Lifelong PE is an innate, lifelong low threshold for orgasm that often results in a consistent very short time to ejaculation and a sense that you can’t control climax. This is on the serious end of the PE spectrum and typically will not subside without professional help. The signs include coming during early foreplay, with minimal sexual stimulation, or within the first 1-3 minutes of sexual intercourse. There are a range of interventions proven to help in management of premature ejaculation so it does not affect your sex life.