Understanding the Different Types of Premature Ejaculation

Introduction

Premature ejaculation is involuntary and early ejaculation during sexual intercourse that makes the act unsatisfactory for one or both partners.

Understanding the types of premature ejaculation, its reasons, and treatment can help you recognize the symptoms and get the required help.

What are the types of Premature Ejaculation?

Ejaculation is a male response to arousal and is the process of emitting semen in the final stage. 

It occurs in two stages, and the first is the emission phase. During this phase, the sperm cells move from the testes and meet seminal fluid, which together forms semen and reaches the urethra. 

The second stage is the ejaculation stage, in which semen is ejaculated with the help of muscular contractions. Sperms receive oxygen when expelled from the body, which is vital for their mortality. 

Premature ejaculation time has been a matter of debate over the span of the last few years. For now, ejaculation is considered premature if it happens within one minute of entering the partner. 

Even if the male reaches climax, the orgasms are generally weaker and do not satisfy the person. There are nine types of premature ejaculation that exist that you should know:

Neurological System Premature Ejaculation – 

It happens due to quick reflexes of the ejaculatory system. The ejaculation will happen earlier than expected, irrespective of the way you stimulate yourself. 

So, it will happen early in either way, with a partner or via masturbation. The condition could be genetically inherited. 

Some possible causes of Neurological System Premature Ejaculation include:

• Irregular hormone levels
• Irregular levels of brain chemicals
• Swelling and infection of the prostate or urethra
• Inherited traits

One would need the help of a sexologist and a neurologist to get suitable treatment.

The neurologist can look into the neurological treatment of premature ejaculation and help you gain control via modulating the system. 
A sexologist will act as a premature ejaculation doctor and help you with the sexual part of the issue.

Physical Illness Premature Ejaculation –

This type of premature ejaculation happens in combination with a urological problem. 

Issues like urinary tract infections, prostate enlargement, and bladder problems can cause early ejaculation. 

The condition is not permanent and usually goes away with treating the underlying condition. 

You would need the help of a good sexologist to get treatment for a urological condition

• Underactive thyroid
• Diabetes
• High blood pressure
• Multiple sclerosis
• Prostate disease

Physical Injury Premature Ejaculation  –

Any physical injury to the groin area or spinal area can change the way reflexes are perceived. 
Changes in sensation will change the arousal or its return signals and could lead to premature ejaculation. 
The problem is mostly neurological and you would need the assistance of a neurologist to rectify the issue.

Drug Side Effects Premature Ejaculation –

You might notice changes in ejaculation time after having certain medicines. If that is the case, you should consult your physician report the changes, and find out if the medicine can be switched.

Stopping the use of recreational drugs commonly used by the youth could also result in such withdrawal symptoms. 

Rehabilitation needs to be prioritized and you should stay strong and continue the path of withdrawal. 

It might take some time but you will get your sexual capabilities back once your body is completely detoxified. Some medications that may cause premature ejaculation as a side effect include:

• Antidepressants
• High blood pressure medications
• Diuretics
• Antipsychotic medications
• Anti-seizure medications

Psychological System Premature Ejaculation –

It is a long-term issue and might stay for months or even years if proper treatment is not taken. 

This type of premature ejaculation is not influenced by a new partner, multiple partners, or even if you masturbate. 

The condition remains the same, and chronic mental illnesses are often the major reason.

It could happen to someone with Obsessive-compulsive disorder (OCD), Attention deficit hyperactivity disorder, or Schizophrenia.

One would need the help of a psychiatrist to find the exact cause and get treatment accordingly. 

A psychiatrist may also recommend a few lifestyle changes that could change the trajectory of the disease. Some possible psychological causes of premature ejaculation include:

• Early sexual experiences
• Sexual abuse
• Poor body image
• Depression
• Anxiety about premature ejaculation

Psychological Distress Premature Ejaculation –

It is due to the psychological impact on sex life. Mostly the phase is temporary and could be according to the psychological condition. 

The temporary phase of depression could affect your libido and ejaculation time. For example, during Covid, many people lost their jobs and went into depression. This mental phase changed their interest in sex and could have been the cause of premature ejaculation.

It can also happen the other way around where premature ejaculation causes distress that further challenges mental health and the loop goes on. 

To break the cycle, you would need to consult a good sexologist who can work on the cause of premature ejaculation with you and help you get your life back on track.

Relationship Distress Premature Ejaculation- 

As the name suggests, premature ejaculation time here is due to relationship issues. 

A relationship provides security, love, and emotional support. It is the most essential part of your life and surely affects your attitude towards life. 

Any issue in the relationship might reflect in the sexual issues. Tense situations or conflicts in the relationship might create a gap and make sexual intimacy your last priority. 

It may not only be how you think but reflect during sexual intercourse. You may also eject early if you are constantly worried about your partner being dissatisfied or if they complain of pain during penetration. 

The issues can be complex, and you would need a good sexologist to find the treatment for premature ejaculation.

Talk to your sexologist and discuss the issues openly disclosing all tiny details that will help the doctor understand the root cause.

Having a clearer picture will help your sexologist provide you with the right treatment.

Psychological Skill Deficit Premature Ejaculation –

It is specifically for someone who is unaware of the whole process of sexual intimacy, the right ways of penetration, or basic female anatomy. 

It could also be the case for someone who consumes excessive pornography and has unrealistic expectations or presumptions about sexual intercourse. 

Both cases would need counseling by a sexologist or a psychologist according to the gravity of the issue. 

Such patients will not ejaculate early if they masturbate and will only face premature ejaculation during sex. 
These issues can be multidimensional and would need a good sexologist to study all the angles and provide appropriate treatment for premature ejaculation.

Mixed Premature Ejaculation or Premature Ejaculation with Other Sexual Dysfunctions – 

This type of premature ejaculation often happens in the presence of other sexual dysfunctions, mostly erectile dysfunction. 

Men with Ed usually fear going flaccid during intercourse and might deposit semen early. Premature ejaculation in such cases is due to erectile dysfunction, and treating Ed will automatically resolve the issue of early ejaculation. 

A sexologist will undertake a complete medical and personal history that would help in determining the exact cause and treatment. Some causes of premature ejaculation include:

• Irregular hormone levels
• Irregular levels of brain chemicals
• Swelling and infection of the prostate or urethra
• Inherited traits
• Early sexual experiences
• Sexual abuse
• Poor body image
• Depression
• Anxiety about premature ejaculation

These are different types of premature ejaculation. As mentioned, more than often, cases of sexual dysfunctions are ruled by your head rather than your body.

Only if you understand the true meaning of life, will you give life its due importance and treat yourself well. You have only one life to live to the fullest, and time once gone ain’t coming back. Stop worrying about unnecessary things and prioritize your relationships over worldly manners.

Tips to Make Your Sex Life Better

Kegel Exercise  

This particular form of exercise strengthens pelvic musculature and helps in asserting control over ejaculation. 

During this exercise, you try to work on a particular set of muscles. You can recognize these muscles if you try to stop urinating midstream. Now you keep on holding these muscles for three seconds and repeat the process 10 times a day.

Doing this exercise with discipline is effective and will slowly increase the ejaculation time.

Start-Stop Technique

Again an efficient technique that has helped innumerable people around the world. 

During this method, the person stimulates himself and stops just before the climax. Once the erection goes away, the person has to start again and repeat the process. 

It can be done with a partner or by yourself and will help to gain control over erection. 

G-Spot Stimulation

You should work on pleasing your partner even if you are suffering from premature ejaculation.

 G-spot stimulation can make your woman ecstatic and take her to another level. Learn the art and make sure you give your woman the pleasure she deserves.

Clitoral Stimulation

Most women cannot orgasm only with vaginal penetration and need more than that. Clitoral stimulation is a must for 85% of women, and you should give it due importance.

Foreplay

Foreplay is often neglected, and people directly jump to the final act, which is the biggest mistake you can commit. 

Giving ample time to foreplay will ensure better arousal and will turn on the heat. It will aid in the smooth transition from one phase to another and intensify pleasure for both partners.

Bottom line

Knowing about types of premature ejaculation and the signs and symptoms to report to a doctor can help you get medical attention sooner. If you are facing issues with ejaculation, do not deny the situation and consult a premature ejaculation doctor.

Frequently Asked Questions

1. What is premature ejaculation?
   Premature ejaculation refers to a situation where a man ejaculates earlier than desired during sexual activity.
2. What is the difference between lifelong and acquired premature ejaculation?
   Lifelong premature ejaculation is when a man has always experienced premature ejaculation from his first sexual encounter, while acquired premature ejaculation is when a man develops the condition after having previous sexual experiences without any issues.
3. What are the causes of premature ejaculation?
   The 100% accurate cause of premature ejaculation is not known, but it is thought to be due to a combination of psychological and biological factors.
4. Can premature ejaculation be treated?
   Yes, there are various treatment options available for premature ejaculation, including medication, counseling, and behavioral techniques.
5. What is lifelong premature ejaculation?
   Lifelong premature ejaculation is when a man has always experienced premature ejaculation from his first sexual encounter.
6. What is acquired premature ejaculation?
   Acquired premature ejaculation is when a man develops the condition after having previous sexual experiences without any issues.
7. Can psychological factors cause premature ejaculation?
   Yes, psychological factors such as past sexual experiences, sexual abuse, poor body image, depression, and anxiety can contribute to the development of premature ejaculation.