Premature ejaculation (PE) occurs when a man experiences orgasm and expels semen soon after sexual activity and with minimal penile stimulation.
Premature ejaculation (PE) occurs when a man experiences orgasm and expels semen soon after sexual activity and with minimal penile stimulation.
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.
The diagnostic criteria for premature ejaculation if you:
- Always or nearly always ejaculate within one minute of penetration
- Are unable to delay ejaculation during intercourse all or nearly all of the time
- Feel distressed and frustrated, and tend to avoid sexual intimacy as a result
The primary symptom of premature ejaculation is the inability to delay ejaculation for more than one minute after penetration.
Premature ejaculation can be caused by both physical and psychological issues.
Premature ejaculation can happen at any age. Aging is not a direct cause of PE, though aging does cause changes in erections and ejaculation.
Premature ejaculation early in a relationship is most often caused by anxiety and too much stimulation. Guilt and other psychological factors may also be involved.
Stress and depression,history of sexual repression, overall lack of confidence are common causes of acquired premature ejaculation just like relationship issues, conflicts and performance-related anxiety.
Physical causes of premature ejaculation include: diabetes, high blood pressure, thyroid problems and prostate disease as well as binge drinking.
Multiple sclerosis by nerve damage.
Serotonin is a natural substance made by nerves. High amounts of serotonin in the brain increase the time to ejaculation. Low amounts can shorten the time to ejaculation, and lead to PE.
There is a common misconception that younger men are more likely to suffer premature ejaculation and that its frequency decreases with age. Prevalence studies have indicated, however, that rates of PE are constant across age groups.