Premature And Delayed Ejaculation: What You Must Know

Premature ejaculation is one sexual health issue that many couples have had to deal with in recent times. But it is also an issue that is rarely discussed even by those genuinely suffering from it and this has given rise to misconceptions of what quick ejaculation really is and what it is not. There is this over-bloated claims, most times not true, of men who can go on for as long as thirty minutes or one hour and more on top of a woman; and when someone who lasts for just five minutes hears of such claims, he thinks he is suffering from premature ejaculation. But is that really the case? What in fact is premature ejaculation?

A study involving 500 couples found the average time for ejaculation was about 5-and-a-half minutes after starting sex. International guidelines define premature ejaculation as regularly ejaculating within 1 minute of entering your partner.

However, it's up to you and your partner to decide if you're happy with the time it takes you to ejaculate. If ejaculation times are causing you persistent distress then it's a problem that can be helped with treatment.

There are 2 types of premature ejaculation:

• primary premature ejaculation – where you have always had the problem
• secondary premature ejaculation (or "acquired premature ejaculation") – where you recently developed the problem

The causes of primary premature ejaculation are often psychological, such as having a traumatic sexual experience at an early age. Secondary premature ejaculation can be caused by both psychological and physical factors. Physical causes can include drinking too much alcohol and inflammation of the prostate gland (prostatitis).

If your premature ejaculation is caused by a physical condition, treating the underlying condition should help.

Treating premature ejaculation caused by psychological factors can be more challenging. But most men who persevere with treatment find the problem resolved at the end of the day.

There are a number of self-help techniques you can try before getting medical help.

These include:

• using a thick condom to help decrease sensation
• taking a deep breath to briefly shut down the ejaculatory reflex (an automatic reflex of the body, during which you ejaculate)
• having sex with your partner on top (to allow them to pull away when you're close to ejaculating)
• taking breaks during sex and distracting yourself by thinking about something completely different

You may also benefit immensely from having a couples therapy where  you will be encouraged to explore issues that may be affecting your sexual life and be given advice on how to resolve them. You may be shown creative techniques that can help you "unlearn" the habit of premature ejaculation.

Sexual dysfunction in various forms, including premature ejaculation, is often shrouded in mystery for many people—and it’s not because of a lack of scientific research.

This topic is usually swept under the rug since many men would rather uphold their sexual dignity than admit that they aren’t at their sexual A-game.

Unfortunately, this topic avoidance casts unfounded speculation and misinformation about genuine sexual health concerns in these men.

On top of that, there’s also a high prevalence of men suffering from sexual dysfunction around the world. For instance, premature ejaculation has a prevalence rate of 30% in men, the highest percentage in terms of sexual dysfunction prevalence rates, considerably more than erectile dysfunction and low testosterone.

With such a large number of men suffering from this condition, a handful of which are doing so in silence, it’s vital to dispel any myths and unfounded “truths” about the subject to prevent any harmful assumptions from forming.

There are many myths and misconceptions about premature ejaculation (PE).

Myth #1: Only inexperienced men can suffer from premature ejaculation.

False. There’s a pervading stereotype that it’s only the young and naive who experience bouts of premature ejaculation. They may feel that rush of excitement and can’t help but orgasm a bit too soon for their partner’s liking. However, this phenomenon isn’t only limited to the young and inexperienced.

The first myth that needs to be dispelled is that premature ejaculation is a one-time occurrence. This, however, is untrue. Premature ejaculation is a medical condition that happens when a man consistently fails to control his ejaculation over six months. The severity differs from man to man, however, it’s often considered suitable for medical evaluation if it causes significant distress to the man and his partner.

With this new definition, it’s noted that men of all ages can have premature ejaculation. While older men are susceptible to erectile dysfunction and delayed orgasm at a higher relative frequency compared to younger men, it’s still a non-zero possibility for them to come down with this condition.

Myth #2: You have to learn to control your orgasm.

Generally, true. While delaying an orgasm isn’t easy for men suffering from this condition, there are methods and techniques, as explained earlier, you can apply to help you control your orgasm better.

Myth #3: Premature ejaculation is independent of erectile dysfunction.

False. While these two sexual dysfunction conditions present themselves differently, there is an established connection between PE and ED. In one recent study, people with premature ejaculation have a fourfold risk of developing erectile dysfunction.

One significant contributing factor to this is aging. Men over the age of 60 are at higher risk of developing a plethora of health conditions, like diabetes and heart diseases. This can also spill over to their sexual health, and it’s not an impossible occurrence for them to have multi-dimensional sexual health conditions.

Another contributing factor is the mental state of the patient, as people suffering from mental health disorders like anxiety and depression are also at risk of developing both symptoms.

Myth #4: Premature ejaculation is always a psychological problem.

False. While psychological factors can certainly contribute to PE, they are not always the root cause. There are two types of premature ejaculation that men can suffer from, and it’s important to distinguish them as while they may present similar symptoms, the treatment for each type will vary.

These types are:

1. Primary premature ejaculation: Often caused by psychological factors like performance anxiety or a history of sexual abuse.
2. Secondary premature ejaculation: Often a result of physiological factors or underlying health conditions, like excessive alcohol consumption or prostatitis.

In some cases, PE may be caused by physical factors such as an overly sensitive penis or hormonal imbalances. In these cases, it’s important to address the root cause of the condition to treat premature ejaculation.

But quick ejaculation is not the only sexual issue faced by couples. Delayed ejaculation, even though it is not as common as quick ejaculation, is also a problem in the bedroom. Delayed ejaculation — sometimes called impaired ejaculation — is a condition in which it takes an extended period of sexual stimulation for men to reach sexual climax and release semen from the penis (ejaculate). Some men with delayed ejaculation are unable to ejaculate at all.

Delayed ejaculation can be temporary or a lifelong problem. Possible causes of delayed ejaculation include certain chronic health conditions, surgeries and medications. Treatment for delayed ejaculation depends on the underlying cause.

It's normal for men to have delayed ejaculation from time to time. Delayed ejaculation is only a problem if it's ongoing or causes stress for you or your partner.

Some men with delayed ejaculation need 30 minutes or more of sexual stimulation to have an orgasm and ejaculate. Other men might not be able to ejaculate at all (anejaculation).

But, there's no specific time that indicates a diagnosis of delayed ejaculation. Instead, you are probably experiencing delayed ejaculation if the delay is causing distress or frustration, or if you have to stop sexual activity due to fatigue, physical irritation, loss of erection or a request from your partner.

In conclusion, it can be said that what matters is the satisfaction of the couple and not the duration of the sexual intercourse. Whether premature or delayed, it only becomes a problem when it is causing distress in the man or the woman or both. So long as a man can sustain an erection for up to three minutes and above, there is really nothing to bother about.

  

Categories: General