Medical Reasons and Causes for Premature Ejaculation

PE or premature ejaculation is an embarrassing problem for men, which often leads to emotional distress and tensed relationship with the partner. Though it’s a condition so common that 1 out of 3 men will have faced this issue one time or the other, you should consider taking medical help for diagnosis and treatment for premature ejaculation, if it happens too frequently.

premature ejaculation medical causes

There are several factors that can cause PE. Your doctor will go through your medical history, carry out physical examination and may also order some lab tests, in order to diagnose the root cause of the problem. It will also be helpful for you to learn what causes premature ejaculation. Though mostly, psychological factors like anxiety, depression and lower self-esteem are responsible for it, it is nevertheless important to rule out any medical cause behind it.

Here are some of the major medical reasons for premature ejaculation.

Premature ejaculation due to thyroid

Hyperthyroidism is a condition in which the thyroid gland produces excess amount of thyroxine and triiodothyronine hormones, and speeds up our body’s metabolism. This leads to a number of health concerns like weight gain, fatigue, mood swings, constipation, breathing problem, etc. According to a study conducted by scientists, premature ejaculation also has a strong connection with thyroid disorders.

Premature ejaculation due to diabetes

Several studies have found premature ejaculation being associated with diabetes mellitus. Young men with type 1 diabetes are 2-3 times more likely to suffer from premature ejaculation. In fact, erectile dysfunction is often a symptom of diabetes, especially in males below the age of 45 years.

Premature ejaculation due to hormonal imbalance

Hormonal imbalance reduces the control of a man over his emotions. There are basically few hormones in our body that take charge of the discharge process – serotonin, dopamine, histamine, adrenaline, etc. If there is an imbalance in the levels of any of these hormones, it causes premature ejaculation.

Premature ejaculation due to nerve damage

Sometimes, serious conditions like multiple sclerosis, peripheral neuropathy, trauma, surgery, etc. can damage the nerves, which in turn, may lead to premature ejaculation. Patients with partial neural injury, for example due to diabetes, can be cured with certain medications. But if the nerves are completely damaged, say for instance due to spinal injury, it can be really difficult to treat.

Premature ejaculation due to prostate

Prostate gland and urethra play an important role in the ejaculation process. Studies have shown that chronic prostatitis can sometimes be the reason behind premature ejaculation. Prostatitis refers to the condition of inflammation of the prostate gland. Premature ejaculation due to prostatitis can be treated with diuretic and anti-inflammatory drugs.

Premature ejaculation due to varicocele

Varicocele is a condition in which the veins of the testis get dilated. Surgical removal of varicocele is called varicocelectomy. A study conducted on clinical varicocele patients has concluded that varicocelectomy can improve premature ejaculation. So, if a varicocele patient is not responding to other treatments for PE, then varicocelectomy should also be considered.

Other physical causes of premature ejaculation may include low testosterone, high blood pressure, smoking, binge drinking, and kidney disease. Sometimes, it can also be due to side effect of certain medications.

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