Suffering From Premature Or Early Ejaculation?

Early ejaculation is also known as premature ejaculation, rapid ejaculation and rapid or premature climax.

Premature ejaculation

Premature ejaculation is believed to be the most common penis health problem among men. It is more common among younger men but can affect men of any age. It is estimated that as many as one third of all men may be affected by rapid ejaculation at some point in their life.

There are number of ways to help men to overcome premature ejaculations, but let's first have a look at what is premature ejaculation, what causes it and when does it become a problem.

What Is Premature Ejaculation?

Common way to describe early ejaculation is as ejaculation during the early stages of sexual excitement or soon after the insertion of the penis into the vagina.

Some definitions are though wider and relate to the loss of control over the ejaculation. Like the Medical Dictionary premature ejaculation definition:

Premature ejaculation occurs when male sexual climax (orgasm) occurs before a man wishes it or too quickly during intercourse to satisfy his partner

The diagnostic criteria for premature ejaculation combine these views:

Persistent or recurrent ejaculation with minimal sexual stimulation before, on, or shortly after penetration and before the person wishes it. The clinician must take into account factors that affect duration of the excitement phase, such as age, novelty of the sexual partner or situation, and recent frequency of sexual activity(BehaveNet)

How Soon Is Too Soon?

Rapid ejaculations are about the loss of control over the timing of the ejaculations and the individual distress because of it. There is therefore no one commonly agreed timeframe for what is too soon where timing of ejaculations is concerned. Some men may have higher expectations then others in this respect.

These Canadian and American Sex Therapists Opens in new window symbol studied how long intercourse should last. They concluded that:

"The interquartile range for the sex therapists' opinions regarding an “adequate” length for ejaculatory latency was from 3 to 7 minutes; “desirable” from 7 to 13 minutes; “too short” from 1 to 2 minutes; “too long” from 10 to 30 minutes

The general guideline for premature ejaculation is usually ejaculation that occurs within two minutes or within 15 thrusts during a sexual intercourse session.

Different Types Of Early Ejaculation

There are two types of rapid ejaculation, primary and acquired premature ejaculation.

Primary premature ejaculation is when men have not had control over their ejaculations from their first sexual experience, i.e. life-long ejaculation problem

Acquired or Secondary premature ejaculation is when men start having rapid ejaculation problems later in life, i.e. after period of adequately lasting ejaculations

What Causes Premature Ejaculation?

There can be either (or both) physical or psychological causes for ejaculating too early.

Psychological causes can include performance anxiety, guilt of having sex, concern of being “caught” while having sex, being in a new relationship, having relationship problems, etc.

Physical causes may include abnormal hormone levels, certain thyroid problems, abnormal reflex activity of the ejaculatory system, inflammation / infection of the prostate or urethra, etc.

Acquired premature ejaculation often has psychological roots, e.g. performance anxiety but can also be due to relationship problems or Erectile Dysfunction. Primary premature ejaculation is more likely to have physical cause, e.g. chemical imbalance in the brain that may result in lower ejaculatory threshold.

How Common Is Premature Ejaculation?

Premature ejaculation is the most common male sexual problem and can affect men of any age. Estimates vary but as many as one third of all men may be affected by early ejaculation at some point in their life.

Rapid climax is more common in younger men, i.e. sexual experience and sexual confidence seems to play important role.

When Does Premature Ejaculation Become A Problem?

Early ejaculation is a self-reported problem, i.e. it can depend on the individual when it is considered a problem or not. Some men, and their partners, may consider ejaculating within certain time a problem, while other couple would not.

Actually some men might be unnecessarily concerned as lasting above 3 minutes is considered adequate and “normal” about 4.6 minutes.

You could say that you do not have a problem if the timing of the ejaculation isn't affecting yours, or your partners, sexual enjoyment. As long as you, and your partner, can enjoy sex then try not to worry too much about it.

This University of Washington Study Opens in new window symbol showed that men's partners reported less distress associated with early ejaculation then the men themselves. This emphasizes the importance of good communication and keeping things in perspective.

You may still want to try to last longer and there are ways to help you to achieve that, but otherwise don't focus on the timing as such. It could lead to performance anxiety and then you may have a real problem on your hands.

On the other hand, if either of you are dissatisfied with your sex life or if early ejaculations are causing you distress, then there are treatments available that may prevent premature ejaculation.

Nb. rapid ejaculation does not affect your ability to father a child as long as you ejaculate inside the vagina (and the quality of the semen is adequate).

Can Premature Ejaculation Be Treated?

There are number of ways to overcome premature ejaculation. However, the first step is to get formal diagnoses and try to identify the cause of your ejaculation problems.

If the cause is physical, then you might have to see a specialist, e.g. urologist, or endocrinologist if the problem is due to hormonal imbalances.

If the cause is psychological, then sex therapist or counseling might be able to help you to find ways to prevent early ejaculation.