Premature ejaculation

Premature ejaculation (also known as early discharge or quick orgasm, early fall, Shigra-patan) is one of the most frequent, of sexual disorders in the male and is characterized by sudden ejaculation of the semen, just prior to or immediately after vaginal penetration during intercourse (before one wishes or before he could satisfy the female partner). Approximately 10% to 30% people of all age group suffer with quick semen discharge. Premature or ‘before time’ in other words, is a condition where the man has no voluntary control over his ejaculation

What is normal time of discharge: In one scientific study European males took approximately ten minutes in discharge whereas Americans took fourteen minutes in getting orgasm.

How common is pre mature ejaculation due to some well-defined internal causes?

Many of recent studies have proved that, most cases of quick ejaculation are Psychogenic is not correct (which was old belief). In one study by Schwartz & Pirke & colleague found that in many patient of pme male hormones were deranged. Similarly Colpi et all found that evoked sacral potentials & Bulbocavernosal reflex were hyper-excitable in many patients.

Thus psychogenic cause should never be labeled unless Hormonal & other causes have been excluded, by thorough examination, hormones & other tests as mentioned below.

 Causes of Premature Ejaculation:

Psychological factors

Most cases of PE are not related to any disease and are instead due to psychological factors, including:

  • Sexual inexperience
  • Novelty of a relationship
  • Overexcitement or too much stimulation
  • Relationship stress
  • Anxiety
  • Guilty feelings
  • Depression
  • Issues related to control and intimacy

These common psychological factors can affect men who have previously had normal ejaculation; such cases are often referred to as secondary, or acquired, PE.

Most cases of the rarer, more persistent form – primary or lifelong PE – are also believed to be caused by psychological problems.

The causes of primary or lifelong PE can often be traced back to early trauma, such as:

  • Strict sexual teaching and upbringing
  • Traumatic experiences of sex
  • Conditioning – for example, a teenager learning to ejaculate quickly to avoid being found masturbating