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Premature or Early Ejaculation
Summary •
Singular definitions •
Causes •
Treatment •
References •
Inhibited or delayed ejaculation
Summary •
Singular definitions •
Causes •
Treatment •
References •
Retrograde ejaculation
Summary •
Singular definitions •
Causes •
Treatment •
References •
PREMATURE OR EARLY EJACULATION
SUMMARY
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Ejaculation Problems
Ejaculation problems are the most common sexual disorders in men, and include premature ejaculation, inhibited ejaculation and retrograde ejaculation.
Summary:
Premature Ejaculation [PE] is the inability to control the delay of ejaculation during sexual intercourse sufficiently for lovemaking to be enjoyable, and may affect the partner’s ability to respond to climax, this can cause distress or difficulties between partners. PE is the most common male sexual dysfunction affecting about 20-30% of men. Only 1-2% of men report PE in order to receive treatment. This may be due to the personal nature of the condition, reluctance of men to discuss it, and being unsure that there is treatment available [1].
Men with PE often have: a sense of shame at ‘not being able to control themselves’ or to satisfy their partner, loss of confidence and sexual satisfaction, and this can result in frustration, anxiety, distress, embarrassment, low self esteem and depression, and they may avoid initiating or maintaining a relationship because of this.
Partner’s feelings about the PE range from: understanding and support, to anger, frustration and recrimination about him being ‘selfish’, and this may result in breakdown of intimacy. As only 30% of women achieve orgasm during sexual intercourse regardless of how long intercourse takes place, the man cannot be considered to have a dysfunction based on his partner’s ability to orgasm during intercourse. 70% of women require clitoral stimulation in order to orgasm and depending on their body structure and the positions they assume, this may not be achieved however long intercourse lasts [5].
Both partners must realize that it is not something that the man chooses to do and that his inability to control the delay of ejaculation is involuntary.
Effective treatment is available so it is advisable to consult your doctor or a sex therapist for help.
