(PE) occurs when a man experiences orgasm and expels semen soon after sexual activity and with minimal penile stimulation. It has also been called early ejaculation, rapid ejaculation, rapid climax, premature climax, and (historically) ejaculatio praecox. There is no uniform cut-off defining "premature," but a consensus of experts at the International Society for Sexual Medicine endorsed a definition including "ejaculation which always or nearly always occurs prior to or within about one minute." The International Classification of Diseases (ICD-10) applies a cut-off of 15 seconds from the beginning of sexual intercourse.
Although men with premature ejaculation describe feeling that they have less control over ejaculating, it is not clear if that is true, and many or most average men also report that they wish they could last longer. Men's typical ejaculatory latency is approximately 4?8 minutes.
? Premature ejaculation is considered a form of sexual dysfunction
only when a man has, for a considerable time, almost always found himself ejaculating before or very soon after sexual penetration, and is upset about this. The disorder is relatively rare.
? Less worrying forms of ejaculating before the desired moment are common, and the female partner may be less concerned about the problem than the man.
? Being unable to control ejaculation is rarely due to a medical condition, although doctors will need to rule this out, including checking for erectile dysfunction
? Most cases of premature ejaculation have psychological causes - ranging from common anxieties about sex and relationships resulting in a temporary problem, to more serious psychological factors being possibly responsible for a persistent problem.
Treatment-- Sex therapy
Several techniques have been developed and applied by sex therapists, including Kegel exercises (to strengthen the muscles of the pelvic floor) and Masters and Johnson's "stop-start technique" (to desensitize the man's responses) and "squeeze technique" (to reduce excessive arousal)
? for treatment consult privately