It’s estimated that 1 in 3 men between 18 and 60 suffers from some form of premature ejaculation (PE)—and while it’s an embarrassing and frustrating condition to talk about (even some doctors have trouble discussing it with their patients) it’s easily treatable.


There’s no need to feel like there is no hope when it comes to premature ejacuilation—with some medical assistance and the right mindset, PE can become a thing of the past. In this blog, Charleston Men’s Clinic will discuss what PE is, how it’s caused, and how to treat it.

What is premature ejaculation?

Simply put, PE is when a man ejaculates earlier than he or his partner would like. While most men reach orgasm at the same time they ejaculate, PE often comes without an orgasm, and sometimes without erection. PE usually occurs before penetration or sexual stimulation in severe cases, or within one or two minutes of penetration (the average man lasts about 5-6 minutes before ejaculating).


PE comes in two forms: primary (lifelong), which is when a man has had no control over his ejaculation since his first sexual experience, and secondary (acquired) which is when a man has a normal period of sexual function for developing PE problems.

What causes PE?

While primary PE usually stems from biological factors connected to the spine and sexual organs, acquired PE has a wide variety of causes. In terms of biological causes, medical conditions like diabetes, erectile dysfunction, chronic prostatitis, or thyroid problems—but much like ED, PE can have psychological beginnings. Anxiety (including sexual performance anxiety), stress, issues with intimacy, relationship problems, and sexual excitement can lead to PE issues.

Why is premature ejaculation a problem?

Ultimately, there’s no set time period for how quickly men ejaculate with PE—it all depends on the preferences of the man and his sexual partner. Ejaculating “too soon” has different meanings in different relationships, which is why this condition has so many negative effects on romantic and sexual relationships.


This is partially due to the orgasm gap (O-Gap)—while most men reach orgasm in five to six minutes, it takes the average woman nearly 20 minutes to reach orgasm, a 15-minute “gap” between orgasms. The shorter amount of time it takes for a man to ejacualte, the wider the O-Gap becomes, which can lead to sexual frustration and relationship problems.


This doesn’t just lead to frustration on the part of the man’s sexual partner. For the man dealing with PE, frequent and recurring issues can cause frustration, a loss of confidence, stress in the bedroom, and a fear or avoidance of sexual experiences—all of which can harm current romantic relationships and eliminate the possibility for future ones.

How is PE treated?

Premature ejaculation is often viewed as a psychological issue, which leads many doctors to prescribe or recommend a modification of sexual behaviors or sexual control techniques. However, these techniques have historically been ineffective, especially for those who have been dealing with severe PE for a long period of time.


Fortunately, there are many medical treatments that can reduce the effects of PE. Certain medications on the market used to treat other conditions often have the “side effect” of preventing or delaying orgasm, and doctors have used these medications to help those with PE to close the O-Gap and have more satisfying and productive sexual experiences.


At the Charleston Men’s Clinic, we use cutting-edge medical treatments that can help men last longer, avoid symptoms of PE, and in some cases, even maintain their erection after that ejaculate. SSRIs (selective serotonin reuptake inhibitors, like the ones that treat depression), PDEIs (inhibitors for ED treatment), and FDA-approved medications painlessly injected into the penis can provide sustainable and predictable erections that can help men find sexual success. There are also topical options like lidocaine sprays that can desensitize the penis for up to an hour and provide longer-lasting sexual experiences for everyone involved. Regardless of your PE situation, we have medical solutions that fit with your needs and your budget!

Schedule a Consultation with Charleston Men’s Clinic

As we said before, PE affects roughly one-third of men who are capable of having sex. If you have PE issues, you’re definitely not alone. You shouldn’t feel ashamed, embarrassed, or hopeless when it comes to PE—the medical professionals at Charleston Men’s Clinic are here to help. We offer treatments for ED, PE, low testosterone, and a number of other sexual and biological dysfunctions—so no matter what the issue is, we can provide you with expert medical care that helps you regain your sexual confidence and have the romantic life you’ve always dreamed of. Don’t wait—schedule a consultation with us today!