Premature ejaculation refers to ejaculation that occurs before the penis comes into contact with the female genitalia and is inserted into the vagina. Although the penis can erect, ejaculation occurs too early, too fast, and the penis immediately becomes weak and unable to continue sexual intercourse. Therefore, both men and women cannot obtain sexual satisfaction. Premature ejaculation is one of the manifestations of male sexual dysfunction. If not treated in time, it can easily lead to impotence. It should be pointed out that occasional premature ejaculation cannot be called premature ejaculation. Only those who frequently experience premature ejaculation but cannot engage in sexual intercourse can be confirmed as premature ejaculation. In the early stages of marriage, premature ejaculation may not be a pathological condition due to lack of sexual experience, excessive sexual excitement, or excessive mental stress. However, some people do not understand the ejaculation process and believe that premature ejaculation causes mental burden, which may lead to a series of sexual dysfunction over time, and should be taken seriously.
Premature ejaculation is one of the common sexual dysfunction in clinical practice. It is very difficult to give an accurate definition of premature ejaculation, and there are different opinions. Masters and Johnson from abroad believe that premature ejaculation refers to the inability of a man to control ejaculation for a sufficient amount of time during sexual intercourse, resulting in at least 50% of normal sexual intercourse for women with normal sexual function not being satisfied. Kaplan believes that it is normal for couples to have the ability to maintain their sexual intercourse for more than 5 minutes after insertion, or if both parties agree that their efforts to delay ejaculation are not affected. But some people have reported that 75% of men ejaculate within 2 to 6 minutes of insertion or less, which is considered normal. In clinical practice, it is easy to diagnose premature ejaculation when the penis is erect and ejaculates before entering the vagina. However, it is difficult to determine the exact duration of premature ejaculation for those who can enter the vagina for sexual intercourse. It is generally believed that premature ejaculation refers to a condition in which a man ejaculates before entering the vagina, or just before ejaculation, or just before ejaculation, causing the penis to naturally become flaccid and enter the refractory period. During sexual intercourse, the time from the beginning of sexual intercourse to ejaculation varies among males, depending on age and physical condition. It is slightly longer in youth and gradually shorter in adulthood. As sexual experience accumulates, the time also increases. There are various reasons for premature ejaculation, but during the first sexual intercourse between couples on the night of their wedding, they may experience emotional excitement and high levels of nerve excitement. The groom may ejaculate when they first come into contact with the genitalia or when the penis is just inserted into the vagina. Couples who reunite after a long separation may experience faster sexual arousal, and men may ejaculate earlier. These conditions cannot be diagnosed as premature ejaculation. As couples live together, it gradually becomes normal and does not require treatment.
The causes of premature ejaculation are mostly psychological factors, such as a strained marital relationship, potential hostility, resentment, and anger towards the wife, or excessive fear, admiration, and inferiority complex towards the wife; Some cases of sexual intercourse fail due to prolonged masturbation before marriage, excessive indulgence after marriage, excessive mental tension, excessive emotional excitement, or fear of premature ejaculation. Excessive physical fatigue and insufficient energy can also weaken the control ability of the ejaculation center. There are fewer organic causes, such as multiple sclerosis, spinal cord tumors, cerebrovascular accidents, phimosis, urethritis, epididymitis, chronic prostatitis, etc.