How are the causes of premature ejaculation diagnosed?

If you or your partner has frequent premature ejaculation, or if premature ejaculation is causing you anxiety or depression affecting your relationship, you should see a urologist.

He or she will begin an exam by asking about your sexual experiences. You will be asked:

  • How long the problem has existed
  • Under what circumstances has it happened
  • Whether it occurs each time during intercourse

You will likely be asked several other sex-related questions, including whether premature ejaculation occurs when you masturbate. You will also be asked if you have trouble maintaining an erection. While the questions are personal, it is important that you answer your urologist honestly so he or she can best diagnose the source of your problem.

He or she will also ask about any other medical conditions you may have and any medications you are taking. This includes over-the-counter medications. You will also be asked about any alcohol or illegal drug use.

Last reviewed by a Cleveland Clinic medical professional on 03/07/2016.


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  • O’Leary MP. Managing Early Ejaculation: What Does the Future Hold? Rev Urol. 2004 Winter; 6(1): 5–10.
  • Waldinger MD. Premature ejaculation: definition and drug treatment. Drugs. 2007;67(4):547-68.

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