Premature Ejaculation: What is It? Why Does it Happen? How Can I Fix It? – Pt 3

What are the causes of premature ejaculation? The causes of premature ejaculation can be physiological, psychological or (more often) a combination of both.

Written by Kimberly Wylie


Physiological Causes of Premature Ejaculation:

Physiological causes mean that your premature ejaculation has a physical component. These causes can often be addressed with products, exercises or prescription medication, when required. Physiological causes include:

  • Highly responsive nervous system – Your sympathetic nervous system “uses energy” and is responsible for your fight or flight response, when your body encounters stress. This includes sexual stress. Your heart rate and breathing increases. Your pupils dilate and blood vessels constrict. This response also triggers the emission phase of ejaculation! If your sympathetic nervous system is highly responsive, it can lead to an early triggering of orgasm — AKA premature ejaculation.
  • Overactive pelvic floor last longer in bed pelvic floor musclemuscles – This often happens when men first begin Kegeling and Kegel during sex, causing premature ejaculation. When Kegels are performed correctly, then can be used to prevent ejaculation (see below), but pelvic muscles that contract outside your control can lead to prematurely orgasming.
  • Abnormal hormone levels – Both low testosterone and low thyroid have been associated with lack of climax control.
  • Abnormal levels of neurotransmitters – Low serotonin levels have been found in men with premature ejaculation.
  • Infection or inflammation of the urethra or prostate – This can be a very treatable cause of premature ejaculation.
  • Abnormal ejaculatory system reflex activity –
    This is the inability to control orgasm, due to an autonomous reflex.
  • Nervous system damage – This usually happens following a trauma or surgery.
  • Withdrawal of some mental health medications – These include selective serotonin reuptake inhibitors like Zoloft and Paxil.

Psychological Causes of Premature Ejaculation:

Psychological causes of premature ejaculation can include anxiety, stress, and past trauma. These causes are most often best treated by a mental health professional.

  • Early Sexual Experiences – These may include early experiences where you were rushed to climax, in order to not be discovered or feelings of guilt in early experiences that rushed you to orgasm, all setting up a pattern of quick ejaculation, for later in life.

premature ejaculation snowball effect

  • Anxiety – Oftentimes men with issues with premature ejaculation have anxiety issues either
    serving as a catalyst or compounding the problem. The anxiety may be about sexual performance or it may be about other issues entirely. Anxiety puts your body in sympathetic mode — the mode that leads to orgasm. Additionally, anxiety can create a snowball effect for premature ejaculation. Your anxiety levels rise when you’re worried about orgasming too quickly. This creates a fight or flight response and triggers orgasm. This is why thinking about something like baseball stats work. It’s not that the topic is mundane, but rather that it distracts your mind from the anxiety.
  • Relationship Problems – Premature ejaculation can be caused by problems within your relationship. If premature ejaculation is something new in your sexual experience, this may be an indicator that the problem may have root in your relationship.



Keep Reading: Getting Aroused Too Quickly





Leave a Reply

This site uses Akismet to reduce spam. Learn how your comment data is processed.