve the excitement before proceeding
  • apply manual pressure at the base of the glans during the report (“squeeze”), when the signs of ejaculation are felt. It is advisable to press the glans between thumb and forefinger (thumb placed on the brake) for 2 or 3 seconds so as to stop the ejaculation reflex.

These “exercises” must be repeated several times in order to manage to hold about twenty minutes without ejaculating. Little by little, they will better control ejaculation, says sexologist in India.

Medical treatments for premature ejaculation

The recent recommendations of the best sexologist in India advocate a combined management combining, if necessary:

  • pharmacological treatment

a psychosexual intervention.


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