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When men are sexually stimulated, signals are sent to your spinal cord and brain. When men reach a certain level of excitement, signals are then sent from your brain to your reproductive organs. This causes semen to be released through the penis (ejaculation). ✧ ✧ ✧ Premature Ejaculation and Erectile Dysfunction (ED) ✧ ✧ ✧ Sometimes PE is a problem for men who have erection problems (erectile dysfunction or ED). This is when men are not able to get or keep an erection that's firm enough for sex. Since an erection goes away after ejaculation, it can be difficult to know if the problem is PE or ED. ED should be treated first. Premature ejaculation may not be a problem once the ED is treated. Men who have low levels of the chemical serotonin in their brains tend to take a shorter time to ejaculate. 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