There is a point of no return, called the point of inevitability, beyond which ejaculation will automatically occur. So, to delay an ejaculation the man must learn to control the amount of arousing stimulation he receives so that he does not reach the point of inevitability before he is ready. Men who experience premature ejaculation frequently question their masculinity and lose confidence in their sexual performance, which often leads to feelings of lowered self-esteem. In fact, the issue of interest is not at all about the person but about the outcome, the earlier than desired ejaculation. In some cases, early ejaculation and the emotional feelings surrounding the experience, if not discussed openly and constructively, can lead to serious relational conflicts and more sexual problems, like erectile difficulties and decreased sexual desire by one or both partners.
Early ejaculation occurs in men of all ages and of all socioeconomic backgrounds.
It has been reported in men who have no psychological problems as well as in those who are suffering from extreme stress and anxiety. A medical condition or physical reason is rarely found to be the cause of a man's problems with ejaculation. However, if someone has had a good history of ejaculatory control and then experiences early ejaculations, he should be seen by a competent urologist to determine if there is a treatable illness or neurological problem that has caused such a sudden change. In most cases of early ejaculation the man has a history of concern and worry about his ability to control his ejaculation dating back many years, often to his first sexual relationship or before. Some therapists think that young men unknowingly are encouraged by events in their early sexual lives to teach themselves to ejaculate rapidly.