Problem of Premature Ejaculation: Causes and Treatment

Premature ejaculation is usually meant in cases where a man ejaculates before or immediately after onset of sexual intercourse. In other cases, we are talking about subjective assessment by partners or a specific set of circumstances.

According to the statistics, every third man suffers from premature ejaculation. Premature ejaculation in men – a serious violation, minimizing possibility of conception of offspring.


Despite many reasons for premature ejaculation, they can be divided into psychological and/or physiological.

Psychological Causes of Premature Ejaculation:

  • overexcitement;
  • extreme fatigue and overstrain (illness of businessmen);
  • fear of failure as a result of past intimate failures;
  • disharmonious relations between partners.

Physiological Causes of Premature Ejaculation:

  • increased level of hormones in thyroid gland;
  • lack of magnesium and zinc in the body;
  • the trauma of lumbar region;
  • hypersensitivity of balanus.


An increased sensitivity of balanus is one of the most common causes of premature ejaculation. Increased sensitivity of balanus may be both congenital and acquired (for example, due to transferred balanitis or phimosis). In such cases, a man can choose one of two: either use condoms and lubricants-antistatics of prolonged action or decide on circumcision.

In cases when the increased sensitivity of balanus is caused by transferred balanitis (inflammation of the skin of penis) or phimosis (inner side of foreskin abscess), circumcision may be indicated for medical reasons.

Other physiological causes of premature ejaculation – chronic vesiculitis, inflammation of seminal vesicles. Because of the pathological process, the sensitivity of walls of vesicles increases, and they can begin to contract faster than normal, as a result of which the seed comes «out» too early.

Premature ejaculation as a consequence of chronic vesiculitis arises irregularly, in contrast to premature ejaculation because of increased sensitivity of balanus. However, at chronic vesiculitis, ejaculation can be accompanied by painful sensations, and feeling of orgasm can be blunted. Lubricants and condoms in such cases do not prevent premature ejaculation.

Given that chronic vesiculitis, as a rule, develops on the background of prostatitis and/or other inflammatory diseases of the genital area, it is better to consult a doctor immediately if symptoms occur. Having diagnosed (using urethroscopy) and having established diagnosis, specialists will take all necessary measures to provide you with effective care, depending on specific causes of premature ejaculation.


How to get rid of premature ejaculation? This question bothers many men of different ages, professions and nationalities. There are various treatments for premature ejaculation, among which there are the following:

  • medicamentous treatment of premature ejaculation, including the use of special drugs that prolong sexual intercourse, as well as antidepressants;
  • psychotherapy (if there are psychological problems);
  • treatment of premature ejaculation with herbs;
  • exercises (for example, Kegel exercises).

Kegel exercises to strengthen muscles were first used for women who had just given birth. However, later it turned out that these exercises are ideal for men because they help to prevent premature ejaculation by training a lumbosacorpus muscle.

But if after applying conservative therapy a man still thinks about how to cure premature ejaculation, surgical methods of treatment of premature ejaculation can help.

Surgical Methods of Treatment of Premature Ejaculation

The following methods are known:

  • circumcision;
  • plastic surgery of frenulum of a penis (frenulotomy);
  • denervation of balanus.

Plastic surgery of Frenulum

Shortened frenulum of a penis may be one of the causes of premature ejaculation, as well as pain during sexual intercourse, a curvature of the penis. Frenulotomy consists in the fact that frenulum is dissected by transverse incision, and then it is longitudinally cross-linked. Intervention is done on an outpatient basis, with local anesthesia and takes about 20 minutes. After surgery, there is a barely visible trace on balanus. Sexual life can be resumed one and a half to two weeks after surgery.

Denervation of Balanus

In the course of this surgical manipulation, nerves intersecting balanus are intersected. While within 3 – 4 months balanus regains its sensitivity, the psychological habit of persistent sexual contact should appear.

This manipulation can be performed in different versions:

  • usual denervation of balanus (cutting and stitching of nerves);
  • selective denervation of balanus (cutting a number of nerve trunks without subsequent stitching);
  • complete denervation (complete cutting of nerves of balanus).

Before surgery, special lidocaine test is performed to help determine which factor affects premature ejaculation. Only after this, the question about the need for surgery is raised.