Premature Ejaculation (PE) is the inability to maintain an erection long enough for mutual satisfaction. How fast is too fast? If you think it’s too fast, and your partner thinks it’s too fast, then it’s too fast. The average time of intercourse is around 10 – 15 minutes. If you are a skillful lover and bring your partner close to climax before penetration and within 45 seconds after penetration both partners climax, then 45 seconds is not too fast. On the other hand, if you climax after 45 minutes without arousing your partner, then 45 minutes is too fast!
Premature ejaculation is divided into a primary and a secondary form.
Primary Premature Ejaculation
Primary PE has been present since the patient first became sexually active. This patient has ALWAYS come too fast. The cause is often attributable to the element of haste in one’s earliest sexual encounters. A boy matures sexually at age 13-15 and usually does not have a steady partner until several years later. These teen years are when sexual drive and tensions are at their very peak. Nature’s safety valve – nocturnal emissions, or wet dreams – are not adequate to de-pressurize, so most young men masturbate. When you masturbate, you have only yourself to please, so habitually you ejaculate in one to two minutes. With repetition this “timetable” or schedule becomes imprinted in your subconscious. The more frequently you masturbate, the more deeply the “rush” pattern becomes embedded.
When you become older and finally do find a partner, the same timetable calls the same old signals which now are not only useless, but harmful. You have another person to please besides yourself, and you can’t. There are, incidentally, other adolescent scenarios besides self-stimulation, all of which have haste as their common denominator.
This is learned behavior, and like any learned behavior it can be unlearned, and specialists can teach you a whole new set of signals. While you are practicing and mastering these new skills, they will show you how to give yourself erections lasting 2 – 3 hours, often permitting you to have 2 – 3 ejaculations before going flaccid. This form of primary PE is psychogenic (as opposed to organic or physical) impotence.
Congenital Venous Leak
Another cause of primary premature ejaculation involves those men born with a congenital venous leak. The venous drainage system in the penis is not shutting down properly during arousal. The plug is loose in the drain in the bottom of the tub and the water runs out too fast. Many men in this group have never had a really hard erection. This is all fixable!
If a small venous leak is present in your teens and twenties, you may not know it because your erections may be virtually normal, as long as your arteries remain flexible and can stretch with sexual arousal. As age progressively hardens and narrows the arteries, the faucet gradually turns off and now the venous leak becomes apparent. You sense that you are about to lose your erection and you quickly ejaculate before it is too late. This is all correctable, usually without surgery.
Secondary Premature Ejaculation
Secondary premature ejaculation means that after years of normal ejaculation, the duration of intercourse grows progressively shorter. Some men with severe PE will ejaculate during foreplay, even before penetration. This can be devastating. Secondary PE is due to physical causes, usually involving the penile arteries or veins or both.
The cure rate for PE approaches 100%.