Premature Ejaculation (PE)
premature ejaculation (PE) is the most common sexual problem for men. It is a lack of control over ejaculation so that it often happens sooner than the man or his partner would want. How soon depends on the individual. Some men ejaculate as soon as foreplay starts; others lose control when they try to insert their penis, while some ejaculate very quickly after penetration. Whatever the case, premature ejaculation can create tension between a man and his partner.
premature ejaculation (PE) is only a problem if it happens all the time. It’s important to remember that most men occasionally reach orgasm sooner than they’d like. For example, it is normal for a man to ejaculate quickly the first time he has sex. It is also normal if a man hasn’t ejaculated for a long time. The occasional loss of control doesn’t mean the man has a sexual problem.
Over the past few years that I have been evaluating and treating men with impotence and premature ejaculation (PE) (in excess of 3,000 men), we have noticed that men with premature ejaculation have increased sensitivity to vibration in the penis when compared to men without premature ejaculation (PE). It is likely that premature ejaculation, at least in some men, may be due to a combination of hypersensitivity of the penis and hyperspasticity of the pelvic muscles. I should stress, though, that this is my idea and not one that’s been evaluated in controlled trials.
Most cases of premature ejaculation (PE) are now treated pharmaceutically, but it’s worth briefly mentioning behavioral-training methods that were widely used in the past. Masters and Johnson developed the squeeze method decades ago, and there is also Dr. Helen Kaplan’s stop-start method. Both of these methods can and do achieve successes. Unfortunately, the results don’t appear to last. They might work for more than half of couples initially, but by three years later that number drops to 25% or less.
premature ejaculation (PE) is a common complaint. It is only rarely caused by a physical or structural problem. premature ejaculation (PE) early in a relationship is most often caused by anxiety and overstimulation. Other psychological factors such as guilt may also be relevant. The condition usually improves without formal treatment.
Most men experience premature ejaculation (PE) at least once in their lives. Because there is great variability in both how long it takes men to ejaculate and how long both partners want sex to last, researchers have begun to form a quantitative definition of premature ejaculation. Current evidence supports an average ipremature ejaculation (PE) latency time of six and a half minutes in 18-30 year olds. If the disorder is defined as an IELT percentile below 2.5, then premature ejaculation could be suggested by an IELT of less than about one and a half minutes. Nevertheless, it is well accepted that men with IELTs below 1.5 minutes could be "happy" with their performance and do not report a lack of control and therefore do not suffer from premature ejaculation (PE). On the other hand, a man with 2 minutes IELT may have the perception of poor control over his ejaculation, distressed about his condition, has interpersonal difficulties and therefore be diagnosed with premature ejaculation (PE).
premature ejaculation (PE) is so readily treated, if you feel this is your problem then seek help either alone, or even better, with your partner or from a therapist or counsellor. Approach your general practitioner who will either be able to undertake the treatment, or may refer you on to somebody who specialises in sexual or relationship problems, because sometimes premature ejaculation (PE) is a sign that all is not well within the relationship. If you have doubts take the opportunity to talk the whole matter through.
