Premature ejaculation (शीघ्रपतन)
शीघ्रपतन
Premature ejaculation is common at all ages. Anxiety often makes it worse, which creates a cycle of fear and failure.
Medically reviewed by Dr. Kuldeep Budania, MBBS, MD Psychiatry
Common symptoms
- Ejaculation within a short time of penetration
- Little control over timing
- Distress, avoidance of intimacy
- Worry affecting the relationship
Causes
- Performance anxiety and stress
- Biological sensitivity
- Erectile difficulty, thyroid or prostate issues in some
Risk factors
- Anxiety, new relationships, infrequent sex
- Erectile difficulty, prostate or thyroid problems in some
How it is diagnosed
- Whether it has been present since the first experience (lifelong) or started later (acquired)
- Checking for erectile problems and anxiety
Classification: ICD-10 F52.4 · ICD-11 HA03.0Male early ejaculation.
Treatment options
- 1Education and reassurance for both partners
- 2Behavioural techniques (stop–start, squeeze)
- 3Proven medicines when suitable
- 4Treating anxiety and any erectile difficulty
Psychotherapy and counselling
- Behavioural techniques (stop-start, squeeze) and anxiety reduction
- Couple involvement improves results
Guidance for family
- Partners: practise techniques together without pressure
When to see a psychiatrist
- It happens most of the time and causes distress
- It affects your relationship
- You are worried before marriage
Thoughts of self-harm or a medical emergency? Call Tele-MANAS 14416 (24×7, free) or 112.
Frequently asked questions
Is the consultation private?
Yes. Consultation is one-to-one by private video, and your details are kept confidential. You can choose Hindi or English.
Is PE permanent?
No. Most men improve significantly with treatment.
Should I try 'gupt rog' medicines from advertisements?
Please avoid them. Many contain hidden steroids or other drugs and can be harmful. Scientific treatment is safer and works better.
Help is available — confidential, in Hindi or English.
Private video consultation from anywhere in India with an Ajmer-based psychiatrist. Psychiatry consultation ₹500.
This page is for education and does not replace a personal consultation. Do not start or stop any medicine without a doctor's advice.