Are you concerned about your Ejaculation Control Disorder, which causes persistent anxiety or stress in your personal life or relationships? If so, this information will prove to be extremely beneficial for you.

Why does PE lead to anxiety or relationship-related problems in married life?

If you are struggling in your married life due to premature ejaculation—a condition that is causing you to constantly face anxiety, mutual discord, and mental health issues—then, for the sake of living a better life, this is indeed a matter of serious concern. As we all know, according to medical science and sexology, premature ejaculation is not a serious health issue. Nevertheless, the majority of people struggle with this sexual disorder. So, what exactly lies behind it, and why does it become a source of anxiety in married life and lead to difficulties in relationships?

World-renowned Ayurvedic physician and sexology expert Dr. Sunil Dubey—who ranks first among the best sexologists in Patna, Bihar—practices daily at the Dubey Clinic, where he treats a wide spectrum of sexual health issues affecting both married and unmarried individuals. Drawing upon his daily clinical practice and extensive surveys, he observes that a significantly high number of men in India suffer from the problem of Premature Ejaculation. If one were to survey a group of ten men, it would be found that approximately four to five of them report experiencing issues with premature ejaculation in their sexual lives—a condition that frequently leads to stress, depression, and discord within relationships. He further states that premature ejaculation can be a source of various anxieties for men and can give rise to numerous problems between couples. Well, there is various ways to control it with a holistic approach to ayurvedic treatment and perspective.

Understanding Causes of Anxiety Associated with Premature Ejaculation:

Premature ejaculation is an early condition of ejaculation related to the timing of a man's release. Essentially, it is a form of orgasmic dysfunction in which a man lacks control over his ejaculation—meaning he is unable to delay it in accordance with his female partner's desires. This issue of premature ejaculation persists throughout the individual's life during every sexual encounter. This very condition constantly compels him to act in this manner.

From a societal perspective, premature ejaculation is a taboo sexual issue among men, despite being very common. It is characterized by a man's inability to control his arousal, resulting in ejaculation occurring too quickly. This reduces the duration of sexual intercourse and—unfortunately—renders the experience quite unsatisfactory from the perspective of both the man and the woman.

Men who suffer from the problem of 'premature ejaculation' (early ejaculators) often possess very low self-confidence—particularly regarding their ability to satisfy a woman. Therefore, when discussing such men, this subject must be handled with extreme caution and sensitivity. The underlying cause may be a lack of experience, excessive stress, or a physical issue. Despite all these factors, an individual should be aware that premature ejaculation is not inevitable, and it is absolutely possible to find ways to resolve this erection-related issue.

Technical Causes of Premature Ejaculation:

Presented here are the primary technical and physiological causes behind premature ejaculation in men. Premature ejaculation (PE) is not merely "all in your head"—rather, it involves specific bodily processes.

Neurochemical Factors:

  • Reduced Serotonin Activity: In the brain, serotonin helps delay ejaculation. Low levels of 5-HT or reduced receptor sensitivity result in a rapid ejaculatory response. This is why SSRIs can delay ejaculation as a side effect.
  • Dopamine/Oxytocin Imbalance: Hyperactivity of dopamine and oxytocin can accelerate the ejaculatory response.
  • Genetic Factors: Some men inherit a shorter Intravaginal Ejaculatory Latency Time (IELT) due to gene variants that affect serotonin transporters.

Penile Sensitivity and Neural Transmission:

  • Hypersensitivity of the Glans Penile: A higher density of nerve endings in the dorsal nerve—or rapid neural transmission—implies that excitatory signals reach the spinal ejaculatory center with greater speed.
  • Diminished Somatosensory Evoked Potentials: Some studies indicate that men suffering from lifelong premature ejaculation often exhibit accelerated neural transmission pathways from the penile to the brain.

Problems Related to Reflex Reactions:

Low Ejaculatory Threshold: The spinal reflex mechanism responsible for triggering ejaculation activates upon minimal stimulation. It acts like a highly sensitive and rapid trigger.

Pelvic Floor Dysfunction: The pubococcygeus muscles are either excessively tense or poorly controlled. Instead of relaxing to delay ejaculation, they go into spasms and drive the process toward ejaculation.

Hormonal Effects:

  • Hyperthyroidism: An excess of thyroid hormones is strongly associated with premature ejaculation. Normalizing thyroid function often resolves this issue.
  • Low Prolactin Levels: While uncommon, prolactin plays a role in sexual satisfaction. Very low levels are linked to premature ejaculation.
  • Low Testosterone Levels: The link is not as direct; however, low testosterone levels can cause erectile dysfunction (ED), leading men to ejaculate prematurely before losing their erection.

Urinary/Prostate Issues:

  • Chronic Prostatitis: Inflammation of the prostate or seminal vesicles leads to increased sensitivity and irritability of the ejaculatory ducts.
  • Urethritis or UTI: Irritation within the urethra reduces the stimulation required to trigger ejaculation.
  • Combination of ED and PE: Approximately 30-35% of men suffering from ED also develop secondary or acquired PE. Driven by the anxiety of losing their erection, they tend to rush.

Conditioning and Learned Responses:

  • Early Sexual Experiences: If early sexual encounters involved rushing due to the fear of being caught, the nervous system may learn to perceive rapid ejaculation as "normal."
  • Masturbation Habits: Consistently reaching orgasm quickly through masturbation conditions the reflex to function with speed.

Other Medical Factors:

  • Substance Withdrawal: Discontinuing opioid use or stopping certain medications may temporarily reduce latency.
  • Neurological Conditions: Multiple Sclerosis, spinal cord injuries, or peripheral neuropathy affecting the sacral nerves.

Most common types of Premature Ejaculation that require Treatment:

According to Dr. Sunil Dubey—the best sexologist near me in Bihar, India—the most common types of Premature Ejaculation are Primary and Secondary. Individuals experiencing this form of premature ejaculation require sexual therapy to resolve the issue. In India, approximately 23% of men struggle with secondary PE (premature ejaculation), while about 15% are troubled by primary premature ejaculation. If we examine the common causes of these two types of PE, a significant difference becomes apparent between them.

  • Lifelong or Primary PE: The factors primarily responsible for this problem of premature discharge are neurobiological or genetic, wherein the serotonin pathway and hypersensitivity play a significant role.
  • Acquired or Secondary PE: This is often the 'secondary' type of PE, also referred to as 'acquired' PE. Key factors such as thyroid issues, prostatitis, ED, stress, and relationship-related problems play a significant role in this condition.

There can be several reasons for this, such as hormones, nerves, and prostate health. Therefore, only a sexual healthcare specialist can provide an accurate diagnosis. They can check thyroid and testosterone levels, examine the prostate, and review medications to rule out physical causes before focusing on behavioral therapies.

Self-Management to Prevent Premature Ejaculation:

Delay PE Through Communication and Repeated Attempts:

  • Men can bring their premature ejaculation under control gradually. It is essential that they earn their partner's trust, refrain from pressuring them to fulfil your desires, and—above all—offer them reassurance. The female partner should discuss this matter without creating any drama, ensuring that her partner feels fully supported.
  • Mutual communication is crucial; without it, your male partner may experience anxiety or fear that you are attaching undue importance to the matter, which could subsequently make him hesitant to engage in any further sexual activity. You may consult a sexologist to discuss this issue.
  • Engaging in sexual activity frequently—especially multiple times in succession—helps extend the duration of sexual intercourse and aids in gaining better control over ejaculation. When your partner realizes that he can last longer than before, it can significantly boost his self-confidence.

Delay Premature Ejaculation with the help of two simple tips:

With the help of certain techniques, a man can learn to exercise slightly better control over his ejaculation timing, thereby enhancing the pleasure for both himself and his partner.

  • The "Stop and Go" technique involves stopping completely during masturbation whenever you feel that ejaculation is about to occur. This technique helps an individual to understand themselves better, and over time, they are able to utilize—during sexual activity—those sensations that they have brought under their control.
  • Another tip is the "squeeze" technique. This involves applying firm pressure—using the index finger and thumb—to the base of the penile (near its tip, or glans) in order to trigger a physiological response: a reduction in blood flow, which helps delay ejaculation.

Anyone can combine these methods, or simply choose their favourite one; just don't forget that the best way to reach the destination is simply to 'make a right effort'! If you are seeking a long-lasting solution to your sexual health issues, Dubey Clinic is the right place for you. It is a medically registered Ayurvedic sexology clinic that offers comprehensive sexual therapy to both men and women, employing a holistic approach to treatment. Dr. Sunil Dubey and the specialists at this clinic are dedicated to providing complete (A-to-Z) sexual health services to men and women who are struggling with any type of sexual dysfunction.

!!!For More Info, Contact Helpline No.!!!

Dr. Sunil Dubey (Dubey Clinic)

B.A.M.S (Ranchi), M.R.S.H (London), PhD in Ayurveda (USA)

A Certified Ayurvedic Sexology Clinic in Patna, Bihar India

!!!Helpline No: +91 98350-92586!!!

Venue: Dubey Market, Langar Toli, Chauraha, Patna-04

Clinic Timings: 08:00 AM to 08:00 PM (Every day)