What is premature ejaculation?

We often hear the word "premature ejaculation", but many people do not know what premature ejaculation is. In fact, premature ejaculation is a disease that only men suffer from. It refers to a condition in which the time from erection to ejaculation is short. Generally speaking, in medicine, it is believed that if a man ejaculates after 2 to 6 minutes of sexual intercourse, it is not premature ejaculation. There are many reasons for premature ejaculation, which are introduced in detail below.

Premature ejaculation (prospermia) is the most common ejaculation dysfunction, with ejaculation at the beginning of sexual intercourse, or even before sexual intercourse, and inability to have normal sexual life as the main manifestations. The incidence rate accounts for more than 1/3 of adult men. The definition of premature ejaculation is still controversial. It is usually evaluated by the male's ejaculation latency or the frequency of female orgasm during sexual intercourse. For example, if the male loses the ability to control ejaculation during sexual intercourse, ejaculation before or just after the penis is inserted into the vagina is used as the standard; or if the frequency of female orgasm during sexual intercourse is less than 50% as the standard to define premature ejaculation, but these are not generally accepted. Because the male ejaculation latency is affected by factors such as age, abstinence, physical condition, and emotional psychology, the frequency of female orgasm is also affected by factors such as physical condition, emotional changes, and surrounding environment. In addition, the length of the ejaculation latency period also varies from person to person. It is generally believed that it is normal for a healthy man to ejaculate 2 to 6 minutes after the penis is inserted into the vagina.

1. Cause

It is currently believed that the cause of premature ejaculation is not only psychological and local penile factors, but also systemic disease factors such as urinary, endocrine and nervous systems should be considered.

There are many psychological factors that cause premature ejaculation. For example, many people fall into premature ejaculation because of fear of sexual intercourse failure and emotional anxiety; those who are used to masturbating when they were young always aim to reach orgasm quickly; those who lack sexual knowledge and only aim to satisfy men; those who are not good at tacit cooperation between husband and wife; those who are emotionally incompatible, hate their spouse, and have intentional or unintentional sadism; those who are worried that sexual behavior will damage their health and aggravate certain inherent diseases of the body; those who have too little sexual intercourse or have long-term sexual repression; and those who hate sexual intercourse, are worried, and are forced to end sex quickly. All these can lead to premature ejaculation, and even a chain reaction that affects erectile ability.

The organic factors that cause premature ejaculation are still under discussion. Some people believe that spinal cord diseases such as multiple sclerosis or spinal cord tumors, epileptic seizures, or organic lesions of the cerebral cortex such as cerebrovascular accidents can cause uncontrolled ejaculation. There are also reports suggesting that diabetes, cardiovascular disease, pelvic fractures, urogenital diseases such as urethritis, prostatitis, seminal vesiculitis, and prostate hyperplasia are all related to premature ejaculation.

2. Clinical manifestations

The clinical manifestation of premature ejaculation is mainly premature ejaculation. Taking time as the standard: from the time the penis is inserted into the vagina to ejaculation, it is generally considered premature ejaculation if it is less than 2 minutes. Taking the number of twitches as the standard: if the penis is inserted into the vagina and twitches less than 10 to 30 times, it is premature ejaculation. Taking the reaction of the sexual partner as the standard: if the woman cannot reach orgasm in more than half of the sexual life opportunities during sexual activities, it can also be called premature ejaculation. Patients are often accompanied by anxiety, depression, dizziness, fatigue and other symptoms.