As the most common sexual dysfunctional condition befalling men, a lot of interest surrounds premature ejaculation (PE). Nevertheless, there isn’t a single encompassing definition to describe the condition.
Scientists have carried out various studies to examine the condition and come up with definitions that try to do justice to the condition. However, these definitions are varied as can be seen with the different criteria laid out by the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders, International Society of Sexual Medicine, European Association of Urology and the American Urological Association.
All the same, this boils down to one fact. Premature ejaculation is a condition when you reach climax during a sexual act faster than you would like to. This causes some personal distress like a bruised ego and a feeling of diminished masculinity.
Ejaculation is under the control of the autonomic nervous system, meaning that you have no conscious control over it. According to Alwaal, Breyer and Lue (2015, pp. 1051-1060), ejaculation occurs in two phases – emission and expulsion.1 Here is a closer look at the mechanism of ejaculation.
Despite the lack of a medical consensus on the exact clinical definition of premature ejaculation, there are some signs and symptoms that point to potential PE.2
Usually, a man can have an orgasm and ejaculate before he wants to. This is normal if it is an infrequent occurrence. However, if this occurs frequently, one might have to get checked out for PE.
Here are some of the symptoms and conditions that point to premature ejaculation:
If any of these holds, there’s bound to be some psychological implications on the man, including:
Many of the causes of premature ejaculation have been attributed to mental and psychological factors associated with anxiety. However, there are other causes that are biogenic.3
These causes of PE include:
Some of the causes of premature ejaculation are physical, pointing to problems with the body. These include:
If you believe you have PE, there are some methods that may help you last longer. For example, you can masturbate an hour so before having intercourse.
The Masters and Johnson method entails stimulating the penis and then squeezing the glans when orgasm is near. Once the climax abates, your partner should stimulate again and squeeze just before orgasm. After a few times, one can have more control over their orgasms.
Kegel exercises have also been suggested as a way of managing PE. These kinds of exercise train the pelvic muscles, enabling you to have more control over them.
Condoms and some creams are known to decrease the sensitivity of the penis, helping you to last longer once you penetrate the vagina. Doctors can also prescribe medication as they see fit to help with premature ejaculation.