Overview
It can be lifelong or start later. Anxiety, relationship stress, and erection problems can play a role.
Symptoms
Common signs:
- Finishing too quickly during sex
Less common
- Stress about sex
When to get medical care
Causes
Anxiety, sensitivity, hormones, and erection problems.
Does it spread or run in families?
- It isn't contagious. You can't catch it from someone else.
Who is more likely to get it
- Anxiety
- Erectile dysfunction
Possible complications
Diagnosis
A healthcare professional asks about your sexual history.
Questions you may be asked
- How long it's happened
- Erection problems
The exam
A brief exam.
Treatment
Techniques and medicines help many men.
Self-care
- Try the stop-start or squeeze technique
- Use thicker condoms
- Do pelvic floor exercises
Medicines
Medicines that may help:
| Medicine | Helps with | Good to know |
|---|---|---|
| Numbing sprays or creams | Delaying ejaculation | Wipe off or use a condom. |
| Prescription medicines | Delaying ejaculation | Off-label; discuss side effects. |
OwieClear doesn't give doses: follow the label or your healthcare professional. Medicine names here are examples, not a full list.
Sex therapy or couples counseling can help.
Which doctor treats this
- Start with your primary care provider (family doctor or internist).
- They may send you to a urologist (urinary tract doctor).
Living with it
- Keep a simple diary of symptoms, triggers, and medicines to bring to visits.
- Bring a list of your medicines and questions to each visit.
- Stay active in ways that feel good to you.
- Get enough sleep and manage stress.
- Long-term illness can affect mood. Tell your doctor if you feel down or anxious.
Back to school, work, or sports
- Most people can keep working or going to school.
- Ask about changes that help, like extra breaks or a flexible schedule. Workers may be covered by the ADA. Students may get a 504 plan.
For caregivers
- Go to visits when you can and take notes.
- Keep a list of medicines, allergies, and doctors in one place.
- Learn the warning signs that need fast care.
- Take breaks and ask for help. Caregivers need care too.
Outlook
Treatable for most men.
Getting ready for your visit
Bring a list of your symptoms and medicines.
Questions to ask
- Which treatment fits me?
Research studies
Research studies test new ways to find and treat health problems. Some are looking for volunteers. Talk with your doctor before joining one.
Search ClinicalTrials.gov for studies on Premature ejaculation
Sources
Last updated 2026-11-12.