Premature ejaculation
Premature ejaculation is a common sexual health concern characterised by ejaculation that occurs sooner than desired, causing distress or relationship difficulties. Sex therapy, behavioural techniques, pelvic floor physi
Quick answer
Premature ejaculation is a common sexual health concern characterised by ejaculation that occurs sooner than desired, causing distress or relationship difficulties. Sex therapy, behavioural techniques, pelvic floor physiotherapy, and mindfulness-based approaches show good evidence for improving control and confidence.
Do any of these feel familiar?
- Premature ejaculation is most commonly experienced as ejaculation that occurs earlier than desired during sexual activity, causing distress and a sense of loss of control
- Many people describe significant anxiety before and during sexual encounters, with a preoccupation with performance that can itself worsen the issue
- Shame and embarrassment are common companions, and many people avoid intimacy entirely or withdraw from relationships rather than disclose the difficulty
- Partners may feel confused or take the experience personally
- The psychological impact — on self-esteem, relationship quality, and sexual confidence — is often considerably greater than the physical experience itself
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