What is Premature ejaculation (PE)?
Ejaculation is comprised of three stages of the male sexual response cycle, namely emission, ejection, and orgasm; however, in comparison with erection, which is a well-understood component of male sexual response, the pathophysiology of ejaculation has yet to be fully delineated.
Premature ejaculation occurs when a man ejaculates sooner during sexual intercourse than he or his partner would like. Premature ejaculation is a common sexual complaint with estimates varying in different degrees, but as many as 1 out of 3 men say they experience this problem at some time.
Premature ejaculation (PE) is the most common sexual disorder in men and believed to have a multifactorial aetiology. There is some scientific evidence to support the fact that biologic mechanisms associated with neurotransmitters such as norepinephrine, serotonin, oxytocin, Gamma-amino-butyric acid, and nitric oxide (NO) which are known to play central roles in erection also play ejaculation are also known to mediate PE.
Men suffering from premature ejaculation always or nearly always ejaculate within one minute of intravaginal penetration and are unable to delay ejaculation during intercourse for any reasonable period of time to enable the partner to enjoy some satisfaction.
As long as it happens infrequently, it’s not a cause for concern. However, you might be diagnosed with premature ejaculation if you:
Always or nearly always ejaculate within one minute of penetration
Are unable to delay ejaculation during intercourse all or nearly all of the time
Both psychological and biological factors can play a role in premature ejaculation. Although many men feel embarrassed talking about it, premature ejaculation is a common and treatable condition. Medications, counselling and sexual techniques that delay ejaculation — or a combination of these — can help improve sex for you and your partner.
Premature ejaculation (PE) is classified as lifelong and acquired ; the pathophysiology of both lifelong and acquired PE appears to be both neuro-biogenic and psychogenic which in other words means this has a multifactor genesis involving brain and neurotransmission activity, some biological factors such as the heart and vascular function and psychological component to its manifestation. As such, A-PE is best regarded also as a psychoneureoendocrine and urological symptom with possible comorbidity with ED and other sexual disturbances. The manifold candidate aetiologies of A-PE are perhaps best regarded as a series of psychological, relational and organic risk factors for A-PE.
How long does it take for a man to reach orgasm?
According to a 2008 study “Canadian and American Sex Therapists’ perceptions on How Long Should Intercourse Last?” what Coitus considered “adequate” lasted anywhere from three to seven minutes, not including what is known as the foreplay. For the more ambitious, seven to 13 minutes was considered a “desirable” length for intercourse. This data, from all the people who see therapists for sexual problems, corresponds closely to earlier studies, which put the average at five to seven minutes.
Statistically speaking, a 2005 study found that sex lasts 5.4 minutes on average, although that data does not take into account foreplay. For historical perspective, Alfred Kinsey’s 1948 research found that 75 percent of American men ejaculated within the first two minutes of sex.
It is estimated that very few people have intercourse per se that goes longer than 12 minutes,” according to sex therapist Barry W. McCarthy. The essential point is, ejaculatory inhibition, which is also called “delayed orgasm” or “junkie orgasm” has less to do with actual time than an inability to ejaculate when you would like. And premature ejaculation, which is also called “rapid ejaculation,” refers to intercourse that lasts less than a minute or two.
Knowing these facts and figures now gives you a clear reason why any man planning to go for any form of aphrodisiac or sex enhancing food, drink or drug should think carefully about WHETHER OR NOT THEY GENUINELY NEED IT.
What causes it?
The exact cause of premature ejaculation isn’t very well known yet. While it was once thought to be only psychological, clinicians and scientists now know premature ejaculation involves a complex interaction of psychological and biological factors as mentioned before.
Psychological factors that might play a role include:
Early sexual experiences
Poor body image
Worrying about premature ejaculation
Guilty feelings that increase your tendency to rush through sexual encounters
Other factors that can play a role include:
Erectile dysfunction (ED). Men who are anxious about obtaining or maintaining an erection during sexual intercourse might form a pattern of rushing to ejaculate, which can be difficult to change.
Anxiety. Many men with premature ejaculation also have problems with anxiety — either specifically about sexual performance or related to other issues.
Relationship problems. If you have had satisfying sexual relationships with other partners in which premature ejaculation did occur infrequently or not at all, it’s possible that interpersonal issues between you and your partner are contributing to the problem.
A number of biological factors might contribute to premature ejaculation, including:
Abnormal hormone levels
Abnormal levels of brain chemicals called neurotransmitters
Inflammation and infection of the prostate or urethra
Does over-consumption of fast foods among men a cause of Premature ejaculation?
When it comes to a healthy sexual functioning in men which involves the areas of healthy erection, ejaculation and stamina, being physically and mentally healthy can be very important. Therefore it cannot be over-emphasised to mention here that excessive use of stimulants like coffee, cocoa drinks, caffeine based energy drinks as well as the over-exposure of the prostate to fast or refined foods may have a negative effect on a man’s sexual health and/ or mediate premature ejaculate to some degree.
What are the factors associated with Premature ejaculation?
Apart from some known neurobiological causes such as problems with:
Hypothalamus/Pituitary/ Adrenal (HPA ) axis problems which gives rise to excess levels of cortisol, adrenaline and so on.
And conditions such as Diabetes, Hypertension, Inflammation of the prostate gland and spinal cord as well as Peripheral nerve problems;
Most cases of PE are related to psychological factors, including:
Living with a dominant partner who disrespect and humiliate him before other people.
Issues related to body image.
Overexcitement or too much stimulation.
Anxiety over the thought of sex.
Feelings of guilt or inadequacy.
Is Premature ejaculation a health disorder?
Yes, premature ejaculation is a treatable health disorder that can be treated by qualified healthcare practitioner with adequate knowledge of the factors involved in genesis of this devastating health problem and knows how deal with it using the holistic medical approach like myself (DR. RICHARD EGHAN)
How can one control it?
From my studies and experience, there are a number of self-help techniques one can employ to control PE before alongside any medical support one is receiving for this problem.
These may include but not limited to:
Give a little gentle squeeze or massage on the penis an hour or two before having sex to allow blood flow into the penile tissues
Using a thick condom to help decrease sensation
Taking a deep breath to briefly shut down the ejaculatory reflex (an automatic reflex of the body, during which ejaculation occurs)
Having sex with your partner on top (to allow them to pull away when you are close to ejaculating)
Taking breaks during sex and distracting yourself by thinking about something completely different
If you are in a long-term relationship, you may benefit from having couples therapy.
Does lifestyle play a role in Premature ejaculation?
Apart from the neurobiological and psychological factors involved in PE, lifestyle factors such as lack of physical exercise, excessive alcohol use, increased body mass index, poor eating habits and nutritional factors as well as sleep deprivation factors are known to play a major role in the genesis and existence of this condition in the suffering individual.
Does wearing of tight boxer shorts constitute the cause of Premature ejaculation?
My answer to this question is wearing tight underwear or pants may not directly cause erectile dysfunction to develop. What it can do, undoubtedly, is lowering the count of the sperm, which can lead to a whole new set of issues. Yes it suffices to say, tight underwear can actually cause your sperm count to drop, and if you don’t switch up your underwear, this can cause irreversible damage.
This is because your tight undies will bring your testicles up close and personal to your body. Naturally the testicles are made to hang away from the body to allow them to regulate their own temperature; so when brought up to the body, this can lead to an internal temperature change within the testes. This temperature change causes the testicles to heat up, causing a knock -on effect on the semen within. Should your testicles remain close to your body and become continually exposed to heat, this will cause the sperm to continue to disappear and the testicles will not be able to replace them, effectively causing permanent shrinking of your sperm count.
Which people mostly get Premature ejaculation? (Old or young)
Premature ejaculation is the most common sexual condition affecting men under the age of 40. It is said to affect about one in five men between the ages of 18 to 59. It is also believed that premature ejaculation will affect most men during some point in their life.
There is no medical time-limit that defines ejaculation as “premature,” but ejaculating within a minute from the beginning of intercourse is regarded as premature by many doctors. And in diagnosis of the problem, man’s feeling as to what is premature for him is also a factor that is generally considered.
Who suffers from premature ejaculation?
Any male past the puberty age can suffer from premature ejaculation. It is most common in men 18 to 59.
Dr. Richard Eghan ( Mo Africa Columnist)
Medical practitioner and Researcher in Sexual Health Problems, London, UK.