No one knows exactly what causes premature ejaculation (PE). It’s been traditionally thought the condition is caused by psychological factors (for instance, stress or anxiety). However there is emerging evidence that PE might also have some physiological basis.
Generally speaking, ejaculation is a reflex action that is controlled by the brain. Therefore doctors have been investigating the degree to which serotonin (the so-called ‘happiness hormone’) might impact on the time that elapses before ejaculation. An imbalance of serotonin could lead to complications and, in some cases, oral medicines may be prescribed to correct PE.
Intriguingly, a number of new studies have found differences in hormone levels and sensitivity between those who have PE and those who don’t. It’s also been discovered that higher than average levels of testosterone may cause PE in some men. Some clinicians believe PE has a genetic component and could pass between a father and son, but this doesn’t mean it can’t be treated.
Furthermore, a certain group of nerves in the lumbar spinal cord have been connected to early ejaculation. This nerve site is thought to be linked to dopamine pathways in the brain, which directly influence sexual behavior. With this in mind, doctors are working on possible medicinal treatments to correct any anomalies.
It’s important to remember that premature ejaculation does not represent any known organic disease involving the penis, reproductive tract or any known lesions in the brain or nervous system.
Many authorities, including the World Health Organisation, have asserted that in a lot of cases PE has psychological roots, for example in stress, depression and anxiety about sex. This anxiety may be the result of another primary sexual dysfunction, for example Erectile Failure or pain.
Whatever the causes of the condition may be, the main priority for sufferers’ is finding a safe, effective solution to the problem. The good news is that PE often responds considerably well to therapeutic/medical intervention.