Managing Premature Ejaculation: Causes, Strategies & Treatment Options

by Burst Health March 6, 2025

Premature ejaculation (PE) is one of the most common sexual health concerns, affecting millions of men worldwide. While occasional early ejaculation is normal, persistent PE can impact confidence, relationships, and overall well-being.

The good news is that PE is manageable, and there are multiple evidence-based techniques and treatments available. By understanding the causes and exploring different strategies, men can gain better control and enhance their sexual experience.

What is Premature Ejaculation?

Premature ejaculation is a condition where a man ejaculates sooner than desired, often within one to two minutes of penetration. While there is no strict definition based on time alone, PE is generally diagnosed when:

Ejaculation occurs consistently too soon during sexual activity.
A person has little to no control over ejaculation.
The condition causes distress or frustration in their sex life.

Types of Premature Ejaculation

PE is typically classified into two categories:

Lifelong (Primary) PE – Present from the first sexual experience and persists throughout life.
Acquired (Secondary) PE – Develops later due to psychological, hormonal, or neurological factors.

Although PE can be frustrating, it is not a permanent condition—with the right approach, many men can experience significant improvement.

Common Causes of Premature Ejaculation

PE can result from a mix of psychological, biological, and external factors. Identifying the root cause is key to finding the most effective management strategy.

Psychological Causes

Performance Anxiety – Worrying about sexual performance can increase arousal levels and lead to rapid ejaculation.
General Anxiety & Stress – High-stress levels can make it difficult to stay relaxed and in control.
Past Sexual Experiences – Early conditioning (such as feeling rushed during early sexual encounters) may establish lasting patterns.
Relationship Issues – Emotional disconnect, conflicts, or lack of intimacy can contribute to PE.

Biological Causes

Hormonal Imbalances – Low serotonin levels have been linked to reduced ejaculation control.
Hypersensitivity – Some men naturally have a more sensitive penis, making it difficult to delay orgasm.
Neurological Issues – Nerve-related conditions affecting sensation and ejaculation control.
Prostate or Urethral Infections – Some infections can cause irritation and affect ejaculation.

Lifestyle & External Factors

Alcohol & Drug Use – Excessive consumption can affect nerve function and arousal levels.
Diet & Physical Health – Poor nutrition and lack of exercise can impact hormonal balance and stamina.
Pornography Consumption – Watching too much pornography may alter sexual response and contribute to early ejaculation.
Erectile Dysfunction (ED) – Some men with ED may unconsciously rush intercourse due to fear of losing their erection, leading to PE.

How to Last Longer During Intercourse: Evidence-Based Strategies

Premature ejaculation can often be managed with simple, effective techniques that improve ejaculation control over time.

Behavioural Methods

Start-Stop Method

Stop stimulation when nearing climax, wait until the urge subsides, then continue.
Repeating this process over time trains the body to last longer.

Squeeze Technique

Apply gentle pressure to the base of the penis when feeling close to ejaculation.
This can reduce arousal and delay orgasm.

Deep Breathing & Mindfulness

Practicing controlled breathing helps lower anxiety and improve endurance.
Mindfulness exercises help men stay in the moment and focus on pleasure rather than pressure.

Lifestyle Adjustments

Exercise Regularly

Improves blood flow, stamina, and overall sexual performance.
Strengthens pelvic floor muscles, which play a key role in ejaculation control.

Healthy Diet

A diet rich in omega-3 fatty acids, zinc, and magnesium supports healthy testosterone levels.
Foods like spinach, nuts, and fish promote better sexual health.

Reduce Stress

High cortisol levels from chronic stress can negatively impact sexual performance.
Activities like meditation, yoga, and relaxation techniques help manage stress and improve sexual function.

Pornography Consumption & PE

Overexposure to pornography can create unrealistic sexual expectations.
Reducing excessive porn use can reset arousal patterns and improve real-life control.

Psychological Approaches

Cognitive Behavioural Therapy (CBT)

Helps address negative thoughts and anxiety that contribute to PE.
Can be done through self-guided exercises or professional therapy.

Sex Therapy

Speaking with a sex therapist can help develop personalised strategies.
Often involves couples counseling to improve communication and intimacy.

Medical Treatments for Premature Ejaculation

For some men, medical treatments may provide additional support in managing PE.

Topical Treatments

Desensitising creams & sprays reduce penile sensitivity to delay ejaculation.
Must be used in moderation to prevent excessive numbing.

Oral Medications

Some prescription medications may help improve ejaculation control, but they should only be taken under a doctor’s supervision.
Medications should never be viewed as a one-size-fits-all solution—consultation with a healthcare provider is essential.

Consulting a Healthcare Professional

A medical consultation can help identify underlying conditions and recommend suitable treatments.
Burst Health offers discreet online consultations with licensed professionals in Australia.

Can Last Longer in Bed Pills Help? Understanding Over-the-Counter & Herbal Remedies

Many over-the-counter products claim to help with PE, but not all are scientifically proven.

Potential Risks of Unregulated Supplements

Some herbal pills lack clinical research and may not be effective.
Certain unregulated products contain undisclosed ingredients that could cause side effects.

Do Supplements Work?

Some vitamins and natural extracts, like zinc and L-arginine, support overall sexual health but do not guarantee longer-lasting performance.
Always consult a healthcare provider before taking any supplement.

Take Charge of Your Sexual Health with Burst Health

Premature ejaculation can be frustrating, but it is manageable, and many men see improvement with the right approach. By using a combination of strategies, most men can see significant improvement in their ability to last longer.

If PE is affecting your confidence and relationships, it’s time to take action. A professional consultation can provide the right guidance and treatment options for your individual needs.

Learn more about PE treatment options
Have questions? Speak with a healthcare professional today