Dr. Cristina Guix
Gynecologist and Fertility Expert at Barcelona IVF
Premature ejaculation is a frequent alteration of male sexual function that can cause distress and uncertainty, especially when trying to conceive. Although it does not always imply a fertility problem, it can influence the chances of achieving pregnancy.
What is premature ejaculation?
Premature ejaculation is defined as the difficulty to control the timing of ejaculation in response to sexual arousal. It can occur:
- Before penetration.
- Right at the beginning of penetration.
- Shortly after starting intercourse.
Does premature ejaculation affect fertility?
Premature ejaculation does not imply infertility as such, but it can make achieving pregnancy difficult. For fertilization to take place, semen must be correctly deposited into the vagina. When this does not occur adequately:
- If semen is only deposited on certain occasions, the probability of pregnancy decreases.
- If it is never achieved, a pregnancy cannot occur.
Main causes of premature ejaculation
The causes can be diverse and, in many cases, combined:
Physical causes
- Use of certain medications, such as testosterone or central nervous system stimulants.
- Neurological or vascular alterations.
- Reproductive system infections.
Emotional causes
- Anxiety or nervousness.
- Stress.
- Depression.
- Relationship difficulties.
- Past experiences or sexual education.
Identifying the root cause of the problem is key to choosing the most appropriate treatment.
How to prevent premature ejaculation or improve control?
One of the most frequent inquiries from men experiencing this issue is how to prevent premature ejaculation or improve their control. Treatment should always be personalized and can include:
- Pharmacological treatment: which can be helpful in certain cases.
- Psychological or sexological therapy: aimed at reducing anxiety, improving control, and working on the couple's relationship.
A combination of both approaches usually delivers the best results.
Comprehensive support in fertility
At Barcelona IVF , we address premature ejaculation from a comprehensive perspective. Our Andrology and Psychology teams work in a coordinated manner to:
- Identify the root cause of the problem.
- Design a personalized treatment plan.
- Reduce its impact on fertility.
We accompany every patient and couple throughout the entire process, offering medical solutions and emotional support to improve quality of life and increase the chances of pregnancy.
