Understanding and Treating Premature Ejaculation: Causes, Myths, and Proven Solutions by Experts

Premature Ejaculation (PE) is one of the most common and misunderstood male sexual health issues worldwide. Medical experts estimate that around 30% to 40% of men experience PE at some point in their lives, making it one of the leading causes of sexual dissatisfaction and relationship stress.

However, according to Dr. Vijayant Govinda Gupta, a leading Indian urologist, PE is not a disease, but rather a habit and lifestyle issue that can be corrected with proper awareness, discipline, and guided therapy.

This article explores the true causes, scientific treatments, and lifestyle modifications that can help men regain confidence and control — without falling for misleading herbal or quick-fix solutions.

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What Is Premature Ejaculation?

Premature Ejaculation is defined as involuntary ejaculation that occurs too early during sexual activity, often before or within one minute of penetration.

While the definition varies between individuals and relationships, the key issue is loss of control, not a specific time limit.

Type of PE	Description	Common Causes
Lifelong (Primary)	Present since first sexual experience	Genetic factors, anxiety, lack of control training
Acquired (Secondary)	Develops later in life	Stress, medical issues, excessive masturbation, performance anxiety

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Why Premature Ejaculation Happens

Dr. Gupta emphasizes that PE is rarely due to a physical disease — instead, it’s a behavioral and psychological pattern reinforced by habits such as:

Cause	Explanation
Excessive Masturbation	Overstimulation and instant gratification train the brain to finish quickly.
Sedentary Lifestyle	Poor blood flow and weak pelvic muscles reduce control.
Stress and Anxiety	Performance anxiety or guilt amplifies loss of control.
Lack of Sexual Education	Unrealistic expectations and poor awareness about stamina training.
Porn Addiction	Unreal images of performance create anxiety and faster arousal cycles.
Relationship Stress	Poor communication leads to pressure and frustration, worsening PE symptoms.

Expert Insight: PE is less about the penis and more about the brain’s learned response to sexual stimulation.

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Common Myths About Premature Ejaculation

There’s a lot of misinformation online and in advertisements about “curing” PE. Dr. Gupta debunks several myths:

Myth	Truth
“It’s a permanent disease.”	Most cases are reversible through training and lifestyle changes.
“Shilajit or Ashwagandha alone can fix PE.”	Herbal supplements may support general health but can’t correct behavioral patterns without exercise or therapy.
“Only medication works.”	Long-term results depend on pelvic training and mental conditioning.
“It’s always psychological.”	Physical factors like weak muscles or hormonal imbalance can also play a role.

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How Doctors Diagnose PE

A qualified urologist doesn’t rely only on time but on understanding the context and control issues. Diagnosis includes:

• Detailed sexual history
• Physical examination
• Hormonal evaluation (testosterone, thyroid)
• Screening for anxiety or depression

PE may coexist with Erectile Dysfunction (ED) or low testosterone, making accurate diagnosis essential before treatment.

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Effective Treatments for Premature Ejaculation

1. Lifestyle Modifications

PE improvement begins with consistent daily habits:

Habit	Impact
Regular Exercise (30 mins/day)	Improves blood circulation and stamina
Adequate Sleep (7–8 hours)	Balances hormones and reduces stress
Avoid Alcohol & Smoking	Enhances nerve and vascular function
Balanced Diet	Supports testosterone and nerve sensitivity
Reduce Porn Use	Resets arousal control and anxiety

Dr. Gupta strongly advises that patients treat PE like any other lifestyle disorder — improvement takes time and consistency.

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2. Pelvic Floor Exercises (Kegels)

The pelvic floor muscles are responsible for controlling ejaculation. Weak muscles lead to poor control, while stronger ones enhance endurance.

Basic Kegel Exercise Routine:

1. Identify pelvic muscles by stopping urination midstream.
2. Tighten and hold the contraction for 3–5 seconds.
3. Relax for 5 seconds and repeat.
4. Perform 3 sets of 10 reps daily.

Results usually become noticeable within 4–6 weeks of regular practice.

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3. Desensitization Techniques

These help retrain the brain and body to delay orgasm:

• Start-Stop Technique: Stop stimulation just before climax, then resume after 30 seconds.
• Squeeze Technique: Apply gentle pressure at the base of the glans to reduce arousal.
• Condom Use: Using thicker condoms or desensitizing gels can help during early treatment phases.

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4. Medication (When Needed)

In some cases, doctors may prescribe:

• Selective Serotonin Reuptake Inhibitors (SSRIs) like Dapoxetine or Paroxetine to delay ejaculation.
• Topical anesthetic sprays to reduce sensitivity.
• Low-dose anxiety medication for patients with performance stress.

Note: Self-medication or online pills are dangerous. Always consult a registered urologist or sexologist.

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5. Advanced Medical & Surgical Options

For chronic, treatment-resistant cases:

• Penile Nerve Modulation
• Botox Injections (under medical supervision)
• Circumcision or Frenuloplasty (if anatomical sensitivity causes PE)

These methods are rarely required and only recommended after lifestyle and therapy options have been exhausted.

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Realistic Expectations and Commitment

Dr. Gupta emphasizes that treating PE requires time, consistency, and honesty with oneself. Many patients quit early or expect overnight results.
The truth is — improvement may take 3–6 months of consistent training, exercise, and guided medication.

Treatment Type	Expected Improvement Timeline
Lifestyle Changes	2–3 months
Kegel Exercises	4–6 weeks
Medication	Immediate to short-term relief
Therapy/Training	3–6 months
Surgery (rare cases)	Permanent but with recovery time

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Avoiding Scams and Unethical Clinics

One of the most critical warnings from Dr. Gupta is about fake clinics and misleading advertisements that promise instant cures with herbal capsules or massage oils.
Most of these lack medical approval and can even harm reproductive health.

Checklist for Choosing the Right Clinic:

• The doctor should be an MBBS + MCh (Urology) or MD (Sexual Medicine).
• Avoid centers that don’t explain treatment plans clearly.
• Always ask for scientific, evidence-based solutions.

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Psychological and Relationship Support

Since PE affects both partners, open communication and counseling play a vital role in recovery. Many couples find improvement faster when they:

• Discuss expectations honestly.
• Reduce guilt and pressure.
• Practice mindfulness or relaxation together.

PE is not a reflection of masculinity or weakness — it’s a treatable condition that demands patience and education.

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Conclusion

Premature Ejaculation is not a permanent disorder, but a habit-based challenge that can be reversed through awareness, discipline, and the right medical guidance.
With lifestyle improvement, pelvic exercises, and professional treatment, men can regain lasting control, confidence, and intimacy.

The most important step is to avoid unscientific cures and focus on sustainable, medically-backed solutions that treat both the mind and body.

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Disclaimer

This article is for educational purposes only and should not be used as a substitute for medical advice. Always consult a qualified urologist, sexologist, or healthcare professional before beginning any treatment for sexual health concerns.

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