Premature Ejaculation (PE) is among the most common motives of sexological counseling by males. That is why it has been studied extensively on a scientifical level. Nowadays, there are effective methods available to overcome it. The latest studies explain over nine different types of premature ejaculation depending on the causes. Therapy to resolve it usually takes a few months. It can be said that with the right guidance it is relatively easy to solve it.
To talk about PE, ejaculation comes after a minimal sexual stimulation, be it before, during or shortly after penetration takes place. As with any other sexological problem, it is matter of degree. That is how we can find cases in which ejaculation comes even before sexual contact begins. There are some other cases in which the man manages the start of sexual intercourse, but not much longer.
There are different reasons involved in the “ejaculatory latency”. The reasons range from issues such as anxiety and fear, to problems related to communication between partners, age, unrealistic beliefs, or the individual’s personality traits, to mention some examples. In the vast majority of cases, the problem is solvable and with the right guidance, patients often improve a lot with sexological therapy.
Until not long ago, in our culture, the concept of “sexual pleasure” only existed for men, and the importance of feminine pleasure was underestimated. Moreover, the concept of “premature ejaculation” did not exist till a few decades ago. In 1948, Dr. Kinsey found that 75% of married males stated that they usually ejaculated within the first two minutes after penetration and, curiously, they did not consider it to be a problem. However, nowadays this situation is very different.
In 1966, Masters and Johnson defined “premature ejaculation” as “the incapacity to delay the ejaculatory reflex during sexual intercourse long enough as to satisfy his partner in at least 50% of the attempts”. This vision is considered rather obsolete because it implies the message that “female sexual pleasure is a male’s responsibility”. However, it has something positive, in that it generalizes the acknowledgement of female’s sexual pleasure. Negatively, it maintains the male role as the one with the responsibility of the woman’s orgasm and creates a greater pressure over men with respect to their sexual performance.
These days, there are some pharmaceutical products to improve the problem. However, out of the data that we have, the improvement is very relative. Therefore, if someone wishes for a pharmaceutical solution, it is advisable to combine it with sexological therapy. Let’s remember that there is no pharmaceutical product that can cure the problem. They are temporary aids, though.
Most cases of PE are due to psychological causes and can be resolved satisfactorily and improve considerably with the help of sexological therapy.