Men who are not able to last longer in bed are usually suffers from premature ejaculation (PE). PE, a common male sexual disorder is defined as ejaculation occurring, without control, on or shortly after penetration and before the person wishes it, causing marked distress or interpersonal difficulty. According to WHO, PE is the inability to delay ejaculation sufficiently to enjoy love making, which is manifested by either an occurrence of ejaculation before or very soon after the beginning of intercourse or ejaculation occurs in the absence of sufficient erection to make intercourse impossible.
Certain studies which evaluated its prevalence suggest that PE is known to affect about one in three men, however, two in three men may have suffered from this disorder at some time in their lives. Some studies suggest that peak age in men suffering from PE was 31–40 years old.2
Although the cause of not able to last longer in bed or PE is largely unknown, hormonal imbalances are partly to be blamed. It has been observed that men who have low levels of the serotonin in their brains are more likely to take a shorter time to ejaculate.
Psychological factors such as stress, depression, anxiety, guilt, emotional issues such as relationship problems, lack of confidence or poor body image, consciousness over your sexual performance, sexual repression, etc. Some physical conditions including imbalanced hormone levels, abnormal levels of neurotransmitters, inflammation or an infection in prostate or urethra. Moreover, genetic traits can also be a cause of PE.3
However, in major portion of men, PE is rarely caused due to a medical condition, it has psychological reasons behind it which leads to a good prognosis. Even then it is important to identify the cause of PE , as it can lead to secondary symptoms such as distress, embarrassment, anxiety, and depression.4 Several studies inferred that PE remarkably effects men in a negative way and their partners. Besides, single men fails in building a new partner relationships. Although men affected with PE are unwilling to desire a treatment from their physicians, they should be encouraged and supported by their partner to seek the available effective treatment.5