Top 10 Causes of Premature Ejaculation and How to Address Them

Causes Premature

Whether it be due to physical, mental, or emotional factors, the issue of premature ejaculation (PE) can be a difficult challenge. Fortunately, there are many tools that can help you to take preventative measures and ultimately improve your sexual experience. In this article, we take a look at the top 10 causes of PE as well as discuss ways to address them.

1. Stress, Anxiety, or Depression

One of the most common causes of premature ejaculation relates to mental health. Stress, anxiety, and depression are all factors that can contribute to PE. If you find that stressful situations exacerbate your PE, then learning to cope with the stress through relaxation techniques and mindfulness practices can be beneficial.

2. Pelvic Floor Dysfunction

Pelvic floor dysfunction can also be a potential cause of premature ejaculation. This dysfunction involves the pelvic muscles being too tight or too weak, which can prevent you from maintaining a healthy erection. Taking steps to strengthen the pelvic floor can help to improve sexual function and reduce the risk of PE.

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3. Relationship Issues

Those who are dissatisfied with their relationship are far more likely to experience premature ejaculation than those in healthy relationships. Taking steps to show your partner that you care, build trust, and communicate openly can all help to improve the relationship and ultimately reduce PE.

4. Performance Anxiety

Performance anxiety is another common factor when it comes to PE. If you are constantly worrying about performing well in the bedroom, then it is perfectly normal for this to cause feelings of pressure and performance-related issues. Focusing on other aspects of the sexual experience such as physical connection, orgasm control, and mutual pleasure can all help to reduce performance anxiety.

5. Hormonal Problems

Hormone imbalances can lead to a variety of health problems and premature ejaculation is no exception. Low levels of testosterone, for instance, can reduce libido and make it hard to maintain an erection. If you think that hormones may be playing a role in your PE, then it is highly recommended to visit a doctor and get your hormone levels checked.

6. Medication Side Effects

Certain medications can have adverse side-effects that can interfere with sexual performance. Some of these include antidepressants and even pain medications. If you think that the medication you are taking is having an impact on your ability to last longer in bed, then speaking to a doctor about alternative medications may be a better option.

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7. Excessive Masturbation

Masturbation can be a healthy part of a sexual experience, but when it is done excessively it can lead to desensitization and eventually premature ejaculation. If you find yourself masturbating regularly and then being unable to last long in bed when it comes to sex, then it may be beneficial to reduce the amount you are masturbating and instead focus on other activities.

8. Excessive Alcohol and Drug Use

Excessive alcohol and drug use can have a negative effect on the body’s ability to perform sexually. Alcohol can reduce your ability to stay focused on the pleasure of sexual activities, while drugs can affect the body’s hormone levels and cause erectile dysfunction. Reducing your intake of alcohol and drugs can help reduce the effects of PE.

9. Pornography Use

Excessive pornography use can also have a negative impact on sexual performance. Over time, this can desensitize the body to sexual activities and make it harder to last long in bed. If you are struggling with PE, then it may be worthwhile to reduce the amount of pornography you watch and instead focus on other activities.

10. Illness or Injury

Having an underlying illness or injury can also be a potential cause of premature ejaculation. Some common conditions that can cause PE include diabetes, kidney disease, and low thyroid. Therefore, if you are dealing with any type of illness or injury then seeking medical attention and discussing how to manage it is highly recommended.

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How to Address Premature Ejaculation

The good news is that there are several steps you can take to address premature ejaculation. Practicing relaxation techniques such as deep breathing and mindfulness can help to reduce feelings of stress and anxiety. Additionally, learning more about the Kegel exercise and pelvic floor strengthening can also help to reduce your risk of PE. Finally, talking to your partner about your feelings and openly communicating can help to build trust and improve the relationship.

If none of the aforementioned steps have been successful, then it may be wise to seek professional help. A doctor or urologist can help to identify any underlying causes of PE and put together a treatment plan tailored to your individual needs.


The issue of premature ejaculation can be a daunting challenge. Fortunately, there are many steps you can take to address this issue. From seeking medical help to improving relationships, reducing stress, and adjusting medication, there are many tools to help alleviate the effects of PE. If you are struggling with PE, then it is recommended to assess your lifestyle and make necessary changes to improve your sexual health.