Though the exact cause of PE is not known, serotonin may play a role. Serotonin is a natural substance made by nerves. High amounts of serotonin in the brain increase the time to ejaculation. Low amounts can shorten the time to ejaculation, and lead to PE.
Mental health issues can be involvedd in PE such as:
- temporary depression
- unrealistic expectations about sexual performance
- history of sexual repression
- overall lack of confidence
- relationship problems
Managing emotional problems often helps.
PE and Age
Premature ejaculation can happen at any age. Aging is not a direct cause of PE, though aging does cause changes in erections and ejaculation. For older men, erections may not be as firm or as large. Erections may not last as long before ejaculation occurs. The feeling that ejaculation is about to happen may be shorter. These changes can naturally lead to an older man ejaculating earlier.
PE and Your Partner
With PE, you may feel you lose some of the closeness shared with a sexual partner. You might feel angry, ashamed and upset, and turn away from your partner. Premature ejaculation doesn't only affect you, it also affects your partner. Your partner may be upset with the change in sexual intimacy. PE can cause partners to feel less connected, or feel hurt or distant.
Talking about the problem is an important step. Couples counseling or sex therapy can be helpful. Exercises, such as the squeeze technique, may be helpful for you and your partner to prolong an erection (see the treatment section of this article for details). Most importantly, a couple should learn ways to relax. Worry (such as performance anxiety) only makes PE worse.