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Premature Ejaculation: Causes and Psychological Solutions By Dr. Biju Varghese | Consultant Psychologist | Angamaly, Kochi, Kerala
Premature ejaculation affects many men. Explore its causes, psychological treatment options, and expert tips to improve sexual confidence and satisfaction.
Introduction
Premature ejaculation (PE) is one of the most common male sexual concerns — yet it's also one of the most misunderstood and under-discussed. Many men feel embarrassed or ashamed to talk about it, even though effective solutions are available. If ejaculation happens sooner than desired — often within a minute of penetration — and it causes distress, it may indicate a treatable condition.
In this article, I explain the causes of premature ejaculation, the psychological impact, and evidence-based therapy options that can help restore confidence and satisfaction — especially for men in Angamaly, Kochi, and across Kerala.
What is Premature Ejaculation (PE)?
Premature ejaculation is defined as:
Ejaculation that occurs too quickly, often within one minute of penetration
Inability to delay ejaculation consistently
Emotional distress, frustration, or avoidance of sexual intimacy due to the issue
It can happen during partnered sex, masturbation, or even in anticipation of intimacy.
Two Types of PE:
Lifelong (Primary) PE – Present since the beginning of sexual life
Acquired (Secondary) PE – Develops after a period of normal sexual function
Understanding which type you experience helps in choosing the right therapeutic approach.
Psychological Causes of Premature Ejaculation
While there can be biological factors (such as hormonal imbalances or hypersensitive nerves), most cases are strongly influenced by psychological and emotional factors, such as:
Performance anxiety
Low self-esteem or guilt
Stress and fatigue
Depression or generalized anxiety disorder
Negative sexual conditioning (rushed or secretive early experiences)
Relationship issues or lack of intimacy
In many cases, it becomes a vicious cycle — fear of premature ejaculation leads to anxiety, which worsens the problem.
Impact on Mental Health and Relationships
Feelings of shame, inadequacy, or failure
Avoidance of intimacy or sexual contact
Strained relationships due to lack of sexual satisfaction
Increased anxiety and depression
The good news is that PE is highly treatable, especially with psychological intervention.
Psychological Treatment Options
As a consultant psychologist in Angamaly, Kochi, I offer confidential and personalized therapy for men dealing with premature ejaculation. The following psychological strategies are proven to be effective:
1. Cognitive Behavioral Therapy (CBT)
CBT helps:
Address performance-related anxiety and negative thought patterns
Build positive self-image and sexual confidence
Improve control over the ejaculatory response through mental reframing
2. Mindfulness and Relaxation Training
Techniques like deep breathing, body awareness, and mindfulness-based stress reduction help men stay present and reduce anxiety during sexual activity.
3. Behavioral Exercises (with or without partner)
Start-Stop Technique
Squeeze Technique
These help train the mind and body to delay ejaculation and regain control.
4. Psychoeducation & Communication Skills
Understanding sexual response cycles
Learning how to express needs and expectations to a partner
Overcoming shame or guilt through open dialogue
5. Couples Therapy (if applicable)
If relationship tension or lack of emotional intimacy is contributing to PE, couples counseling can play a major role in healing and rebuilding trust.
Why Seek Help in Angamaly or Online?
Accessible therapy in Angamaly, close to Kochi, Aluva, and Perumbavoor
Online consultations available for clients across Kerala and NRIs worldwide
Sessions available in Malayalam or English, based on your comfort
Complete confidentiality, non-judgmental space, culturally sensitive support
Take the First Step Toward Confidence
Premature ejaculation is common, normal, and treatable. You are not alone, and with the right guidance, things can improve — often faster than you expect.
Contact Dr. Biju Varghese today for a private consultation in Angamaly or book an online session.
✅ Also Offering Help With:
Erectile Dysfunction
Sexual Performance Anxiety
Relationship Issues
Porn/Masturbation Addiction
Anxiety and Depression
