Premature ejaculation - definition and studies
Several definitions for premature ejaculation have been proposed, including ejaculation before or within 30 seconds, one minute, or two minutes after penetration, but these criteria have not been universally accepted. Premature ejaculation is ejaculation that occurs sooner than desired, either before or shortly after penetration, causing distress to either one or both partners.
Most young men can maintain a firm erection for at least 5 - 15 minutes, and some individuals for more than half an hour. On average, after penetration, most men can sustain their erection for about 8 - 10 minutes before ejaculation.
In a study involving 1346 men who reported "quick ejaculation", about 63% ejaculated in less than 30 seconds, 77% in less than 60 seconds, and about 6% even before penetration. The perceived normal time to ejaculation also differs among men from different countries: 13.6 minutes in the United States, 9.9 in the United Kingdom, 9.3 in France, 6.9 in Germany - and these perceptions do not always correspond to somewhat accepted medical norms.
Psychological and physical causes
The major psychological factors in premature ejaculation are sexual inexperience; stress or anxiety disorders; infrequent intercourse or complete abstinence; guilt, fear of failure, or interpersonal conflicts; early sexual experiences. Additional causal factors in premature ejaculation are fear of pregnancy or venereal disease, ineffective ejaculatory control techniques, spinal cord injury, alcoholism, inadequate understanding of the sexual response, surgery, and certain prescribed medications.
When premature ejaculation is caused by a medical problem, your physician will work with you to treat the physical cause. For example, acquired premature ejaculation caused by a prostate infection can be treated with antibiotics, and normal ejaculatory control can return. And when premature ejaculation is lifelong and severe, some medications can slow down arousal for many men. For most men, however, the issue is learning the psychosexual skills for arousal regulation.
Management and treatments
The premature ejaculation management involves becoming skilled at key concepts including learning ejaculatory control as an intimate team, particularly identifying the point of ejaculatory inevitability; learning to relax your body, especially your pelvic muscles; learning self-entrancement arousal rather than being totally dependent on partner-interaction arousal; expanding your arousal continuum; reintroducing intercourse in the woman-on-top position using minimal intercourse movement at first so that your penis acclimates to being inside her vagina; and slowing down the pleasuring and intercourse process and savoring pleasurable sensations.
If your premature ejaculation is due to psychological factors, there is a very successful treatment which consists of practicing Kegel exercises. These penis exercises will significantly improve your ejaculation control and make you more self-conscious of your pelvic muscles. This will help you in learning to delay your orgasm thus enjoying much longer sex.
Prevalence and epidemiology
Premature ejaculation is likely the most common sexual dysfunction in men with a worldwide prevalence of approximately 30%. In the United States the prevalence rates of men between the ages of 40 and 80 reporting quick ejaculation are 29%, 21% and 16% for Hispanic, black and white male subjects, respectively. The prevalence rates of men reporting ejaculation before penetration, are 38%, 16% and 4% for Hispanic, white and black male subjects, respectively.