Home » What Causes Premature Ejaculation?

What Causes Premature Ejaculation?

here is what causes premature ejaculation

Premature ejaculation is the most common male sexual dysfunction (approximately 25% of men).

Premature ejaculation is a disorder that a man ejaculates before sexual intercourse or as soon as the beginning of intercourse.

PE also can result in significant dissatisfaction with sexual intercourse and distress because too early ejaculation doesn’t let your sexual partner reaches orgasm.

Even more, PE can lead to infertility problems if ejaculation happens before vaginal penetration.

PE, in many cases, happens with erectile dysfunction (impotence).

A combination of organic, psychogenic, and relationship-related factors can cause Premature ejaculation.

Organic causes of premature ejaculation might be because of urologic conditions such as:

1- Urethritis
2- Prostatitis
3- Benign prostatic hypertrophy

Also, genetic or neurobiological changes can be likely causes of premature ejaculation.

Stopping using antipsychotics or narcotics and alcohol abuse can be other causes of premature ejaculation.

what are the causes of premature ejaculation?

A man with PE ejaculates with lowest sexual stimulation before, on, or right after vaginal penetration.

Here are the causes of premature ejaculation such as psychological or neurological basis.

1. Temporary psychologic causes

Temporary psychologic problems can cause psychologic distress premature ejaculation such as:

1- Adjustment disorder
2- Acute stress disorder
3- Major depression

Stresses can temporary destabilize neurological mechanisms of ejaculation.

For example anxiety as one of the psychosocial stressors can cause PE.

Other psychological reasons can be:

  • Sexual abuse
  • Body image dissatisfaction

For that reason, to treat this type of PE, your health provider may use psychologic or pharmacologic therapies.

2. Organic causes of premature ejaculation

Urologic conditions such as urethritis, prostatitis, and benign prostatic hypertrophy may cause PE.

pelvic fractures and abdominal aortic aneurysm surgery are another reasons for Premature ejaculation.

Also, cardiovascular disease, arteriosclerosis, or venous leakage are poorly likely to cause PE.

3. Neurological Disorders

Specific neurologic conditions are reported to be likely to cause premature ejaculation.

To name a few:

  • Spinal cord tumors
  • Sclerosis
  • Alcoholic neuropathy
  • Polyneuritis


  1. Kempeneers, P., Andrianne, R., Cuddy, M., & Blairy, S. (2018). Sexual Cognitions, Trait Anxiety, Sexual Anxiety, and Distress in Men With Different Subtypes of Premature Ejaculation and in Their Partners. Journal of sex & marital therapy, 44(4), 319–332. https://doi.org/10.1080/0092623X.2017.1405299
  2. Strassberg, D. S., Mahoney, J. M., Schaugaard, M., & Hale, V. E. (1990). The role of anxiety in premature ejaculation: a psychophysiological model. Archives of sexual behavior, 19(3), 251–257. https://doi.org/10.1007/BF01541550
  3. Xia, Y., Li, J., Shan, G., Qian, H., Wang, T., Wu, W., Chen, J., & Liu, L. (2016). Relationship between premature ejaculation and depression: A PRISMA-compliant systematic review and meta-analysis. Medicine, 95(35), e4620. https://doi.org/10.1097/MD.0000000000004620
  4. “Premature Ejaculation,” May 16, 2018. https://www.mayoclinic.org/
  5. Brian Dick, … Wayne Hellstrom, in Effects of Lifestyle on Men’s Health, 2019
  6. Tunku Nor Taayah Tunku Zubir, in Braddom’s Rehabilitation Care: A Clinical Handbook, 2018
  7. Yajuan Wang OMD, LAc, in Micro-Acupuncture in Practice, 2009
  8. Alayman Hussein, in Encyclopedia of Reproduction (Second Edition), 2018
  9. Carlos Singer, Marca L. Sipski, in Office Practice of Neurology (Second Edition), 2003
  10. ARISTOTELIS G. ANASTASIADIS MD, … RIDWAN SHABSIGH, in Principles of Gender-Specific Medicine, 2004