Premature ejaculation is a common sexual problem. Approximately one in three men report premature ejaculation at some point in their lives. While this problem is rare, it is not a cause for concern. However, a diagnosis of premature ejaculation may be made if: You always or almost always ejaculate within one minute of penetration; You are unable to delay ejaculation during intercourse; You feel anxious and frustrated, as a result of which you avoid sexual intimacy. Both psychological and biological factors can play a role in premature ejaculation. Although many men feel uncomfortable talking about this problem, premature ejaculation is a common and treatable problem. The main symptom of premature ejaculation is the inability to delay ejaculation for more than one minute after penetration. However, the problem can occur in all sexual situations, even during masturbation. Premature ejaculation can be classified as: Primary (observed throughout life, starting with the first sexual act); Secondary (acquired). It is observed when you have had previous sexual experiences without problems with ejaculation. Many men believe they have symptoms of premature ejaculation, but the symptoms do not meet the diagnostic criteria. Instead, these men may have naturally variable premature ejaculation as well as periods of normal ejaculation. Talk to a urologist if you ejaculate earlier than normal during most sexual acts. Men often feel uncomfortable discussing issues of this nature with a doctor. Premature ejaculation is a common and treatable problem. For some men, talking to a doctor can help reduce worry about this problem. For example, it may be reassuring to know that the occasional premature ejaculation is normal and that the average time from the start of intercourse to ejaculation is about 8 minutes. The exact cause of premature ejaculation is not known. While the problem was once thought to be purely psychological, scientists now know that premature ejaculation involves a complex interaction of psychological and biological factors. Psychological factors that may play a role include: Early sexual experiences; Sexual violence; Depression; Concern; Feeling guilty. A number of biological factors can contribute to premature ejaculation, including: Abnormal hormone levels; Abnormal levels of neurotransmitters; Inflammation and infection of the prostate. Various factors can increase the risk of premature ejaculation. You may be at increased risk of premature ejaculation if you have trouble getting or maintaining an erection. The fear of losing an erection can lead to a conscious or unconscious rush during intercourse.Emotional or mental stress in any area of ​​life can play a role in premature ejaculation, limiting your ability to relax and focus. Premature ejaculation can cause problems in your personal life, including relationship and fertility problems. A frequent complication of the problem is stress in the relationship. Also, premature ejaculation can make conception difficult for couples trying to have a baby if the ejaculation does not occur intravaginally.