Premature Ejaculation

Premature ejaculation is the most common sexual issue affecting men. Speak to an AHPRA-licensed online doctor and discuss your symptoms.

When to consult a doctor for premature ejaculation?

If premature ejaculation is persistent

Consult a doctor if you consistently ejaculate within one minute of penetration or struggle to delay ejaculation over time, as ongoing symptoms may require medical assessment and treatment.

If it affects mental health or relationships

Seek medical advice if premature ejaculation is causing stress, anxiety, low self-esteem, or leading to relationship difficulties with your partner.

If there may be an underlying health condition

See a doctor if premature ejaculation is linked to hormonal imbalances, chronic health conditions, or other medical issues that need diagnosis and appropriate management.

This guide does not replace professional care. Consult a doctor to manage your symptoms. In emergencies, call 000. The content is research-backed & medically reviewed by Dr. Ammar AL-ANI, MBChB, CCBST, AMC

Symptoms and complications

These symptoms and complications can significantly impact emotional wellbeing, confidence, and intimate relationships if left untreated.

Inability to delay ejaculation during sexual activity

Feelings of distress or frustration

Reduced sexual satisfaction for self or partner

Avoiding intimacy due to performance anxiety

Relationship difficulties or emotional distance

Reduced self-esteem or confidence

Increased anxiety, stress, or depression

Causes

Here are some of the factors causing premature ejaculation:

Abnormal hormone levels

Performance anxiety

General anxiety

Stress

Erectile dysfunction

Psychological issues

Alcohol or other substance abuse

Is premature ejaculation related to erectile dysfunction?

Premature ejaculation and erectile dysfunction can be related. Some men may experience both, and erectile dysfunction can sometimes worsen premature ejaculation by creating additional anxiety. Treating one condition may help alleviate the other.

Telehealth assessment

It is important to speak to a GP first to understand and manage your symptoms. Hola Health provides a convenient way to consult an AHPRA-registered doctor online, 24/7 across Australia.

Clinical note: An online GP consult provides a clinical assessment of premature ejaculation and evaluates if behavioural techniques, a prescription, or a pathology referral is appropriate. Telehealth is a complementary service; an in-person physical examination is generally needed to rule out physical causes such as prostatitis or nerve sensitivity. Online GPs can provide pathology referrals, and prescribe medications if clinically indicated. Diagnosis and prescribing via telehealth rely on a real-time video or phone consultation. If you experience sudden loss of vision or hearing, chest pain, severe dizziness, difficulty breathing, or signs of a serious allergic reaction (throat swelling, hives, rapid heart rate) — call 000 or attend an Emergency Department immediately. Do not use telehealth for these presentations. We recommend sharing your consult summaries with your regular GP to ensure continuity of care.

Frequently Asked Questions

Can a woman get pregnant from premature ejaculation?

Yes, premature ejaculation may result in pregnancy, although the chances are lower than with ejaculation inside the vagina. This is because pre-ejaculate may sometimes include sperm. To avoid pregnancy, women should use a reliable contraceptive method.

If you have questions regarding your sexual health, fertility, or contraceptive choices, consult a healthcare provider. 

How is premature ejaculation managed? 

Premature ejaculation is often managed with a combination of strategies, lifestyle adjustments, and, in rare situations, medical management.

Strategies that may be useful include: 

Practising ways for delaying ejaculation 
Using condoms to minimise sensitivity 
Managing stress and performance anxiety 
Enhancing communication in your relationship 
Seeking guidance from a healthcare professional on relevant management.

What is premature ejaculation? 

Premature ejaculation is when ejaculation occurs earlier than expected during sexual intercourse, causing anxiety or worry. It’s a common sexual health problem that can impact people of all ages. The time of ejaculation varies from person to person, but premature ejaculation is usually considered when it occurs repeatedly and without control, affecting sexual well-being. 

How is premature ejaculation diagnosed?

Premature ejaculation is diagnosed after consulting with a healthcare expert about your symptoms, sexual history, and how the issue affects you. A doctor may inquire about how often it occurs, when it began, and whether there are any medical or emotional issues involved. 

Further testing may be necessary to rule out other reasons, in rare circumstances. 

Can premature ejaculation affect fertility? 

Premature ejaculation rarely affects fertility. If ejaculation does not occur inside the vagina, it may make conceiving more challenging. If you and your spouse are experiencing conception problems, a healthcare expert can offer guidance and analyse potential reproductive issues.