Doctors diagnose premature ejaculation based on a detailed interview about your sexual history. Your doctor may ask a number of very personal questions and may want to include your partner in the interview. While it may be uncomfortable for both of you to talk frankly about sex, the details you provide will help your doctor determine the cause of your problem and the best course of treatment. A mental health professional may help make the diagnosis.

Your doctor will want to know about your health history, and may perform a general physical exam. You doctor may ask you questions about:

• How often you have premature ejaculation
• Whether you have premature ejaculation only with a specific partner or partners
• Whether you have premature ejaculation every time you have sex
• How often you have sex
• How you feel premature ejaculation affects your enjoyment of sex and your quality of life
• Whether you also have trouble getting and maintaining an erection (erectile dysfunction)
• Your use of prescription medications and recreational drugs

To evaluate whether psychological factors may influence your premature ejaculation, your doctor or mental health professional may also want to know about:

• Your religious upbringing
• Your early sexual experiences
• Your sexual relationships, past and present
• Any conflicts or concerns within your current relationship

If you have both premature ejaculation and trouble getting or maintaining an erection, your doctor may order blood tests to check your male hormone (testosterone) levels or other tests.