What causes premature ejaculation and how is it treated?
Sep 03, 2025
Source: Cainiu Health
Dr. Cao Zhiqiang
Introduction
Premature ejaculation may be caused by psychological stress, balanoposthitis, hyperthyroidism, etc. Excessive secretion of thyroid hormones accelerates body metabolism and increases nervous system excitability, making the ejaculation center more sensitive and leading to premature ejaculation, accompanied by symptoms such as palpitations and excessive sweating. Patients can follow medical advice to use medications like Methimazole Tablets, Propylthiouracil Tablets, or Propranolol Tablets to regulate thyroid function to normal levels.
Quick ejaculation may be caused by psychological stress, frequent masturbation, prostatitis, balanitis, hyperthyroidism, and other factors. It can usually be improved through psychotherapy, medication, and other treatments. If abnormalities occur, timely medical consultation is recommended. Detailed analysis is as follows:
1. Psychological Stress: Long-term anxiety, tension, inferiority, and other negative emotions can cause dysfunction of the ejaculation center in the brain, lowering the ejaculation threshold and leading to quick ejaculation. Stress can be relieved through communication with partners, developing hobbies, and other methods. Psychological counseling may be necessary when needed.
2. Frequent Masturbation: Pursuing rapid pleasure during frequent masturbation can establish a conditioned reflex for quick ejaculation, resulting in premature ejaculation during sexual activity. Reducing the frequency of masturbation, establishing healthy sexual awareness, and gradually improving ejaculation control through behavioral training techniques such as the stop-start method are recommended.
3. Prostatitis: Inflammatory stimulation of the prostate, either bacterial or non-bacterial in origin, can cause inflammatory factors to spread to the reproductive system, affecting the ejaculation reflex and leading to quick ejaculation, often accompanied by symptoms such as frequent urination and urgency. Treatment involves the use of medications such as levofloxacin hydrochloride capsules, Qianlieshutong capsules, and tamsulosin hydrochloride sustained-release capsules under a doctor's guidance.
4. Balanitis: Inflammation of the glans caused by long foreskin or poor hygiene can lead to excessive sensitivity of the glans mucosa, rapid conduction of stimulation during sexual activity, and premature ejaculation, often accompanied by symptoms such as redness and itching of the glans. Doctors generally recommend the use of potassium permanganate solution, clotrimazole cream, and cefuroxime axetil tablets to eliminate the inflammation.
5. Hyperthyroidism: Excessive secretion of thyroid hormones accelerates body metabolism and increases nervous system excitability, making the ejaculation center more sensitive and resulting in quick ejaculation, often accompanied by symptoms such as palpitations and excessive sweating. Patients may follow medical advice to use methimazole tablets, propylthiouracil tablets, and propranolol tablets to regulate thyroid function to normal levels.
In daily life, maintaining a regular routine, avoiding staying up late and excessive fatigue, and engaging in moderate exercise such as jogging and swimming to enhance physical fitness are recommended. If symptoms of quick ejaculation persist without improvement or are accompanied by other discomforts, timely medical consultation and examination are necessary to identify the underlying cause and initiate targeted treatment.
