A Quick Article About Premature Ejaculation
Also called rapid ejaculation, early ejaculation, premature climax, rapid climax or, historically speaking, ejaculation precox, this sexual condition affects approximately 20 to 30 percent of men according to a study published in 2016. Premature ejaculation is when ejaculation appears sooner than a man or his partner would like during sexual intercourse and with minimal penile stimulation.
This condition is more common than most people think with approximately 1 out of 3 men saying they experienced this problem at some point of their lives. Premature ejaculation produces emotional and psychological distress, and affects the relationship with the partner. Some men even try to avoid sexual encounters because of the embarrassment that this problem provides.
Premature ejaculation can appear in as little as 30 seconds to a minute of sexual intercourse, and it may even happen before penetration. Specialists say that the average time for men to ejaculate during a sexual relation is about 4 to 5 minutes, while others extend this period of time to 8 minutes. This condition can occur alongside erectile dysfunction, especially in older men. Younger men usually experiment only premature ejaculation symptoms.
A short review of the physiology of the male ejaculation.
The central nervous system controls all this process. When men are sexually stimulated, these signals go to the spinal cord and brain. When the level of excitement is enough, signals are sent from the brain to the reproductive organs, unchaining a series of events that finish with ejaculation.
The first phase, called emission, characterizes by the movement of sperm from the testicles to the prostate, mixing up with the seminal fluid and producing semen. Sperm is helped in this process by the vasa deferentia, which are tubes that move it from the testicles to the prostate to the base of the penis.
The final phase, expulsion, is activated by the contraction of the muscles at the base of the penis. This forces semen out of the penis, usually coinciding with the orgasm. In most cases, the penile erection goes away after this.
What are the causes of premature ejaculation?
- The causes remain unclear.
- Many theories have been made, suggesting that premature ejaculation was the result of quick masturbation during adolescence, having too little sex, among other, but none of these have sufficient evidence to support them.
- Psychological problems such as depression, stress, low self-esteem and/or lack of confidence, guilt, unrealistic expectations about sex, performance anxiety, history of sexual repression, relationship problems, etc. can be involved in this condition.
- There is a relation with serotonin, one of the “pleasure” neurotransmitter, and its receptors. Low amounts of serotonin in the male´s body can reduce the time to ejaculation, leading to this sexual problem.
- There has been discussions about a genetic factor in premature ejaculation, but until now studies have been inconclusive.
- Urogenital affectations such as prostatitis.
- Premature ejaculation can appear as a side effect of a drug.
How is premature ejaculation diagnosed?
Your general physician will ask you some questions about your health history and the present symptomatology. He might do a routine physical exam. General blood tests can be ordered, as well as more specific laboratory tests involving your hormone levels (especially testosterone). He might send you to an urologist or another type of specialist in the subject.