Premature Ejaculation

The first step in dealing with Premature Ejaculation is to understand how the penis works. Once you understand how your body should and does work, it makes it easier to determine what your problem is, if there is one and what steps you can take to better control premature ejaculation. After you read this article you may be interested in exploring Sinclair Institute's sex education movie You Can Last Longer to learn control techniques and tools that can drastically improve your sex life.

How does ejaculation occur?

Sexual stimulation causes nerves in a man's penis to send chemical messages to both the spinal cord and the brain. The brain chemicals help relay messages of stimulation throughout the brain, while nerve signals from the brain carry these messages to the rest of the body through the spinal cord to the male reproductive organs. When a man reaches a certain level of excitement during this process, chemical and nerve messages sent to the Bulbospongi muscle, which causes ejaculation. While not completely understood, it is believed that the chemical serotonin plays a major role in this process.

Ejaculation is the release of semen from the penis. Ejaculation can be broken down into two phases. The first phase is called emission and this is the process through which the components of semen are released from the male reproductive organs (prostate, seminal vesicle, vas deferens) and semen is deposited into the urethra (urine channel). The second phase (ejaculation propremature ejaculationr, evacuation) is a reflex that causes rhythmic contractions of the muscles around the urethra, which propels the semen through the urethra and from the penis.

What are the components of semen?

Semen is the fluid that releases from the penis when a man ejaculates and it is made up of two parts, Spermatozoa (sperm) from the vas deferens and seminal fluid which contains fluid from mainly the prostate gland and seminal vesicles.

Each time a male ejaculates, normally between 50- to 500-million spermatazoa are released. However, they make up only about 2-5% of the volume of semen. The bulk of the semen is composed of the ejaculate fluid portion of semen. Men produce between 1 ml and 5 mls of semen during each ejaculation.

What is premature ejaculation (premature ejaculation)?

Premature ejaculation is ejaculation in response to minimal stimulation before, at the time of, or shortly after penetration, but before the man wishes it, and over which the man feels he has little or no control. It is important to recognize that premature ejaculation is a subjective diagnosis and totally depends on the satisfaction of the partners.

Epidemiology

How common is premature ejaculation?

Premature ejaculation is the most common sexual dysfunction reported by men but is still under-diagnosed and under-treated. Estimating the prevalence of premature ejaculation is difficult since many men do not want to talk about it, while others may not even realize that they ejaculate prematurely. However, recent research indicates that 25-30% of men struggle with premature ejaculation and that it can happen at any age.

Is there variation in incidence between countries?

Global studies consistently report that 20-30% of men experience premature ejaculation worldwide. This means that premature ejaculation occurs at similar rates across the globe.

What is the difference between life-long and acquired premature ejaculation?

Primary premature ejaculation refers to men who have experienced this sexual problem since first having sex.

Secondary premature ejaculation refers to men who had ejeculatory control at some point but begin to experience premature ejaculation later in life, sometimes even after years of satisfying sex, without explanation.

How does premature ejaculation affect a man's psychology?

Premature ejaculation can have a negative impact on many aspects of a man's life. Men experiencing premature ejaculation can suffer anxiety, embarrassment, inadequacy, depression, anger and guilt. It can cause both sexual anxiety and stress and bring stress to a relationship. In one study, men with premature ejaculation were less satisfied with sexual intercourse and their sexual relationship and suffered more problems with sexual anxiety and arousal compared to non-sufferers. Some men with premature ejaculation have trouble staying in relationships or may be scared to begin new ones.

Does premature ejaculation affect the partner of the man with premature ejaculation?

Premature ejaculation is a problem that not only effects the man, but also his partner. Many couples find it difficult to discuss the problem with each other and there can be a breakdown of intimacy between them that results in frustration and anger.