Psychological factors commonly contribute to premature ejaculation. While men sometimes underestimate the relationship between sexual performance and emotional well-being, premature ejaculation can be caused by temporary depression , stress over financial matters, unrealistic expectations about performance, a history of sexual repression , or an overall lack of confidence. Psychological factors such as anxiety, guilt, or depression can cause premature ejaculation. In some cases, premature ejaculation may be related to an underlying medical cause such as hormonal problems, injury, or a side effect of certain medicines. Psychological factors, such as stress , fear, or guilt can also play a role. Examples of psychological factors include guilt that the sexual activity is wrong or sinful, fear of getting caught, or stress from problems at work or home.
Effectiveness of the treatment of this disorder is very high at present and is being evaluated over 90%. Effects will be noticed within the first week, and usually the problem will be permanently resolved by taking a 3 month course. In some circumstances a repeat 3 months course is required.
Slow and steady will help you last longer. If you feel yourself getting too aroused, then slow down the pace of intercourse or withdraw altogether from your partner. Slow, controlled breath from your belly will decrease the arousal level and will improve the ejaculation timing. Focusing on breathing will eventually take away your focus from genitals which lead to the decrease in the arousal level.