Wrong ideas about premature ejaculation (PE) can stop men from getting help, or send them in the wrong direction. Here are five common ones, with short, honest answers and links to the pages that explain more. This is general information and not a medical assessment.
Myth: it is just a lack of willpower
PE is not a character flaw, and trying harder usually does not help. The causes are not fully understood, and the guidelines describe biological and psychological factors, often both. Willpower also tends to increase pressure and worry, which can make it worse. See the overview of causes.
Myth: it only affects young or inexperienced men
PE can affect men of any age and experience. Younger men may be more worried about it, but the research found that the time to ejaculation tends to shorten with age. See PE in young men and how long sex should last.
Myth: masturbation always causes it
There is no good evidence that masturbation on its own causes PE. Whether rushed habits play a part for some men is a hypothesis and not an established cause. See masturbation, porn and PE.
Myth: it cannot be improved
Many men find that things improve with the right information and support, though results vary and nobody can promise a particular outcome. The guidelines describe several treatment options. See what can and cannot be promised.
Myth: a pill is the only answer
Medicines are one option, decided with a doctor, and they are not the only one. Education, behavioural techniques, counselling and topical products are also used, and the right mix depends on the man. See the overview of treatment options and what the evidence supports.
What to do instead
- Read a reliable guide, such as our main guide to PE.
- Try the private self-check if you are unsure.
- Talk to your partner, if you have one.
- See a doctor if PE began suddenly, or you have pain or erection problems. See when to see a doctor.
Sources and further reading
- Althof SE, McMahon CG, Waldinger MD, et al. An update of the International Society of Sexual Medicine's guidelines for the diagnosis and treatment of premature ejaculation. Sex Med 2014;2(2):60-90
- European Association of Urology guidelines on sexual and reproductive health, 2021 update: male sexual dysfunction. Eur Urol 2021;80(3):333-357
This article is general educational information and is not a substitute for individual medical advice.