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UNDERSTANDING PE

Do I Have Premature Ejaculation? Signs and a Private Self-Check

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Many men wonder whether what they experience is premature ejaculation (PE) or simply a bad night. This page lists the signs that point to PE, offers a private self-check you can complete in about two minutes, and explains what to do with the result. It is an educational prompt and not a diagnosis.

01

Signs that point to PE rather than an off night

Occasional quick ejaculation is common, especially with a new partner, after a long gap or when you are tired or stressed. PE is more likely when the pattern is persistent and comes with a loss of control and distress. The International Society for Sexual Medicine (ISSM) describes three features together:

Short time

ejaculation always or nearly always happens within about one minute of penetration (lifelong PE), or the time has dropped clearly from what it used to be, often to about three minutes or less (acquired PE).

Little control

you are unable to delay ejaculation on all or nearly all occasions.

Negative effects

you feel distress, frustration, embarrassment or a wish to avoid sex, or it affects your relationship.

If only the first feature applies and you are not bothered, that is not PE by this definition. See how long sex should last for what the research found, and the types of PE for how the patterns differ.

02

A private two-minute self-check

The questions below are in our own words. They are not the PEDT or any other published questionnaire. Your answers stay in your browser. Nothing is stored or sent to us.

A private two-minute self-check. Your answers stay in your browser. Nothing is saved or sent. This is not a diagnosis.

1. Once sex starts, how often do you ejaculate sooner than you want to?
2. How much control do you feel you have over when you ejaculate?
3. How much does this bother or worry you?
4. Does it get in the way of intimacy, or make you avoid sex?
5. Has this been the case since your first sexual experiences, or did it start later?

03

What your result does and does not mean

It does not diagnose PE

Only a conversation with a qualified professional can do that.

A higher result

means that what you describe matches the pattern often seen with PE, and that it may be worth talking to someone.

A lower result

does not mean your worries are unimportant. If it bothers you, you can still ask for support.

It cannot tell you why

it is happening. Causes can be physical, psychological or both. See our guide to causes.

04

Questions to ask a professional

  • Does what I describe fit lifelong, acquired or another pattern?
  • Could anything physical, such as an erection problem, a prostate problem or a thyroid problem, be involved?
  • Could a medicine I take play a part?
  • What options suit my situation, and what are the benefits and limits of each?
  • How would my partner be involved, if I want that?

05

When to see a doctor sooner

See a doctor rather than waiting if the change is sudden, if you have pain, burning, blood in the urine or semen, trouble getting or keeping an erection, or if you are very low or anxious about it. Our page on when to see a doctor explains what to expect. You can also read the main guide to premature ejaculation.

Your next step

Want to talk it through?

A private conversation can help you work out the next step that suits you. In person in Sandton, or online.

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