Men's Sexual Health

What Causes Premature Ejaculation and How Do You Fix It?

Linda Girgis | MD

Medically reviewed by Linda Girgis | MD, Girgis Family Medicine on August 21st, 2026.

Premature ejaculation affects 30-40% of men and typically stems from psychological factors like anxiety or physical causes including hormonal imbalances and hypersensitive nerve receptors. Performance anxiety creates a cycle where fear of early climax actually triggers it. Treatment options include behavioral techniques like the stop-start method and squeeze technique, which help build control and can improve timing by 60-80% when practiced consistently. Topical anesthetics, SSRI medications, and pelvic floor exercises also show proven effectiveness. Working with a healthcare provider ensures you receive appropriate treatment based on your specific underlying causes.

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