Premature Ejaculation
Premature Ejaculation
Premature Ejaculation (PE) is uncontrolled ejaculation either before or shortly after sexual penetration. It happens with minimal sexual stimulation and before the person wishes. It may result in unsatisfactory sex for both partners. There is no uniform definition for "premature", however experts at the International Society for Sexual Medicine endorsed a definition including "ejaculation which always or nearly always occurs prior to or within about one minute". [1] The International classification of Diseases (ICD-10) applies a cut-off of 15 seconds from the beginning of sexual intercourse. This can increase the anxiety that may add to the problem. It is one of the most common forms of male sexual dysfunction.
Prevalance
Despite these limitations, information from the Global Study of Sexual Attitudes and Behaviors and other sources suggests a global prevalence of PE of approximately 30% across all age groups.
Ejaculation Problems
Ejaculation problems can affect men at any stage in their lives and can have a number of different causes, which can be physical, psychological or a combination of the two. There are different types of ejaculation problems, the most common of which is premature ejaculation. However, some men may also suffer from retarded or retrograde ejaculation.
Premature Ejaculation (PE)
Premature ejaculation (PE) is a common male sexual disorder. Recent normative data suggests that men with an intravaginal ejaculatory latency time (IELT) of less than 1 minute have “definite” PE, while men with IELTs between 1 and 1.5 minutes have “probable” PE.
Retarded ejaculation
Retarded ejaculation is almost the opposite of premature ejaculation. If you suffer from retarded ejaculation, you cannot achieve an orgasm when you want to. You will still experience a normal and strong erection, and feelings of arousal, but you will not be able to climax and ejaculate.
Retrograde ejaculation
This form of ejaculation problem is very rare and not often diagnosed. Men suffering from this ejaculation problem can have sexual intercourse, but when they ejaculate, rather than moving up the posterior urethra and out of the tip of the penis, the sperm moves backwards into the urethra. This problem does not cause pain, but can be troubling if a couple are trying to conceive.
TYPES OF PREMATURE EJACULATION (PE)
Acquired Premature Ejaculation
Acquired premature ejaculation is usually when there has been a period of normal functioning before the premature ejaculation began. Acquired premature ejaculation is often linked to psychological (especially relationship) issues or other erectile problems such as erectile dysfunction. Acquired premature ejaculation is often caused by performance anxiety. The anxiety can be about sexual performance, fear of being caught in a sexual act or anxiety related to a specific situation, such as a new relationship.
Lifelong Premature Ejaculation
Lifelong premature ejaculation is when a man has not had control of ejaculation from the time of his first sexual experience. If left untreated, the premature ejaculation will continue for the rest of his life. Lifelong premature ejaculation can be caused by a chemical imbalance in important brain centres that lowers the threshold for ejaculation. As these men need less stimulation, ejaculation can happen sooner than desired. Psychological problems, including performance anxiety, may be secondary to lifelong premature ejaculation rather than being the primary cause.
Natural Variable Premature Ejaculation
Some men experience premature ejaculation occasionally. This is normal and may occur for a variety of reasons including enhanced sexual excitement or the length of time since your previously had sex. It may also just be a normal variation in your ejaculation time.
Premature-Like Ejaculatory Dysfunction
Some men with normal ejaculation times believe that they are experiencing PE because they think that they should be lasting much longer or that they are not satisfying their sexual partner. It is important for men and their partners to understand that normal ejaculation times during intercourse are 5-7 minutes.