Premature Ejaculation
Updated:Premature ejaculation (PE) is a common sexual dysfunction in which a person with a penis ejaculates sooner than they or their partner would like during sexual activity. It is characterized by an inability to delay ejaculation, resulting in brief sexual encounters that can cause distress for one or both partners. The exact timing of what is considered "premature" can vary, but it is generally defined as ejaculation occurring within one minute of penetration or sexual stimulation.
Additional Information
Premature ejaculation can be classified as lifelong (primary) or acquired (secondary). Primary PE is present from the first sexual experience, while secondary PE develops after a period of normal sexual function. Causes can be psychological, such as performance anxiety or early sexual conditioning, or biological, such as abnormal hormone levels or inflammation of the prostate or urethra.
Treatment options include behavioral techniques, topical anesthetics to reduce sensitivity, certain antidepressants that have a side effect of delaying ejaculation, and counseling to address underlying psychological factors. Pelvic floor exercises may also help. Open communication with partners and managing stress are important aspects of managing PE.
Examples
A man experiences ejaculation within seconds of penetration, despite his efforts to delay it.
A couple seeks sex therapy to learn techniques to manage premature ejaculation and improve their sexual satisfaction.