Background to premature ejaculation
Premature ejaculation (PE) is without doubt the most common sexual problem in men under 40 years of age. Most doctors who work with men complaining of early ejaculation define PE as an ejaculation within a certain timescale (say two minutes) which also happens before both sexual partners wish it to do so. The problem with defining PE is that it is only a problem – and therefore only really exists as a condition within a relationship – if both partners are unhappy about it. Many couples live with rapid ejaculation and build their other sexual activities around it (e.g. by giving the woman an orgasm before sexual intercourse through masturbation or cunnilingus). If a rapid ejaculation happens more than fifty percent of the time a couple engage in sexual intercourse, then treatment may be appropriate.
Of course, as has been repeatedly stated on this and many other websites, many women do not reach orgasm through intercourse, so it is possible that this definition is inadequate. For example, when a man is actually able to last for twenty minutes during sex before he ejaculates, but his partner requires thirty minutes of thrusting during intercourse before she can reach orgasm by vaginal stimulation, it is questionable whether the man is suffering from premature ejaculation! (Indeed, few experts would call this premature ejaculation!)
Male and female sexual response has at least 3 phases: sexual desire (libido), sexual excitement (arousal), and orgasm.
Premature ejaculation may be defined as primary or secondary PE. Primary PE is a category for men who have had t as a lifelong experience during sex. Secondary PE suggests a man once had acceptable ejaculatory control, but now, for some reason, has begun to experience premature ejaculation later in life. Although much work has gone into the condition, no one really knows why some men ejaculate faster than others – indeed, it could be that fast ejaculation is actually normal. But a psychological cause is most likely…