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Premature ejaculation occurs when a man ejaculates faster than he or his partner would like during intercourse.

Premature ejaculation is the most common sexual problem in men, as much research shows that 10%-30% of men suffer from this phenomenon at some point in their lives.

What is the meaning of premature ejaculation?

Premature ejaculation occurs when a man ejaculates faster than he or his partner would like during intercourse. Most men who suffer from premature ejaculation problems are very normal, and the problem is that they do not control the time of ejaculation for more than 2 minutes.

Premature ejaculation has a wrong concept among many men: that the time required for ejaculation to occur naturally should be less than 5 or 10 minutes. The factual conception of premature ejaculation is different from the wrong conception that some people report.

What is the frame time of an ejaculation?

The normal time for ejaculation occurrence ranges between 2 and 7 minutes from the beginning of the intercourse. So, premature ejaculation happens when a man ejaculates within 2 minutes.

What are the types of premature ejaculation?

Premature ejaculation types may be primary or secondary. These types are classified according to the starting time of the problem and the frame time of ejaculation:

1- Primary premature ejaculation:

Primary premature ejaculation occurs when a man ejaculates within one minute of the beginning of intercourse. The patient was diagnosed with primary premature ejaculation, as he has always had the problem from first. 

The main cause of primary premature ejaculation is having a shocking sexual experience at an early age.

2- Secondary premature ejaculation:

Secondary premature ejaculation occurs when a man ejaculates within two minutes of the beginning of intercourse. The patient was diagnosed with secondary premature ejaculation when the problem recently developed. 

The causes of secondary Premature ejaculation are stress, depression, and many conditions that affect men's mental and psychological state.

What are the causes of premature ejaculation?

The exact causes of premature ejaculation are still unknown, but many risk factors cause premature ejaculation, such as pathological disorders and psychological diseases.

1- Pathological causes of Premature ejaculation:

Diabetes Mellitus.Multiple sclerosis.Thyroid gland diseases.Prostate gland diseases.Drug addiction.Drug side effects.Low testosterone.Erectile dysfunction.Cardiovascular diseases.Spinal cord diseases.

2- Psychological causes of premature ejaculation:

Stress, anxiety, and depression.Excessive sexual stimulation.Lack of sexual experience. Have sex for the first time. The tension between spouses.Sexual abuse.Depression.

What are premature ejaculation complications?

Premature ejaculation makes a man embarrassed or causes him to have low self-confidence. Premature ejaculation can be a problem when it occurs frequently and interferes with the sexual pleasure of the man and his partner, in particular.

Premature ejaculation may lead to infertility because the patient ejaculates outside the vagina, and semen does not reach the uterus.

Are you having premature ejaculation?

You have premature ejaculation if you:

  • Always or nearly always, ejaculation comes within one minute of penetration. Inability to delay Premature ejaculation during intercourse, all or most of the time.
  • Feeling distressed and frustrated, as a result, one tends to avoid sexual intimacy.
  • If you have any of these symptoms, you should go to a urology and andrology doctor to evaluate your case. The doctor will only ask some questions, such as medical history, drug history, and sexual history, about your premature ejaculation case. You must know that there is no laboratory test to diagnose premature ejaculation.
Dr.Hassan Elghaiaty had MBBS in 2004. He had a master's degree in urology and andrology in 2010. He has experience in urology and andrology disease evaluation and management for 16 years.