What is premature ejaculation?
Ejaculation is commonly called premature, or too fast, if a
man has an orgasm before or within a few minutes after
entering his partner. It is a problem only if it prevents a
couple from having sexual experiences that are satisfying
for both partners.
About one third of American men are not able to control the
timing of their ejaculations. This problem is more likely
to affect younger men. It is less common as men get older.
However, some men may struggle with this problem into old
age.
How does it occur?
Many mental and physical factors affect the timing of
orgasm. Examples of mental factors are guilt, anxiety,
fear, and excitement. Physical factors include the
intensity of sexual arousal and the sensitivity of the skin
of the penis.
Infrequent sex also affects control. A man with normally
good control may reach orgasm quickly after a long time
without sex. Premature ejaculation is also common the first
few times a man has sex with a new partner. Medical
problems are rarely a cause.
How is it treated?
Many men can learn to control their ejaculation. Men with
good control can enjoy a long period of sexual arousal
before choosing to ejaculate. This means learning how to
control the various factors affecting the timing of orgasm.
Men with concerns about premature ejaculation should seek
help from a health professional who has training and
experience in treating sexual problems. The health care
provider or therapist can suggest ways to lengthen the time
between sexual arousal and orgasm. For example, a man might
change the usual thoughts and fantasies he has during sex.
Also, learning and practicing the "start-stop" or "squeeze"
techniques can help.
In rare cases your health care provider may prescribe
medicines that help prevent premature ejaculation.
To learn more, ask your provider or a sex therapist for
information. Check with your State Board of Mental Health
or State Board of Healing Arts for specialists in this area.
This content is reviewed periodically and is subject to
change as new health information becomes available. The
information is intended to inform and educate and is not a
replacement for medical evaluation, advice, diagnosis or
treatment by a healthcare professional.
Copyright © 2005 McKesson Corporation and/or one of its subsidiaries. All Rights Reserved.
This
information is approved and/or reviewed by U-M Health System providers
but it is not a tool for self-diagnosis or a substitute for medical
treatment. You should speak to your physician or make
an appointment to be seen if you have questions or concerns about
this information or your medical condition.