What is Premature Ejaculation?

Time is important

Did you know that the average duration of sexual intercourse is 6 minutes?
Although the duration varies and each couple has different preferences, it is important to know that 6 minutes is the average length of a penetrative sex.

premature ejaculation treatment

What does premature ejaculation mean?

Premature ejaculation affects about 30% of men and is the most common sexual dysfunction in men less than 60 years of age. According to the scientific societies of sexual medicine (European and American), we speak of premature ejaculation when one or more of the following characteristics are present:

  • ejaculation always or almost always occurs within one minute of penetration

  • Inability to delay ejaculation before or after penetration

  • discomfort, embarrassment, anxiety, frustration and relationship difficulties, which can lead to avoidance of sexual activity

what is Premature ejaculation ?

I suffer from premature ejaculation. What can I do?

The good news is that with current therapeutic protocols almost all of our patients are able to increase the ejaculation time, regardless of the underlying cause of the disorder. In case of premature ejaculation, the visit with the andrologist is necessary to make a correct diagnosis and identify the underlying causes of the problem.
Thereafter, the therapy will allow you to immediately improve your ejaculation time, so that you can immediately resume normal sexual activity.

What is the cause of Premature Ejaculation ?

Causes: many and different

Understanding the causes and identifying the type of disorder means taking the first step in treating premature ejaculation.

Type of disturbance

1. Congenital premature ejaculation

It comes with one or a combination of the following characteristics:

Disorder present from first sexual experience (as a boy)
intravaginal ejaculatory latency time (IELT - time from the beginning of intercourse to ejaculation) less than 1-2 minutes
inability to postpone ejaculation in all, or quasi, vaginal penetrative intercourse
discomfort, embarrassment, anxiety and frustration, associated with the tendency to escape sexual intimacy

Premature ejaculation called "ante portam", in which ejaculation occurs before vaginal penetration, is the most severe form of premature ejaculation.

Causes

Primary premature ejaculation is usually biological (medical) and not psychological in nature. Unfortunately, the mechanisms underlying the disease have not yet been identified exactly, although there are several theories about it.

2. Acquired premature ejaculation

It comes with one or a combination of the following characteristics:

Symptoms of premature ejaculation occur after a period of normal ejaculatory function, causing a significant reduction in the intravaginal ejaculatory latency time (IELT - time from the start of intercourse to ejaculation)
; intravaginal ejaculatory latency time ( less than 3 minutes
inability to postpone ejaculation in all or almost all vaginal penetrative intercourse
discomfort, embarrassment, anxiety and frustration associated with a tendency to escape sexual intimacy

Causes

Cutaneous hypersensitivity of the genitals and hyperexcitability of the ejaculatory reflex, caused by neurobiological factors such as hypertension, diabetes, metabolic syndrome and alcohol
abusehormonal causes such as hyperthyroidism / hypothyroidism / decreased prolactin / increased leptin
psychological factors (anxiety / depression, sexual intercourse, performance anxiety, masturbation addiction, first negative sexual experiences)
short frenulum
phimosis
erectile dysfunction
chronic prostatitis chronic
pelvic pain syndrome
drug use
certain medications such as sympathomimetics

3. Episodic or situational (mixed) premature ejaculation

It is not considered a true sexual dysfunction, but a variation in the context of normal sexual performance. It occurs in the following conditions:
sexual abstention for long periods of time
in relation to the partner: a new partner, a very attractive or unattractive partner, a wrong partner (e.g. a prostitute), a conflict with the partner,
intense expectation and emotional charge in relation to sexual activity (for example, the first sexual experience)

4. Subjective ejaculatory dysfunction (premature-like)

Patients with this disorder believe they suffer from premature ejaculation despite having an intravaginal ejaculatory latency time (IELT - time from the beginning of intercourse to ejaculation) of more than 3 minutes.
Subjective premature ejaculation is characterized by one or more of the following:

· Subjective perception of quick (premature ejaculation) that occurs during sexual intercourse
· individual concern related to ejaculation that is imagined as too fast
· intravaginal ejaculatory latency time normal or even longer duration than normal
· poor control of 'ejaculation

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Urologist London 

Andrologist London

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