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Savvy Psychologist

Understanding premature ejaculation: causes, symptoms, and treatment

Savvy Psychologist

Macmillan Holdings, LLC

Health & Fitness, Mental Health, Science, Self-improvement, Education

4.71.4K Ratings

🗓️ 30 July 2025

⏱️ 12 minutes

🧾️ Download transcript

Summary

In this episode, we discuss premature ejaculation (PE). Dr. Johnson breaks down the DSM-5-TR definition, explores common causes and types, and offers mental health tips and treatment options for individuals navigating this experience.

Transcript

Click on a timestamp to play from that location

0:00.0

Sex is everywhere, but real conversations about sexual concerns?

0:09.0

Not so much.

0:11.0

For many men, premature ejaculation, or PE, isn't just a source of private frustration.

0:18.0

It's a mental health issue that can affect self-esteem, relationships,

0:23.3

and emotional well-being. Yet it's often misunderstood, dismissed, or cloaked in shame. That's

0:30.4

where I come in. As a clinical psychologist, I've seen how silence around topics like PE does

0:36.5

more harm than good.

0:38.2

So let's break the stigma, unpack the official DSM-5-TR definition,

0:43.8

explore the research, and wrap up with a few mental health tips to support those navigating this deeply human experience.

0:53.2

Welcome back to savvy psychologist.

0:55.9

I'm your host, Dr. Monica Johnson.

0:58.3

Every week on this show, I'll help you face life's challenges

1:01.2

with evidence-based approaches, a sympathetic ear, and zero judgment.

1:06.9

Let's kick it off by talking about what is premature ejaculation.

1:12.5

According to the DSM-5TR, PE is classified as a male sexual dysfunction.

1:19.7

To receive a clinical diagnosis, the following criteria must be met.

1:25.7

Number one is persistent or recurrent pattern of ejaculation occurring during

1:30.9

partnered sexual activity within approximately one minute following penetration and before the

1:37.9

individual wishes it. Number two is the symptoms must have been present for at least six months and must occur on most, so approximately 75% or more, occasions of sexual activity.

1:53.0

The condition causes clinically significant distress in the individual, and also the sexual dysfunction is not better explained by a non-sexual mental disorder,

2:04.9

relationship distress, substance or medication use, or any other medical condition.

2:11.6

It's also worth noting that the one-minute benchmark is a clinical guide, not an absolute. Some cases may vary in context,

...

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