Premature ejaculation (PE) (sometimes referred to as 'rapid ejaculation') is defined as male sexual climax or ejaculation with minimal stimulation, often before, on, or just after penetration. The situation must be persistent or often to be considered a problem. More simply stated is: 'ejaculation before the person wishes it'.
Forty percent of men complaining of sexual dysfunction complain of PE.
The cause of PE is not clear. The mechanism of ejaculation is actually quite complicated and is associated with three different simultaneous events: seminal emission (release of semen from the prostate), ejaculation (propelling the semen out the prostate and penis), and bladder neck closure (the prevention of semen going backwards into the bladder). Erection, the ability to maintain enough penile firmness to allow penetration, is actually a separate physiological event that occurs with sexual stimulation and before ejaculation. Unfortunately for men with PE, the erection softens after ejaculation. Treatment options
- Squeeze Technique-this technique described by Masters and Johnson is very successful if one has a willing and understanding partner. The person with premature ejaculation is stimulated by his partner to the point of imminent ejaculation. Just prior to ejaculation, the partner squeezes the penis to prevent ejaculation. Once the sensation of impending ejaculation has subsided, the process is repeated. Gradually, over time, a man can prolong his time until ejaculation.
- Medication-some antidepressant medication is useful in retarding ejaculation. There are potential side effects of these medications, however. We prefer to use the squeeze technique as initial therapy.