Too Fast? Too Slow?
Premature ejaculation or PE occurs when a man reaches orgasm and ejaculates with minimal stimulation or within a very short period of time.
There is no uniform cut-off timing for what constitutes as PE, and in the past, most experts would agree that last less than one minute is a cause for concern.
However, newer guidelines suggest that any man who feels they do not have control over when he ejaculates and that it causes distress to him and his partner can be considered to have premature ejaculation.
Is Premature Ejaculation a Problem?
Of course, Premature Ejaculation is a real problem if:
- It is causing or arising from inter-personal relationship problems.
- It is causing or arising from psychological issues like anxiety and depression.
- It is a sign of hidden erectile dysfunction (ED).
- It is due to a low serum Testosterone level.
- It is a sign of an underlying medical disease.
- It is due to stopping a drug.
- It is severe enough to affect fertility.
Sometimes premature ejaculation may be caused or worsened by other conditions, such as anxiety and depression, erectile dysfunction, prostatitis and testosterone deficiency.
These conditions will be assessed with a clinical history and may need further investigation if appropriate.
Is there any treatment for Premature Ejaculation?
There are several options for treatment of premature ejaculation, although a combination of certain medication and non-pharmacological treatments often give the best results.