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Porn and Premature Ejaculation: Is There a Link?

By TrueAlly Team 17 min read

How we write our guides

Illustration of a white card with a large gray stopwatch, an indigo arc running from the 12 to about the 4 o'clock position with its hand, and a small indigo pause badge at lower right, standing for timing and the stop-start technique.

Key takeaways

  • Research on porn and premature ejaculation is thin, and it doesn't show that watching porn causes it.
  • In one survey of 942 men, porn use wasn't linked with early ejaculation, but feeling addicted to porn was.
  • The International Society for Sexual Medicine defines lifelong premature ejaculation by three things: ejaculation within about a minute of penetration nearly every time since first sex, little ability to delay it, and distress.
  • In a survey of 1,976 Chinese men, more frequent masturbation was linked with more ejaculatory problems, but the survey can't show which came first.
  • Stop-start and squeeze techniques and pelvic floor training have some research behind them, while quitting porn as a treatment for premature ejaculation has barely been studied.
On this page
  1. Porn and Premature Ejaculation at a Glance
  2. What Counts as Premature Ejaculation?
  3. How Common Is Premature Ejaculation?
  4. Does Porn Cause Premature Ejaculation?
  5. Can Masturbation Habits Make You Finish Faster?
  6. Is It Premature Ejaculation, ED or Something Else?
  7. Will Quitting Porn Help With Premature Ejaculation?
  8. How to Last Longer: Treatments That Help
  9. When to See a Doctor
  10. The Bottom Line
  11. Sources

Research on porn and premature ejaculation (PE) is thin, and it doesn’t show that watching porn causes it. In one survey of 942 men, porn use wasn’t linked with early ejaculation, but feeling addicted to porn was.

Many men who finish sooner than they want wonder whether porn is to blame, and whether quitting will help. This guide covers what each study measured, what it can’t show, and which treatments have evidence behind them. For the bigger picture of quitting, see how long it takes to quit porn. If erections are also a worry, our guide to porn-induced erectile dysfunction covers erectile dysfunction (ED) on its own.

Porn and Premature Ejaculation at a Glance

QuestionShort answer
Does porn cause premature ejaculation?Not shown. Porn use wasn’t linked with early ejaculation in one survey of 942 men (Whelan & Brown, 2021).
How long does sex usually last?The median time from penetration to ejaculation was 5.4 minutes in a stopwatch study of 500 couples (Waldinger et al., 2005).
What counts as lifelong PE?Ejaculation always or nearly always within about 1 minute of vaginal penetration, from the first sexual experience (Serefoglu et al., 2014).
How common is PE?Estimates have ranged from 3% to 20% (Melnik et al., 2011).
Does masturbation make you finish faster?Possibly, but the evidence is indirect. More frequent masturbation was linked with more ejaculatory problems in one survey of 1,976 men (Niu et al., 2023).
Does quitting porn treat PE?It has barely been studied as a treatment. Problematic porn use went with more sexual functioning problems (Bőthe et al., 2021).
What has evidence for PE?Stop-start and squeeze techniques and pelvic floor training have some research behind them, but the evidence is limited (Cooper et al., 2015; Myers & Smith, 2019).
When should I see a doctor?If it keeps happening and bothers you or your partner. The UK’s National Health Service (NHS) advises a doctor visit for a persistent problem (NHS, 2023).

What Counts as Premature Ejaculation?

The International Society for Sexual Medicine (ISSM) defines lifelong PE as ejaculation that always or nearly always comes within about a minute of penetration, from the first sexual experience. Acquired PE is a bothersome drop in timing that is clinically important, often to about three minutes or less.

The ISSM defines premature ejaculation as a male sexual dysfunction. Its unified definition has three parts: ejaculation that comes this quickly, an inability to delay on all or nearly all penetrations, and negative personal consequences such as distress, bother or avoiding sexual intimacy. It is framed around vaginal penetration. Men with acquired PE are older and more often have erectile dysfunction, other health conditions and risk factors for heart disease than men with lifelong PE (Serefoglu et al., 2014).

What’s typical? In a stopwatch study of 500 couples in the Netherlands, the UK, Spain, Turkey and the US, the median time from penetration to ejaculation was 5.4 minutes, with a range of 0.55 to 44.1 minutes. The median was 6.5 minutes for men aged 18 to 30 and 4.3 minutes for men older than 51 (Waldinger et al., 2005).

Expectations are another piece of the picture. In an online survey of 528 adult men in São Paulo, Brazil, run from May 2019 to March 2020, 27.3% said the ideal time to ejaculate during sex with a partner was 6 to 15 minutes, and 44.1% said longer than 15 minutes. Yet 45.8% said they usually ejaculated earlier than the ideal time. The authors raised the possibility that expectations of ejaculation time, which they said were much higher than actual times, could come from unrealistic references provided by porn. The survey did not test that idea (Reis et al., 2025).

How Common Is Premature Ejaculation?

PE is common, but prevalence estimates vary widely depending on how the condition is defined and counted.

A 2011 Cochrane review notes prevalence estimates ranging from 3% to 20% (Melnik et al., 2011). A 2019 review adds that definitions of PE have varied and at times been ambiguous, which has made prevalence estimates inaccurate (Gillman & Gillman, 2019). A review of porn and sexual dysfunction also lists PE among the most frequently identified sexual dysfunctions in men in the general population (Dwulit & Rzymski, 2019).

In an internet survey of 12,133 men aged 18 to 70 in the US, Germany and Italy, 22.7% met the survey’s self-report definition, which was low or absent control over ejaculation that distressed them, their partners or both. Men with PE were more likely to self-report other sexual dysfunctions and psychological problems such as depression and anxiety. Only 9.0% had consulted a physician about it (Porst et al., 2007).

The numbers from other surveys differ too. In a Swiss survey of young men, 11% had PE (Mialon et al., 2012). In an urban sample of Chinese men aged 18 to 50, 2.3% scored as indicative or strongly indicative of PE on a checklist of early ejaculation symptoms (Niu et al., 2023).

Does Porn Cause Premature Ejaculation?

The research doesn’t show that porn causes premature ejaculation. Surveys link problematic porn use, meaning loss of control and distress, with more sexual problems, but none of them can show which came first.

In a survey of 942 heterosexual men aged 18 to 44, recruited from Reddit subgroups where men share porn, porn use wasn’t linked with erectile dysfunction, early ejaculation or sexual satisfaction. Feeling addicted to porn, which the men rated for themselves, had small to moderate positive links with erectile dysfunction, early ejaculation and sexual dissatisfaction. Because the men came from online porn communities, the results describe them, not all men. The authors suggested that clinicians consider self-perceived porn addiction as a possible contributing factor to sexual problems (Whelan & Brown, 2021).

A survey of 528 adult men in São Paulo, Brazil, run from May 2019 to March 2020, found no link between ejaculation disorders and frequent porn use. Frequent use was defined as at least an hour a day, every day, or many hours a day two to four times a week, during solitary masturbation. Only 55 men (10.4%) met that definition (Reis et al., 2025).

A study of 589 people treated for porn addiction in India, 583 of them men, found that 33.6% had premature ejaculation. Because the study included only people in treatment, it shows that the two occur together in that group, not that porn raises the risk of PE (Gokani et al., 2025).

A large community survey of 14,581 men and women looked at sexual functioning problems more broadly, not PE alone. Problematic porn use had a moderate positive link with those problems, while how often people watched had a weak negative link (Bőthe et al., 2021). In these porn studies, feeling addicted or out of control went with sexual problems more consistently than how often men watched. The masturbation survey in the next section is an exception worth knowing about.

None of these surveys can show which way the link runs, or whether something else is behind both. Our erectile dysfunction guide finds the same pattern for erections.

Can Masturbation Habits Make You Finish Faster?

Possibly, but the evidence is indirect. The ISSM guidelines describe an older theory that rushed early sexual experiences could condition men to finish quickly, and one survey linked more frequent masturbation with more ejaculatory problems.

The ISSM guidelines note that PE was once thought to be psychological or interpersonal, due in large part to anxiety or conditioning toward rapid ejaculation based on rushed early sexual experiences. They also list proposed biological factors, including hypersensitivity of the glans penis (Althof et al., 2014). The NHS gives a conditioning example: a teenager who learns to ejaculate quickly to avoid being caught masturbating may later find the habit hard to break (NHS, 2023).

In a survey of 1,976 urban Chinese men aged 18 to 50, more frequent masturbation, with or without porn, went with more ejaculatory problems. More frequent partnered sex went with fewer. The authors also considered the reverse direction: men with more erectile and ejaculatory problems may get less satisfaction from partnered sex and seek it through masturbation instead. They suggested that PE symptoms may also occur during masturbation, and they noted that self-reported timing may not be fully accurate (Niu et al., 2023).

For men with lifelong PE, timing appears stable over time. In an online sample of 409 men with PE, 160 of whom had lifelong PE, estimated times of 1 to 2 minutes stayed consistent since their first sexual experience. The times varied mildly to moderately with the type of sexual activity, including masturbation (Cote-Leger et al., 2025). By the ISSM definition, lifelong PE is present from a man’s first sexual experience (Serefoglu et al., 2014).

Some men masturbate before sex to manage PE. The NHS says doing so an hour or two beforehand can sometimes help (NHS, 2023). In one internet survey, more than half of men with PE had used strategies to manage it, including masturbation and having intercourse more often than usual (Porst et al., 2007). In a study of 182 young men with PE and 92 without, 53.3% of men with PE had had several sex sessions in one day in the past four weeks, compared with 17.4% of men without PE. Those who had several sessions did better on the second attempt but still did worse than men without PE. Of the men with PE, 57.1% held a negative attitude toward masturbating before sex, and the authors said it is not universally applicable as a coping strategy (Wang et al., 2024).

Current diagnostic tools mainly focus on men who have vaginal intercourse. In a study of men seeking PE treatment, 21.75% had not had vaginal intercourse in the past six months. The authors tested a questionnaire built for men who only masturbate and concluded that it can effectively evaluate their ejaculatory function (Zhu et al., 2024).

Is It Premature Ejaculation, ED or Something Else?

Erection problems, physical conditions and anxiety can all be involved in early ejaculation, so it helps to look at the whole picture.

Some men with erection problems rush sex to keep their erection, and so may describe their problem as PE (Althof et al., 2014).

For acquired PE, the ISSM guidelines recommend a targeted physical exam to look for associated or causal conditions, such as erectile dysfunction, thyroid dysfunction or prostatitis (Althof et al., 2014). The NHS lists prostate problems and thyroid problems among common physical causes, and depression, stress, relationship problems and anxiety about sexual performance among common psychological causes (NHS, 2023).

In a Swiss survey of young men, poor mental health was the only factor directly linked with both PE and erectile dysfunction, even after accounting for other factors (Mialon et al., 2012). A review of sexual performance anxiety estimated that 9 to 25% of men have it, and that it contributes to premature ejaculation and to erectile dysfunction with psychological causes (Pyke, 2020). For how porn and anxiety can feed each other, see porn and anxiety.

Needing more stimulation to climax is a different pattern from finishing early. If that is your experience, see porn desensitization. Finishing too late is the opposite timing problem, and our death grip syndrome guide covers that pattern and the community slang behind its name.

Will Quitting Porn Help With Premature Ejaculation?

Quitting porn as a treatment for PE has barely been studied, so no one can promise it will fix timing. It may still be worth trying if your use feels out of control, because problematic use is the pattern the surveys link with sexual problems.

The surveys above measured people at one point in time, so they can’t show whether quitting would change timing.

If porn was part of the problem, quitting may help, but recovery can take months. What happens when you quit porn covers the timeline. If you’re unsure whether your use has become a problem, porn addiction symptoms lists 10 signs to check. For a step-by-step plan, see how to quit porn.

Be wary of paid online “ejaculation training” courses. A 2024 review of 11 such courses found that they cost $5 to $147 a week or a one-time $20 to $199, and none of the instructors claimed standardized medical or mental-health credentials. The courses claimed to help erectile dysfunction, premature ejaculation and porn addiction, with no scientific evidence behind those claims. The author also noted that semen retention and similar practices have been popularized on social media, often with unsubstantiated health claims (Prause, 2024).

How to Last Longer: Treatments That Help

Behavioral techniques, pelvic floor training and medical options all have some research behind them, but the evidence is limited and results vary.

A 2011 Cochrane review found the evidence for psychological treatments weak and inconsistent, and Masters and Johnson’s early reports of 97.8% success could not be replicated (Melnik et al., 2011). Treat the steps below as options to discuss with a clinician, not guaranteed fixes.

  1. Stop-start and squeeze. The NHS describes the squeeze technique as something you practice on your own: stop before the point of ejaculation, squeeze the head of the penis for 10 to 20 seconds, wait about 30 seconds, then continue. The stop-go version skips the squeeze, and the NHS notes that both take a lot of practice (NHS, 2023). In one review, two trials of behavioral programs involving the squeeze, stop-start and sensate focus techniques found differences of 7 to 9 minutes in time to ejaculation compared with waitlists, while two others, testing web-based sensate focus and a stimulation device, found no difference. The review called the evidence limited (Cooper et al., 2015).
  2. Pelvic floor training. A review of ten trials concluded that pelvic floor muscle training “appears effective” for ED and PE, though the studies were of low to moderate quality and no optimal protocol has been identified (Myers & Smith, 2019). In one study of 40 men with lifelong PE, 12 weeks of pelvic floor rehabilitation raised the mean time from penetration to ejaculation from about 32 seconds to about 146 seconds, timed with a stopwatch. The study reports that 33 of the 40 men gained control of their ejaculation reflex. It had one treated group and no comparison group, and only 13 of the 33 were followed to six months, when their mean reported time was about 113 seconds (Pastore et al., 2014).
  3. Behavioral techniques with medication. Three trials found that behavioral techniques added to drug treatment did better than drug treatment alone. The latency differences were small, 0.5 to 1 minute, but the combined groups did better on sexual satisfaction, ejaculatory control and anxiety (Cooper et al., 2015).
  4. Medical options to discuss with a doctor. Some antidepressant-type medicines also delay ejaculation, and some are taken before sex. Numbing products can help too, but they can transfer to a partner and reduce sensation for them (NHS, 2023). The American Urological Association (AUA) guideline notes that none of these medicines has Food and Drug Administration (FDA) approval for PE, so using them for PE is off-label (Shindel et al., 2022). Ask a doctor which options fit your health history.
  5. Involve your partner. The AUA guideline recommends shared decision-making and says involving sexual partners in decisions, when possible, may help optimize outcomes (Shindel et al., 2022). The ISSM guidelines call partner inclusion important but not mandatory, and note that if partners are not involved, they may be resistant to changing the sexual interaction (Althof et al., 2014). For what couple studies have found about porn and satisfaction, see porn and relationships.

When to See a Doctor

See a doctor if premature ejaculation keeps happening and bothers you or your partner. The NHS says a persistent problem is worth a visit to a general practitioner (GP), who may examine you or refer you to a specialist (NHS, 2023).

  • A sudden change after years of normal timing. The NHS notes that men can suddenly experience PE because of physical or psychological factors (NHS, 2023). For acquired PE, the ISSM guidelines recommend a targeted physical exam (Althof et al., 2014).
  • Erection problems, pain during sex or urinary symptoms. These can have causes that need checking, so a doctor should look at them rather than waiting to see whether timing changes.
  • Anxiety or relationship strain. A therapist who works with sexual concerns can help. The NHS describes psychosexual counselling, in which a therapist helps with sex-related problems and a partner can join if you have one (NHS, 2023).
  • Thoughts of self-harm. If you feel hopeless or have thoughts of harming yourself, call or text 988 (the Suicide & Crisis Lifeline in the US), or your local emergency number (988 Suicide & Crisis Lifeline, n.d.).

The Bottom Line

  • The research doesn’t show that porn causes PE. Porn use wasn’t linked with early ejaculation in one survey of 942 men, but feeling addicted to porn was.
  • Masturbation may be linked with PE, but the evidence is indirect. One survey linked more frequent masturbation with more ejaculatory problems, and it can’t show which came first.
  • PE has a medical definition and treatments with some evidence. Stop-start and squeeze techniques and pelvic floor training have research behind them, though the evidence is limited.
  • Quitting porn as a PE treatment has barely been studied. It may still help if your use feels out of control, and recovery can take months.
  • See a doctor if it keeps happening. A doctor can check for physical causes and talk through options that fit you.

If you want daily structure while you cut back on porn, the TrueAlly app offers daily check-ins and an intimacy and mood tracker. It isn’t a porn blocker or a medical treatment for PE.


Sources

  • Althof, S. E., McMahon, C. G., Waldinger, M. D., Serefoglu, E. C., Shindel, A. W., Adaikan, P. G., Becher, E., Dean, J., Giuliano, F., Hellstrom, W. J., Giraldi, A., Glina, S., Incrocci, L., Jannini, E., McCabe, M., Parish, S., Rowland, D., Segraves, R. T., Sharlip, I., & Torres, L. O. (2014). An update of the International Society of Sexual Medicine’s guidelines for the diagnosis and treatment of premature ejaculation (PE). Sexual Medicine, 2(2), 60–90. https://doi.org/10.1002/sm2.28
  • Bőthe, B., Tóth-Király, I., Griffiths, M. D., Potenza, M. N., Orosz, G., & Demetrovics, Z. (2021). Are sexual functioning problems associated with frequent pornography use and/or problematic pornography use? Results from a large community survey including males and females. Addictive Behaviors, 112, Article 106603. https://doi.org/10.1016/j.addbeh.2020.106603
  • Cooper, K., Martyn-St James, M., Kaltenthaler, E., Dickinson, K., Cantrell, A., Wylie, K., Frodsham, L., & Hood, C. (2015). Behavioral therapies for management of premature ejaculation: A systematic review. Sexual Medicine, 3(3), 174–188. https://doi.org/10.1002/sm2.65
  • Cote-Leger, P., Althof, S. E., & Rowland, D. L. (2025). A lifespan perspective on lifelong premature ejaculation: Unresolved issues and new insights. Journal of Sexual Medicine, 22(10), 1737–1745. https://doi.org/10.1093/jsxmed/qdaf197
  • Dwulit, A. D., & Rzymski, P. (2019). The potential associations of pornography use with sexual dysfunctions: An integrative literature review of observational studies. Journal of Clinical Medicine, 8(7), Article 914. https://doi.org/10.3390/jcm8070914
  • Gillman, N., & Gillman, M. (2019). Premature ejaculation: Aetiology and treatment strategies. Medical Sciences, 7(11), Article 102. https://doi.org/10.3390/medsci7110102
  • Gokani, N., Gowande, T., Sahore, A., & Deshpande, S. (2025). Clinical and demographic correlates of pornography addiction: A cross-sectional study from India. Indian Journal of Psychological Medicine. https://doi.org/10.1177/02537176251381219
  • Melnik, T., Althof, S., Atallah, A. N., Puga, M. E., Glina, S., & Riera, R. (2011). Psychosocial interventions for premature ejaculation. Cochrane Database of Systematic Reviews, 2011(8), Article CD008195. https://doi.org/10.1002/14651858.cd008195.pub2
  • Mialon, A., Berchtold, A., Michaud, P. A., Gmel, G., & Suris, J. C. (2012). Sexual dysfunctions among young men: Prevalence and associated factors. Journal of Adolescent Health, 51(1), 25–31. https://doi.org/10.1016/j.jadohealth.2012.01.008
  • Myers, C., & Smith, M. (2019). Pelvic floor muscle training improves erectile dysfunction and premature ejaculation: A systematic review. Physiotherapy, 105(2), 235–243. https://doi.org/10.1016/j.physio.2019.01.002
  • NHS. (2023). Ejaculation problems. https://www.nhs.uk/conditions/ejaculation-problems/
  • Niu, C., Ventus, D., Jern, P., & Santtila, P. (2023). Premature ejaculation among Chinese urban men: Prevalence and correlates. Sexual Medicine, 11(1), Article qfac015. https://doi.org/10.1093/sexmed/qfac015
  • Pastore, A. L., Palleschi, G., Fuschi, A., Maggioni, C., Rago, R., Zucchi, A., Costantini, E., & Carbone, A. (2014). Pelvic floor muscle rehabilitation for patients with lifelong premature ejaculation: A novel therapeutic approach. Therapeutic Advances in Urology, 6(3), 83–88. https://doi.org/10.1177/1756287214523329
  • Porst, H., Montorsi, F., Rosen, R. C., Gaynor, L., Grupe, S., & Alexander, J. (2007). The Premature Ejaculation Prevalence and Attitudes (PEPA) survey: Prevalence, comorbidities, and professional help-seeking. European Urology, 51(3), 816–824. https://doi.org/10.1016/j.eururo.2006.07.004
  • Prause, N. (2024). Online ejaculation training programs promote non-evidence-based treatment of male sexual dysfunction. International Journal of Impotence Research, 36(7), 759–764. https://doi.org/10.1038/s41443-023-00780-8
  • Pyke, R. E. (2020). Sexual performance anxiety. Sexual Medicine Reviews, 8(2), 183–190. https://doi.org/10.1016/j.sxmr.2019.07.001
  • Reis, M. M. F. D., Barros, E. A. C., Monteiro, L., Pazeto, C. L., Baccaglini, W., & Glina, S. (2025). Ideal time and self-reported time to ejaculate, frequent use of virtual pornography, and disorders of ejaculation among internet users in the Metropolitan Region of São Paulo, Brazil: Cross-sectional study. Einstein (São Paulo), 23, Article eAO1282. https://doi.org/10.31744/einstein_journal/2025ao1282
  • Serefoglu, E. C., McMahon, C. G., Waldinger, M. D., Althof, S. E., Shindel, A., Adaikan, G., Becher, E. F., Dean, J., Giuliano, F., Hellstrom, W. J. G., Giraldi, A., Glina, S., Incrocci, L., Jannini, E., McCabe, M., Parish, S., Rowland, D., Segraves, R. T., Sharlip, I., & Torres, L. O. (2014). An evidence-based unified definition of lifelong and acquired premature ejaculation: Report of the second International Society for Sexual Medicine ad hoc committee for the definition of premature ejaculation. Sexual Medicine, 2(2), 41–59. https://doi.org/10.1002/sm2.27
  • Shindel, A. W., Althof, S. E., Carrier, S., Chou, R., McMahon, C. G., Mulhall, J. P., Paduch, D. A., Pastuszak, A. W., Rowland, D., Tapscott, A. H., & Sharlip, I. D. (2022). Disorders of ejaculation: An AUA/SMSNA guideline. Journal of Urology, 207(3), 504–512. https://doi.org/10.1097/ju.0000000000002392
  • Waldinger, M. D., Quinn, P., Dilleen, M., Mundayat, R., Schweitzer, D. H., & Boolell, M. (2005). A multinational population survey of intravaginal ejaculation latency time. Journal of Sexual Medicine, 2(4), 492–497. https://doi.org/10.1111/j.1743-6109.2005.00070.x
  • Wang, C., Colonnello, E., Sansone, A., Zhang, H., Jannini, E. A., & Zhang, Y. (2024). Repeated sexual intercourse as a coping strategy for men with premature ejaculation. Journal of Sexual Medicine, 21(5), 399–407. https://doi.org/10.1093/jsxmed/qdae040
  • Whelan, G., & Brown, J. (2021). Pornography addiction: An exploration of the association between use, perceived addiction, erectile dysfunction, premature (early) ejaculation, and sexual satisfaction in males aged 18–44 years. Journal of Sexual Medicine, 18(9), 1582–1591. https://doi.org/10.1016/j.jsxm.2021.06.014
  • Zhu, Z., Mao, Z., Wang, C., Chen, X., Liu, Z., & Zhang, Y. (2024). Effectiveness of masturbation premature ejaculation diagnostic tool in diagnosing premature ejaculation in men without vaginal intercourse over the past six months: An observational study. The Aging Male, 27(1), Article 2411286. https://doi.org/10.1080/13685538.2024.2411286
  • 988 Suicide & Crisis Lifeline. (n.d.). 988 Lifeline. https://988lifeline.org/

Frequently asked questions

What is porn-induced premature ejaculation?

Porn-induced premature ejaculation is community language, not a medical diagnosis. It describes early ejaculation that a man links with his porn use. Premature ejaculation itself is a recognized sexual dysfunction. In one survey of 942 men, porn use alone wasn't linked with it, but feeling addicted to porn was.

Does masturbating before sex help you last longer?

It can help some men, but the evidence is thin. The UK's National Health Service says masturbating an hour or two before sex can sometimes help. In a study of 182 young men with premature ejaculation, 57.1% held a negative attitude toward doing so, and the authors said it isn't universally applicable. Stop-start practice has some trial evidence too, though it is limited.

Is premature ejaculation permanent?

It can be long-lasting. In one online study of 409 men with premature ejaculation, men with lifelong premature ejaculation reported short estimated times that stayed consistent over their lives. Acquired premature ejaculation can have medical causes that a doctor can check. Treatments such as stop-start techniques and pelvic floor training have some research behind them, though the evidence is limited.

Can anxiety cause premature ejaculation?

Possibly. Anxiety is linked with premature ejaculation, and a 2020 review said sexual performance anxiety contributes to it. That review estimated that 9 to 25% of men have sexual performance anxiety. In a Swiss survey of young men, poor mental health was the only factor directly linked with both premature ejaculation and erectile dysfunction. A therapist who works with sexual concerns can help with the anxiety side.

Is it normal to finish quickly sometimes?

Yes. The UK's National Health Service says occasional episodes of premature ejaculation are common and not a cause for concern. For lifelong premature ejaculation, the International Society for Sexual Medicine looks for ejaculation that always or nearly always comes within about a minute of penetration, an inability to delay on all or nearly all penetrations, and distress or bother. If it keeps happening and bothers you or your partner, see a doctor.

Can you have premature ejaculation during masturbation too?

Yes, some men do. In a survey of 1,976 Chinese men, timing during masturbation and timing during sex with a partner tended to go together, and the authors concluded that symptoms of premature ejaculation may also occur during masturbation. Most diagnostic tools focus on vaginal intercourse, so tell your doctor if timing is a problem during masturbation too.

Can young men get premature ejaculation?

Yes. In a survey of young Swiss men, 11% had premature ejaculation. Lifelong premature ejaculation starts with a man's first sexual experiences, so it often shows up young, while men with the acquired type tend to be older. If it bothers you, talking with a doctor is a good first step.

Should my partner be involved in treatment?

Yes, when it's possible. The American Urological Association guideline recommends shared decision-making and says involving sexual partners may help optimize outcomes. The International Society for Sexual Medicine guideline calls partner inclusion important but not mandatory, and notes that partners who aren't involved may be resistant to changing the sexual interaction. Talking openly about what each of you wants is a practical first step.

Make the next 30 days easier

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