Premature ejaculation (PE) means ejaculating sooner than you or your partner would like, with a sense of losing control. It is the most commonly reported sexual difficulty in men. It is not a character flaw and not something you simply have to live with — structured treatment helps most men significantly.
When to seek help
- Ejaculation within about a minute of penetration (lifelong PE)
- A clear reduction in time compared to earlier (acquired PE)
- Feeling unable to delay ejaculation
- Distress, frustration or avoidance of intimacy
Common causes
- Heightened penile sensitivity or reflex response
- Anxiety and conditioned patterns
- Erectile dysfunction (rushing before losing the erection)
- Thyroid or prostate conditions in some cases
Diagnosis at Ankur
A detailed, unhurried conversation is often the biggest part of diagnosis. We rule out contributing conditions such as ED, thyroid imbalance or prostatitis before agreeing a plan.
Treatment options
Behavioural techniques
Structured methods practised alone or with a partner that rebuild control — taught properly, not from random videos.
Medical therapy
Prescription options that reliably increase time to ejaculation, used alone or in combination.
Topical desensitising treatment
Applied options that reduce oversensitivity while keeping sensation acceptable.
Treating the companion condition
When PE travels with ED or anxiety, we treat both together — that is where results last.
Other ejaculatory disorders
Ejaculation can go wrong in more than one direction, and the opposite problem is just as treatable.
- Delayed ejaculation — climax takes a very long time or needs unusual stimulation
- Anejaculation — no ejaculation at all, which may be neurological, medication-related or post-surgical
- Retrograde ejaculation — semen passes backwards into the bladder, a common cause of dry orgasm and of male infertility
- Painful ejaculation — usually inflammatory or prostatic, and worth investigating rather than enduring
Each is assessed on cause: medication review, hormonal and neurological assessment, and post-ejaculatory urine examination where retrograde ejaculation is suspected.