Premature Ejaculation

                                   Premature Ejaculation



 Status:
           Premature ejaculation (PE) means coming too quickly, and it's one of the most common sexual problems.In our survey of several thousand British males, approximately 10 per cent of them said that they often or sometimes had this trouble.

Premature ejaculation:
          Premature Ejaculation (PE) is a condition in which a man ejaculates earlier than he or his partner would like him to. Premature ejaculation is also known as rapid ejaculation, rapid climax, premature climax, or early ejaculation.Masters and Johnson defines PE as the condition in which a man ejaculates before his sex partner achieves orgasm, in more than fifty percent of their sexual encounters. Other sex researchers have defined premature ejaculation as occurring if the man ejaculates within two minutes of penetration; however, a survey by Alfred Kinsey in the 1950s demonstrated that three quarters of men ejaculate within two minutes of penetration in over half of their sexual encounters. Most men experience premature ejaculation at least once in their lives. Because there is great variability in both how long it takes men to ejaculate and how long both partners want sex to last, researchers have begun to form a quantitative definition of premature ejaculation.

 What Causes It?
               For many years, sex experts have tended to say that premature ejaculation is caused by early conditioning.In other words, the man's early, rushed (and perhaps furtive) sexual experiences had to be quick so as to avoid detection. The idea is that this conditions him to climax as quickly as possible.
However, our own surveys have found that many men with PE did not have rushed early sexual experiences though others say they did.
              It's worth noting that from an evolutionary point of view, it's probable that males who climaxed quickly were more likely to have children. In other words, if you were a caveman who came very fast, you'd stand more chance of impregnating your woman and enlarging your tribe.
              Some men seem to be highly triggered right from the start of their sex lives, and we have encountered instances where their fathers were much the same. Therefore, we feel that the tendency to reach orgasm quickly may possibly be inherited rather than learned.

Physical and Environmental Factors:
              Psychological factors commonly contribute to premature ejaculation. While men sometimes underestimate the relationship between sexual performance and emotional well-being, premature ejaculation can be caused by temporary depression, stress over financial matters, unrealistic expectations about performance, a history of sexual repression, or an overall lack of confidence. Interpersonal dynamics strongly contribute to sexual function, and premature ejaculation can be caused by a lack of communication between partners, hurt feelings, or unresolved conflicts that interfere with the ability to achieve emotional intimacy. Neurological premature ejaculation can also lead to other forms of sexual dysfunction, or intensify the existing problem, by creating performance anxiety. In a less pathological context, premature ejaculation could also be caused simply by extreme arousal.

Treatment:
             When deciding the appropriate treatment, it is important for physician to distinguish PE as a "complaint" versus PE as a "syndrome". About 20 years ago, PE was classified into "lifelong PE" and "acquired PE". Recently, a new classification of PE was proposed based on controlled clinical and epidemiological stopwatch studies, and it included 2 other PE syndromes: "natural variable PE" and "premature-like ejaculatory dysfunction". Only men with lifelong PE with Inter vaginal ejaculation latency time (IELT) <1 to 1.5 minutes should require medication as a first option, along with or without therapy. For men who fall into one of the other categories, treatment should consist of patient reassurance, behavior therapy, and/or psycho education to explain irregular early ejaculation is a normal variation.