Premature Ejaculation (P E)

Premature or rapid ejaculation describes the condition where a man ejaculates (cums) too quickly. In its severe and rare form the man cums before any direct stimulation to the penis occurs, just thinking about sexually stimulating situations may trigger his ejaculation.

It is more common for the man to ejaculate either during or very soon after penetration. Studies suggest the average ejaculatory latency time (elt) or the normal average time for the man to ejaculate is 3-5 minutes after penetration. Obviously some men regularly last much longer than this just as there are men who regularly ejaculate much quicker.

The most important criteria of rapid ejaculation are:

That ejaculation occurs sooner than the man and his partner wishes
And this is causing distress in their sexual relationship
Longer sex does not equal better sex
Premature ejaculation is not a lack of duration, but a lack of control
It is important to take the partner's wishes into account because what may seem rapid to the man may be already too long for the partner. Most men experience rapid ejaculation on occasions. There is nothing to be worried about.

It becomes a problem only when it occurs during most sexual interactions. Studies show that about 40% of men are troubled by this problem on more then an occasional basis. The effects of rapid ejaculation can be detrimental on relationships. Usually rapid ejaculation has psychological reasons. Physical origins are rare.

Treatment and counselling

Professional counselling, education and sex therapy by affirmotive will provide men with an understanding how their body works, reduce performance anxiety, and develop a satisfying level of sexual confidence and performance.

In some cases, where premature ejaculation persists, selective serotonin re-uptake inhibitors, anti-depressant medications, can be used. A new ssri medication, specifically developed to treat premature ejaculation, called priligy (dapoxetine) is recommended. Ask your doctor for advise.

Some men with premature ejaculation report a hypersensitivity to some parts of their penis. Those men may find relief with applying a topical anaesthetic to such sensitive penile areas, either delivered as a cream, spray or gel. Other men report losing erections and may benefit from obtaining a prescription of pdh5 inhibitor drugs, such as viagra, cialis or levitra.