Fast ejaculation

, medical expert
Last reviewed: 23.04.2024

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Rapid ejaculation is a disease that affects many men. Let's consider the main causes of premature ejaculation, treatment methods and methods of prevention.

According to scientific statistics, today one third of all men on the planet suffer from rapid ejaculation. But statistics is conditional, as many men hide this pathology. Premature ejaculation is a real problem for absolutely healthy men, as it has a negative impact on sexual intercourse and relationships in general.

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Causes of rapid ejaculation

The causes of rapid ejaculation are divided into two groups - psychological and physiological, that is, those that are associated with problems with health, functioning and structure of organs. In order to find out the problems of premature ejaculation, you need to contact a specialist, it can be a psychologist, urologist or sex therapist. The doctor will conduct an examination and diagnosis of the body to determine the cause of the ailment. Let's look at the basic physiological and psychological causes of rapid ejaculation.

Physiological causes of premature ejaculation:

  1. The increased sensitivity of the glans penis is the most common cause that occurs in men of all ages. This pathology can be acquired (phimosis, balanoposthitis) or congenital. Features of rapid ejaculation with increased sensitivity of the glans penis:

When having sex with a condom, the duration of ejaculation is longer. Duration is also increased when using an artificial lubricant. Therefore, it is recommended to use special condoms with anesthetics and lubricants.

  • As a rule, ejaculation does not occur before sexual intercourse, and if it does, it is only because of the member's friction about the underwear or in the process of putting on a condom.

To reliably determine the relationship of rapid ejaculation with increased sensitivity, it is recommended to buy lubricant with an anesthetic (prolongator) and apply to the head of the penis for 10-15 minutes before sex. In addition to lubrication, you can use Lidocaine aerosol, which is sold in pharmacies. If the use of lubricant increased the duration of sexual intercourse, even for a couple of minutes, then premature ejaculation is associated with hypersensitivity.

To treat rapid ejaculation caused by sensitivity, resort to circumcision, since this is the most effective method of treatment. During circumcision, remove the foreskin, which increases the duration of the sexual intercourse 2-3 times. By the way, circumcision increases ejaculation in any man, even without problems with ejaculation.

If hypersensitivity is caused by phimosis or balanoposthitis, then circumcision is the only solution to the problem. In the event that a man is afraid of circumcision or refuses this procedure, doctors recommend using lubricants with anesthetics or an aerosol with lidocaine.

  1. Chronic vesiculitis - rapid ejaculation caused by inflammation of seminal vesicles. They accumulate the constituent sperm - sperm. The walls of the bubbles become thinner and become very sensitive. That's why mild sexual arousal leads to ejaculation. Chronic vesiculitis always develops simultaneously with prostatitis, which is an inflammation of the prostate gland. Treatment of this problem should be comprehensive. The main symptoms of vesiculitis, provoking rapid ejaculation: 
    • Ejaculation is wavy, sometimes the sexual act is prolonged, but in some cases ejaculation occurs very quickly. The disease developed gradually, before that the man had no problems with ejaculation.
    • Ejaculation occurs even before sexual intercourse from excitement. At the same time, the first sexual intercourse passes quickly, and the subsequent ones take longer.
    • Taking alcohol before sex does not improve the situation, but, on the contrary, aggravates the process. The use of condoms, lubricants with anesthetics do not affect ejaculation.
    • Sexual intercourse does not bring pleasure, causes painful sensations, and the feeling of orgasm is smeared.
  1. Lesions of internal organs and disruption of their work - this cause can be diagnosed only after a series of examinations and the delivery of tests. Violation of the cortical and subcortical structures (acquired and congenital) adversely affects the reproductive system and sexual functions. Damage to the lumbosacral spinal cord, bone trauma, inflammatory diseases of the urological nature and internal organs of the pelvis, also cause rapid ejaculation.
  2. Violations of the hormonal nature - cause a hormonal imbalance, which provokes rapid ejaculation. Pathology arises from a lack of testosterone, increased production of prolactin and endocrine disorders.
  3. Poisoning - chronic poisoning with alcohol, nicotine and other toxins leads to an inferior sexual intercourse and the fact that the man quickly cums. Sometimes rapid ejaculation occurs due to the use of antibiotics and medications.

Psychological causes of rapid ejaculation:

  1. Fears - the unsuccessful first sexual experience, the fear of not giving pleasure to a partner, being ridiculed, rejected, and other fears cause psychological problems that adversely affect the sexual life and duration of sexual intercourse. Only a psychologist can cure such a disorder.
  2. Regular stressful situations. Men who are completely dedicated to work, suffer from lack of sleep, constant stressful situations and depression - have sexual problems that are associated with early ejaculation.
  3. Overexcitation is the most common cause of rapid ejaculation. This is inherent in young guys who just started to have sex. But sometimes premature ejaculation also happens in adults, experienced men. Because of overexcitement in one of the departments of the cerebral cortex, tension increases, which leads to ejaculation and orgasm.
  4. Absence of confidential relations with partners. This psychogenic factor causes early ejaculation due to dissatisfaction with life together, fear of romantic relationships and betrayal. Problems with ejaculation can happen in those men who pursue only the purpose of having sex.
  5. External stimuli - rapid ejaculation can occur due to sex in an unfavorable environment. In this case, the man subconsciously wants to quickly finish the sexual act and accelerates ejaculation. Most often this happens in young guys, and in this case it is difficult to determine the true cause of rapid ejaculation.

The main symptoms of rapid ejaculation caused by psychological causes:

  • Irregular sex life or first sexual experience.
  • Because of premature ejaculation, there are problems with erection, so it is not always possible to perform a second sexual act.
  • Thoughts on abstract topics often lead to the disappearance of an erection. The use of alcohol also adversely affects the erection and the ability to ejaculate.

Psychological problems that cause rapid ejaculation pass with the age of a man or experience in sex. But if they become worse, then they need treatment. With the treatment of this kind of problems will help a psychologist or sex therapist. As for the physiological causes of early ejaculation, they can be resolved after passing the diagnosis and examinations. Running problems with rapid ejaculation can not be, because it affects destructively the self-esteem of a man, the relationship with a partner and can lead to disastrous consequences.

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Why is ejaculation fast?

Why does ejaculation occur quickly and how to cope with this problem? To determine the cause of early ejaculation, it is necessary to undergo diagnostics. Determine the true cause of rapid ejaculation is very difficult. To do this, the doctor must determine the quality index of sex, since very often problems with early ejaculation are masked for andrological diseases (diseases of male genital organs, pathologically affecting the reproductive system).

Diagnosis consists of external examination, ultrasound examination of genital organs and rectal examination. In some cases, a man needs to pass a series of tests to determine hormones and infectious and inflammatory diseases. It is necessary to assess the blood supply to the penis (exclusion of erectile dysfunction) and other diagnostic techniques.

Let's look at the diagnostic table, which will help to determine the symptomatology of premature ejaculation (Premature ejaculation symptoms score PESS).


Not difficult

A little hard

Pretty hard

Very hard

Extremely difficult

How difficult is it for you to delay ejaculation?







Almost never

Less than 25% of cases

In about half the cases

In more than 75% of cases

Almost always

Do you have ejaculation before you want it?






Do you ever have ejaculation even after minimal stimulation?







Not really





Do you feel frustration due to the fact that ejaculation occurs before you want it?






How do you think, how dissatisfied is your partner because of your sexual problem?






How many sexual acts of 10 ended with premature ejaculation?












More than 5 minutes

2-5 minutes

Less than 2 minutes

Less than a minute

Before the introduction

How long does your sexual intercourse last?









Not really


Very bad

How would you react if you had to live with this problem all your life?






When passing the test, you need to evaluate the results, for this, sum the answers.

  • <10 points - premature ejaculation is absent;
  • 10-18 points - mild degree of early ejaculation;
  • 18-25 points - the average degree of rapid ejaculation;
  • > 25 points - severe degree of premature ejaculation.

Only after diagnosis, passing a series of tests and examinations with a doctor can you find out why ejaculation occurs quickly and cure it.

Rapid ejaculation in sexual intercourse

Rapid ejaculation during sexual intercourse can arise due to the presence of diseases or for psychological reasons. In any case, this problem negatively affects the relations between partners, as the woman remains dissatisfied because of such a rapid sexual intercourse, and for a man it is a blow to self-esteem. But early ejaculation during sex can not always be considered pathological. It all depends on the frequency and extent of the problem.

Previously, it was believed that sexual intercourse, which lasts less than 20 seconds, is pathological due to rapid ejaculation. But this statement is completely destroyed, since the duration of sex is affected by many factors. Problematic and requiring medical attention is considered to be ejaculation, which is due to a slight stimulation. In this case, ejaculation occurs before sexual intercourse.

At first glance, ejaculation is rather primitive, but in fact a very complicated process. In this process, the central nervous system takes part, as well as emotional and reflex mechanisms. Most often, the cause of disruptions are psychological factors. There is no pattern between the age of a man and premature ejaculation. This problem can be faced both by 20-year-old boys and mature men. So, if the problem occurs at an early age, it is usually due to overexcitement and perception of sexual intercourse. But in men of adulthood fast sexual intercourse and ejaculation can be caused by prostatitis or another disease. In any case, this problem requires medical care.

Rapid ejaculation during masturbation

Rapid ejaculation during masturbation, as a rule, arises because of the increased sensitivity of the glans penis. But masturbation can be the cause of early ejaculation. Of course, the very fact of masturbation does not affect the duration of sexual intercourse, but the technique is of great importance. Masturbation, that is, self-satisfaction or masturbation is sex with oneself. As a rule, guys start masturbating from the age of 12-17.

Most often, excitement and subsequent masturbation arise due to viewing porn or any other material of erotic content. In this case, the stimulation of the penis leads to an erection. But, in some cases, the guy goes to the toilet and tries to quickly cope with the excitement, which also leads to ejaculation. If this happens very often, then at the subconscious level a habit is developed that the stimulation and short stimulation of the penis is an ejaculation.

Ejaculation is a reflex or response to a mental, mechanical or visual stimulus. For example, if a young man begins to masturbate at 13 and does it 3 times a week, then for a year he ends 150-170 times. And, if the orgasm happens very quickly, then the body and penis get used to it and a reflex is formed, because of which, during sexual intercourse, ejaculation occurs very quickly. That is, during masturbation, ejaculation should not occur earlier than in 10-30 minutes.

The absence of masturbation is considered pathological, that is, a man in any case should engage in self-gratification. This is due to the fact that as soon as there is sexual intercourse with the partner, the body will try to get rid of the sperm as soon as possible. That is, the absence of masturbation, like its excess, leads to rapid ejaculation. In some cases, a man cums up before he inserted the penis into the vagina, because the body reacted and quickly got rid of the sperm.

Who to contact?

What to do with a quick ejaculation?

What to do with rapid ejaculation and whether it is possible to cure this pathology is the most frequent question for men who have not experienced the problem of early ejaculation for the first time. In order to cure the problem, it is necessary to find its cause, that is, to undergo diagnostics and a number of examinations. The causes of rapid ejaculation can be physiological and psychological. Let's look at a few recommendations that can help with rapid ejaculation.

  • Use condoms with special lubrication, which prolongs the duration of sexual intercourse.
  • Learn to renew and delay urination. Similar exercises with a sphincter apparatus of the bladder, will help prevent rapid ejaculation.
  • Just before sex, you can masturbate. According to statistics, the second sexual act will be prolonged.
  • Make circumcision - this procedure will increase the duration of sexual intercourse 2-3 times or more.

The above recommendations can help to solve the problem with early ejaculation. But some methods are categorically forbidden to use to restore full-fledged sexual functions. You can not pinch the urethra with your hands, as this causes the sperm to return to the seminal vesicles and bladder. As a result, stagnation in the prostate gland starts, which will lead to chronic prostatitis, disrupt the function of the sphincter apparatus in the prostate gland, and become a causative retrograde ejaculation (ejaculation disorder, in which the emission of seminal fluid occurs in the opposite direction). If none of the above recommendations has helped, you need to seek medical help from a urologist or sexologist.

Treatment of rapid ejaculation

Treatment of rapid ejaculation begins with the diagnosis of the disease. Diagnosis is performed to determine the cause of the pathology. If a man who suffers from early ejaculation has a constant sexual partner, he also takes part in the examination and diagnosis. Depending on the established cause of premature ejaculation, the doctor chooses a treatment option. It can be:

  • Drug therapy.
  • Microsurgical correction of ejaculation.
  • Physiotherapy treatment.

Secondary rapid ejaculation is treated with a conservative method. With regard to secondary symptomatic early ejaculation, it is eliminated in the treatment of the true cause of the disease. If problems with intercourse are caused by urethritis or prostatitis, then during treatment the duration of sex increases. But the course of treatment can be appointed only after examination by a specialist who is engaged in the diagnosis and treatment of sexual dysfunctions in men. The main methods of treatment:

  1. Conducting psychological, behavioral and sexual therapy to form a clear recognition of the onset of orgasm and control the duration of ejaculation.
  2. Treatment of inflammatory and infectious diseases that caused early ejaculation.
  3. Conservative methods of treatment of hypersensitivity using condoms with lubricants and anesthetic ointments. Drugs are applied to the penis head and the bridle area, 10-20 minutes before the sexual intercourse.
  4. For psychological reasons for rapid ejaculation, pharmacotherapeutic methods of treatment are used. To do this, use antidepressants, anxiolytics and other means to increase the duration of sexual intercourse.
  5. Application of acupuncture, physiotherapy methods and reflexology.
  6. Use of surgical methods of treatment. The patient is circumcised foreskin, plastic frenulum and denervation of the head of the penis by microsurgery.
  7. Surgical treatment with a partial intersection of the nerves, which ensure the sensitivity of the penis. The operation should be carried out by a qualified specialist, since there is a high risk of permanent loss of sensitivity of the penis and weakening of orgasm.

Alternative remedies for rapid ejaculation

Alternative means for rapid ejaculation can cure the problem of early ejaculation. The peculiarity of alternative medicine is that they can be used at home. Let's look at some alternative recipes that will help in the treatment of a fast sexual intercourse.

  • Prepare a medicinal decoction of the fruit of dogrose, the root of the medicinal angelica, the lily of the two-leafed and the herb of the rape. Take the herbs in equal parts, pour boiling water and insist 15-30 minutes. Take 1/4 cup twice a day for 1-2 months with a weekly break.
  • Mix the common grapefruit herb, motherwort, yarrow and peppermint in equal proportions. Pour the herbs with boiling water and insist for 10-20 minutes. It is recommended to take a broth 1/2 cup before meals. The course of treatment takes from 2 to 4 months.
  • Take in equal parts fruit of a dogrose, grass motherwort, calendula and leaves of a three-leafed watch. For ease of use, the grass can be ground and brewed in special bags or strainer. The broth should be drunk in 1/4 cup for 3-4 months.

If rapid ejaculation is caused by psychological disorders, then it is recommended to take a preventive course for a sex therapist or a psychologist for their treatment. It is not superfluous to have sessions of daily auto-training, which must be done in the morning and in the evening, concentrating on the problem of the disease. As a rule, problems with rapid ejaculation for psychological reasons, are accompanied by sleep disorders, irritability. To treat early ejaculation, plants with soothing properties are used. Let's look at a few alternative remedies for rapid ejaculation.

  • Pour boiling water a tablespoon of hop cones and a tablespoon motherwort. Insist the herbs for six hours, and then strain. Drink the broth recommended three times a day for 1/2 cup throughout the month.
  • Spread a tablespoon of vinca with cold water and keep on the steam bath for 30-40 minutes. After that, the broth should be filtered and taken 10 drops in the morning and evening, for five days. Then you need to take a three-day break and repeat the treatment course.
  • 25 g of root lovage pour boiling water and simmer for 30 minutes. As soon as the broth cools down, strain it and take 1/3 cup three times a day.
  • 10 g of hoof root pour a glass of boiling water and keep in a water bath for 30-40 minutes. Broth take one spoonful six times in knocking, before each meal.

Note that alternative remedies for the treatment of rapid ejaculation should be taken within a year, for a sustained therapeutic effect.

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Preparations for rapid ejaculation

Preparations for rapid ejaculation are used as a medication for early ejaculation. Let's consider the most effective drugs that are prescribed to patients for the treatment of early ejaculation.

  • Dapoxetine

It is a selective short-acting inhibitor. The drug is used to treat rapid ejaculation in men aged 18 years. The drug prolongs the sexual intercourse 3-5 times. The action of the drug is based on blocking the receptors of the brain and the absorption of serotonin. The drug begins to act 15-30 minutes after administration, and the duration of its effect on the body from 2 to 3 hours. The optimal effect from the use of the drug occurs within 30 minutes to 2 hours.

The main indications for the use of the drug are the treatment of rapid ejaculation. Dapoxetine is contraindicated for patients with allergic reactions to lactose, with liver diseases and the cardiovascular system. The drug is not allowed with drugs that are used to treat depression and some antibiotics. Details of the interaction of Dapoxetine with other drugs can be found in the drug's instructions or consult your doctor. As for side effects, the drug may cause nausea.

Dapoxetine is available in the form of tablets, it is recommended to take the drug once a day and only after consulting a doctor. Before taking the drug, it is recommended to check the blood pressure. If the indices are low, then it is forbidden to take Dapoxetine.

  • Erectile

A drug used to treat erectile dysfunction and rapid ejaculation. The peculiarity of this remedy is that it restores the ability of the body to a prolonged sexual intercourse and improves the erection. The drug is recommended to take 50 mg, one hour before sexual intercourse. If the dosage is not followed, erectile causes a number of adverse reactions. Because of the drug, there may be headache, dizziness, diarrhea, nausea, pain in the muscles and joints. To treat side effects, you must stop taking the drug and seek medical help.

The drug is contraindicated for people with increased sensitivity to the components of the drug. When symptoms of an overdose occur, which is similar to side effects, symptomatic therapy is performed. With special care, the drug is prescribed for patients with cardiovascular disease, penile deformity and leukemia. Take the drug can only be prescribed by a doctor with the selection of individual dosage.

  • Konegra

The drug for the treatment of rapid ejaculation and erectile dysfunction. According to its principle of action, this drug is similar to the above. Konegra is taken one hour before the sexual act, 50 mg each. Given the individual tolerability of the drug, the dosage can be increased to 100 mg or reduced to 25 mg. The drug almost does not cause adverse reactions, except headache, dizziness, visual impairment and nasal congestion.

The drug is contraindicated for patients with individual intolerance to the active ingredients of the drug. Konegra is forbidden for patients under the age of 18 years. In case of non-compliance with the dosage, the drug for the treatment of rapid ejaculation, causes symptoms of an overdose. When overdose, it is necessary to conduct symptomatic therapy.

Cure for rapid ejaculation

The medicine for rapid ejaculation is an effective tool in the fight against early ejaculation, that is, a short sexual intercourse. According to statistics, every man at least once in his life, but faced with the problem of rapid ejaculation. This problem causes not only failures in sexual life, but also affects the relationship between partners and the self-esteem of men. To help in the treatment of rapid ejaculation drugs and a number of therapeutic techniques can. Let's take a closer look at what are the cures for rapid ejaculation.

  • Sealeks

A cure for rapid ejaculation on a plant basis. Sealex is a biologically active additive. The composition of the drug includes the root of ginseng, which enhances libido, garlic extract to strengthen immunity and green tea extract for vivacity and toning of the body. The drug not only helps prolong sexual intercourse, but also improves the erection, that is, it has a double effect on the male body.

  • Lidocaine

An anesthetic of topical effect, which is effective with increased sensitivity of the glans penis. The principle of the drug is that it lowers the threshold of sensitivity and prevents premature ejaculation. Lidocaine is applied to the head of the penis before intercourse, and this reduces its sensitivity to touch. The duration of the action of the anesthetic is 40-50 minutes. For the treatment of rapid ejaculation, the drug is released in the form of an aerosol, which is conveniently sprayed onto the genital organ.

  • Viagra, Levitra and Cialis

Drugs that increase potency and prolong sex. Medicines provide a man several full-length long sexual acts. Despite the fact that the first act will be fast, the subsequent ones will be long, that is, earlier ejaculation will be prevented.

It is not recommended to buy medications on your own for treatment of rapid ejaculation. Therefore, before buying, you need to consult a doctor and find out all the advantages and disadvantages of the drug. In addition, some drugs have a detrimental effect on the human body, cause adverse reactions and are only released for medical purposes.

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How to avoid rapid ejaculation?

How to avoid rapid ejaculation and prolong sexual intercourse? First of all, you need to determine the cause of rapid ejaculation, and for this you need to seek medical help. The doctor will perform diagnostics and examinations to determine the cause of a short sexual intercourse and will prescribe an effective treatment. But in addition to taking medications, prevention of this type of disorder is very important.

  • Lead a healthy lifestyle and avoid stress - this is the first rule of prevention of early ejaculation.
  • Eat natural foods and food that is rich in zinc and magnesium.
  • Regularly exercise, exercise and be outdoors. This allows to improve the functioning of all systems and organs of the body, and also helps to eliminate nervous tension, which is one of the reasons for rapid ejaculation.

Observance of all the above-described preventive methods gives a favorable prognosis of treatment. Please note that it is necessary to prevent rapid ejaculation only after the first episode. Since in some cases, the psychological mood before intercourse (overexcitation, stress, alcoholic intoxication, fear, and so on) contribute to erectile dysfunction and rapid ejaculation.

For prevention, only psychological methods are used, that is, no medications. Prevention is carried out by a sex therapist or a psychologist. In some cases, the method of masturbation is recommended for the treatment of rapid ejaculation. Very important is medical interaction. So, the duration of ejaculation can be affected by previously transmitted diseases or medications taken.

Rapid ejaculation is a problem for any man at any age. Early ejaculation is considered a disease treated by a psychologist, sex therapist and urologist. To date, modern medicine has learned to treat a fast sexual intercourse, both medically, and by psychological and physiotherapeutic methods. Regardless of the cause of the problem, rapid ejaculation should be treated, because the disease itself does not disappear, but on the contrary, it progresses and takes a pathological form.

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