Ejaculation Problems

Ejaculation problems - (PE) and (DE)

What is PE?

Premature ejaculation (PE) is reaching climax and ejaculating before desired, usually within 1-2 minutes of penetration. Usually, three criteria are used to define PE. These are, the time between penetration, and ejaculation is shorter than desired (it is important to have realistic goals here), the person feels like they have no control of when they ejaculate and the time to ejaculate is distressing to the penis owner. Studies show that the average time to ejaculation from penetration is 5 ½ min (reference below).

M.D Waldinger, P.Quinn, M.Dillen, R. Mundayat, D.H. Schweitzer, and M. Boolell, “A multinational Population Survey of Intravaginal Ejaculation Latency Time”, Journal of Sexual Medicine 2 (2005):492-7

How common is it?

PE is much more common than you think and is a widespread problem, however one that penis owners rarely discuss with their friends so you may feel like you are the only one with this issue. Some men are born with this issue called ‘primary” and others develop it later in life, “secondary”. PE affects almost 1 in 4 penis owners (ref below).

H.Porst, F. Montorsi, R. C. Rosen, L. Gaynor, . Grupe, and Alexander, “The Premature Ejaculation Prevalence and attitudes (PEPA) Survey: Prevalence, Comorbidities, and Professional Help Seeking,” European Urology 51(2007):816-23.

Causes of premature ejaculation

PE is complex and can be a physical, psychological, behavioural issue or a combination of these. It can often happen in combination with erectile dysfunction (ED) which is even more frustrating for the penis owner and partner.

There are solutions!

The good news is that there are treatments for premature ejaculation:

  • Medication - oral, topical, injectable
  • Specific exercises such as ‘The Stop Start Technique’ and Kegel or pelvic floor strengthening

What is DE?

This is the opposite of PE, delayed ejaculation, and can be as frustrating as PE for both partners. DE can be lifelong or transient. It is more common as we age but can occur at any stage of life. Some penis owners do not have this problem when masturbating and only when with a partner.

Causes of delayed ejaculation

Can be caused by a side effect of medications, hormonal imbalances and/or a psychological or behavioural issue.

There are solutions!

The good news is that there are treatments for delayed ejaculation:

  • Medication
  • Relationship counselling
  • Exercises

Our Locations Why do we have so many locations and online services available?

This enables us to serve you better and closer to your home or work. We don’t want distance to be a barrier to access. We apologise if this is confusing, if you have any difficulty, please email admin@rshealth.com.au with preferred location and practitioner.


Antony Street Medical Centre

West Leederville

Western Urology

South West WA

Latitude 33.7 Vasse Physiotherapy


The Prostate Clinic


Perth Urology Clinic


Great Southern Specialist Centre


Perth Urology Clinic