Bimonthly, Established in 1959
Open access journal

Main Psychological Causes of Premature Ejaculation

Premature ejaculation can be triggered by various psychological factors, including:

  • Anxiety: Especially anxiety related to sexual activity or the fear of not satisfying a partner. This type of anxiety can lead to heightened sensitivity and accelerated ejaculation.
  • Depression: Low mood and reduced self-esteem can also contribute to premature ejaculation.
  • Relationship issues: Tensions, conflicts, or mistrust between partners can affect sexual function.
  • Past sexual trauma: Negative sexual experiences from the past can cause fear and stress, affecting sexual behavior in the future.

Effective Treatment Methods

Various approaches have been explored to treat premature ejaculation based on psychological causes:

  • Psychotherapy: Consulting with a psychotherapist can help address and resolve the psychological issues that may be causing premature ejaculation. Cognitive-behavioral therapy is particularly effective at reducing anxiety related to sexual activity.
  • Behavioral therapy techniques: Methods such as the “stop-start” or “squeeze” techniques can help men improve their control over ejaculation.
  • Treating comorbid disorders: Addressing underlying issues such as depression or anxiety disorders may involve using medications such as antidepressants, which can also help manage symptoms of premature ejaculation.

Numerous studies support that combining psychotherapeutic approaches with medical treatment can yield better outcomes. Regular consultations and therapy can help understand the psychological roots of the problem, while appropriate medical treatment helps manage the physiological aspects of ejaculation.

To gain a deep understanding of premature ejaculation, it’s recommended to explore several scientific studies and reviews:

Research on the use of selective serotonin reuptake inhibitors (SSRIs) has shown that they can improve symptoms of PE, control over ejaculation, and sexual satisfaction, although they may also cause side effects. This is supported by a meta-analysis of data from 31 studies involving 8,254 participants​ (Welcome)​.

A comparison of the “stop-start” techniques with and without sphincter control training showed that the latter could be more effective in improving ejaculation control, with no side effects detected and long-term positive outcomes​ (PLOS)​.

A review analyzing the impact of physical exercises on ejaculation control claims that yoga, running, and high-intensity interval training can improve PE symptoms, demonstrating effectiveness comparable to that of medications​ (Oxford Academic)​.

Acupuncture has also been studied as a treatment for PE. A meta-analysis of studies indicated that acupuncture could increase latency time and improve PE symptoms, but the quality and scale of the studies remain limited​ (Oxford Academic)​.

These studies provide diverse approaches to understanding and treating premature ejaculation, allowing for a deeper insight into the topic and choosing the most suitable treatment method.