Primary premature ejaculation occurs at first intercourse and permanently. It is likely to have a genetic and neurobiological origin.
Secondary premature ejaculation is transient and can be caused by organic diseases (thyroid, prostate, and so on) or by psychological problems (anxiety, conflicts).
Variable premature ejaculation, which leads to a change in ejaculation control over the course of life in relation to different psychological experiences.
Finally, there are so-called cases of pseudo-premature ejaculation. The man is persuaded to suffer, while he ejaculates in a normal time, between 3 and 6 minutes after penetration.
Pharmacological treatments are often essential in the case of primary premature ejaculation. It is also possible to start a sex therapy. The doctor will help the patient to understand and resolve the psychological factors promoting the disorder as well as to improve the psychocorporal management of sexual arousal