Premature ejaculation (PE) is a condition in which a man ejaculates earlier than he or his partner would like him to. Premature ejaculation is also known as rapid ejaculation, rapid climax, premature climax, or early ejaculation.
Masters and Johnson defines PE as the condition in which a man ejaculates before his sex partner achieves orgasm, in more than fifty percent of their sexual encounters. Other sex researchers have defined premature ejaculation as occurring if the man ejaculates within two minutes of penetration; however, a survey by Alfred Kinsey in the 1950s demonstrated that three quarters of men ejaculate within two minutes of penetration in over half of their sexual encounters . Self reported surveys report up to 75% of men ejaculate within 10 minutes of penetration. Today, most sex therapists understand premature ejaculation as occurring when a lack of ejaculatory control interferes with sexual or emotional well-being in one or both partners.
Most men experience premature ejaculation at least once in their lives. PE affects 25%-40% of men in the United States. 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 intravaginal ejaculation 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 2 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 would not be defined as having 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 PE.
Premature Ejaculation Myths & Facts
Ejaculation is not something that can be controlled.
Actually, men can learn to control ejaculation, similar to the way bladder control (toilet training) is learned at a young age. Like bladder control, once men learn to control ejaculation they are unlikely to forget.
Premature Ejaculation is purely a psychological problem.
While there can be psychological elements to PE, many cases are the result of an oversensitive glans penis, or head of the penis. Because ejaculation is caused by stimulation to the head of the penis, men who are oversensitive in that area will require very little stimulation to ejaculate. They have what is called a low ejaculatory threshold.
Alcohol, cocaine, marijuana and antidepressants are good ways to control premature ejaculation.
While inhibition of ejaculation may be one side-effect of these drugs, other serious side-effects associated with such drugs must be taken into account. In actuality, more often substance abuse causes erectile dysfunction, premature ejaculation, inability to orgasm, and other side effects. Antidepressants should not be taken lightly and should be taken only under strict medical care.
Anesthetic sprays or creams available at sex shops are good ways to control PE.
These products work rarely, if ever. Most numb the head of the penis as well as the partner’s vagina, reducing pleasure for both involved. The numbing effect prevents men from become acclimated to the sensation of making love for longer periods of time, so the problem will return as soon as you stop using them.
Premature Ejaculation will not eventually cause erection problems.
More patients who have suffered from PE for long periods eventually develop erection problems than those who are able to control their ejaculation. Many times, PE is the first sign of Erectile Dysfunction.
Premature Ejaculation will not affect your sex life.
It is often difficult for men to relax and enjoy the experience of love making if they are worried that ejaculation may occur too soon. Also, the partner may not be getting ample satisfaction from the experience, and may avoid lovemaking specifically, and intimacy in general, as a result.
Premature Ejaculation will not affect your confidence and ability to socialize in everyday life.
Any problem that affects your self-image can have a negative impact on your confidence and ability to socialize. Men who learn to control their ejaculation often become more confident and more outgoing.
Techniques to Prevent Premature Ejaculation
Self Distraction to prevent premature ejaculation
If your arousal levels are getting too high and a climax is beginning, take a deep breath and think about something else, something very boring if possible. When you are less aroused but maintaining an erection you can then continue.
Stop and Start Method for premature ejaculation
If you find yourself nearing climax withdraw your penis from your partner and allow yourself to relax enough to prevent ejaculation. By starting and stopping sexual stimulation you can learn to prolong the sex act.
Squeeze Methods can help prevent premature ejaculation
This method involves either the man or his partner squeezing (fairly firmly) the end or the tip of the penis for 10 to 20 seconds when ejaculation is imminent, withholding stimulation for about 30 seconds, then continuing stimulation. This can be repeated until ejaculation is desired. The stop and start method can be used with the squeeze method as well.
Desensitizing Creams for premature ejaculation
Creams can be used to desensitize the end of the penis. They act like a local or tropical anesthetic. Thicker condoms can also desensitize by decreasing sensitivity and therefore stimulation, thus prolonging the sexual act.
More Foreplay prevents premature ejaculation
Stimulate your partner to a state of high arousal before you have your genitals touched, that way ejaculation and orgasm can be achieved about the same time.
Masturbation to prevent premature ejaculation
Practice different methods by yourself. Getting to know your feelings and sensations gives you the chance to gain confidence.
Remember getting good at sex and overcoming premature ejaculation can take a bit of time. Practice makes perfect. If you find that things are not improving then help is available from sex therapists who are experts in this field.