Premature ejaculation

This article is about the medical condition. For the music group, see Premature Ejaculation (band).
Premature ejaculation
SpecialtyPsychiatry, sexual medicine

Premature ejaculation (PE) is a male sexual dysfunction that occurs when a male expels semen (and most likely experiences orgasm) soon after beginning sexual activity, and with minimal penile stimulation. It has also been called early ejaculation, rapid ejaculation, rapid climax, premature climax and (historically) ejaculatio praecox. There is no uniform cut-off defining "premature", but a consensus of experts at the International Society for Sexual Medicine endorsed a definition of around one minute after penetration.[1] The International Classification of Diseases (ICD-10) applies a cut-off of 15 seconds from the beginning of sexual intercourse.[1]

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. In males, typical ejaculatory latency is approximately 4–8 minutes.[2] The opposite condition is delayed ejaculation.[3]

Men with PE often report emotional and relationship distress, and some avoid pursuing sexual relationships because of PE-related embarrassment.[4] Compared with males, females consider PE less of a problem,[5] but several studies show that the condition also causes female partners distress.[4][6][7]

  1. ^ a b Cite error: The named reference ISSM2014 was invoked but never defined (see the help page).
  2. ^ Cite error: The named reference Oxford2009 was invoked but never defined (see the help page).
  3. ^ Jern, Patrick; Santtila, Pekka; Witting, Katarina; Alanko, Katarina; Harlaar, Nicole; Johansson, Ada; von Der Pahlen, Bettina; Varjonen, Markus; Vikström, Nina; Ålgars, Monica; Sandnabba, Kenneth (2007). "Premature and delayed ejaculation: Genetic and environmental effects in a population-based sample of Finnish twins". The Journal of Sexual Medicine. 4 (6): 1739–1749. doi:10.1111/j.1743-6109.2007.00599.x. PMID 17888070.
  4. ^ a b Barnes T.; I. Eardley (2007). "Premature Ejaculation: The Scope of the Problem". Journal of Sex and Marital Therapy. 33 (3): 151–170. doi:10.1080/00926230601098472. PMID 17365515. S2CID 41366014.
  5. ^ Byers, E.S.; G. Grenier (2003). "Premature or Rapid Ejaculation: Heterosexual Couples' Perceptions of Men's Ejaculatory Behavior". Archives of Sexual Behavior. 32 (3): 261–70. doi:10.1023/A:1023417718557. PMID 12807298. S2CID 37472401.
  6. ^ Limoncin, E.; et al. (2013). "Premature Ejaculation Results in Female Sexual Distress: Standardization and Validation of a New Diagnostic Tool for Sexual Distress". Journal of Urology. 189 (5): 1830–5. doi:10.1016/j.juro.2012.11.007. hdl:11573/540121. PMID 23142691.
  7. ^ Graziottin, A.; S. Althof (2011). "What Does Premature Ejaculation Mean to the Man, the Woman, and the Couple?". Journal of Sexual Medicine. 8: 304–9. doi:10.1111/j.1743-6109.2011.02426.x. PMID 21967392.