Relating Addict: Premature ejaculation:

Premature Ejaculation

Premature ejaculation is a common problem among men, and it can have a significant impact on their sexual and relationship satisfaction. This condition is characterized by the persistent and recurrent onset of orgasm and ejaculation with minimal sexual stimulation. It may occur before, on, or shortly after penetration and before the man wants it to. The average duration of time to ejaculate in men with this problem is 15 seconds or 15 thrusts of intercourse.

The consequences of premature ejaculation can be significant. It often leads to the failure of the partner to achieve satisfaction and can cause embarrassment for the early ejaculating man. This can lead to anxiety about recurrence on future occasions. Men who have had this problem from their first sexual encounter often try to diminish sexual excitement by avoiding stimulation, by self-distracting, and by “spectatoring,” or psychologically taking the role of an observer rather than a participant.

An exact definition of prematurity is necessarily somewhat arbitrary. Factors such as the age of the client and the length of abstinence must be considered when making a diagnosis. DSM-5 acknowledges these factors by noting that the diagnosis is made only if ejaculation occurs before, on, or shortly after penetration and before the man wants it to.

In sexually normal men, the ejaculatory reflex is, to a considerable extent, under voluntary control. They are able to monitor their sensations during sexual stimulation and are able to forestall the point of ejaculatory inevitability until they decide to “let go.” Men with early ejaculation are unable to use this technique effectively for some reason. Explanations for this have ranged from psychological factors such as increased anxiety, to physiological factors such as increased penile sensitivity and higher levels of arousal to sexual stimuli.

For many years, most sex therapists considered early ejaculation to be psychologically caused and highly treatable via behavioral therapy such as the pause-and-squeeze technique developed by Masters and Johnson. This technique requires the man to monitor his sexual arousal during sexual activity and pause when arousal is intense enough that he feels that ejaculation might occur soon. He or his partner then squeezes the head of the penis for a few moments until the feeling of pending ejaculation passes. This technique has been reported to be effective in some cases.

In recent years, there has been increasing interest in the possible use of pharmacological interventions for men for whom behavioral treatments have not worked. Antidepressants such as paroxetine (Paxil), sertraline (Zoloft), fluoxetine (Prozac), and dapoxetine (Priligy), which block serotonin reuptake, have been found to significantly prolong ejaculatory latency in men with early ejaculation.

In conclusion, premature ejaculation is a common problem among men that can have significant consequences for their sexual and relationship satisfaction. There are several treatment options available, including behavioral therapy and pharmacological interventions. If you or someone you know is experiencing this problem, it may be helpful to seek help from a qualified healthcare professional.