Ejaculation disorders are one of the most common sexual disorders in men. Complaints about the duration of sexual intercourse are made by more than half of the patients who turn to sexopathologists. Many men who do not contact doctors, but who are concerned about the duration of the sexual act (that is, the time from the introduction of the penis into the vagina and the beginning of frictions before ejaculation). According to A. Bova, E. Savina, these men are from 45 to 56%.
Ejaculation can be early (before the introduction of the penis in the vagina), premature, or accelerated (if the man can not prolong sexual intercourse for more than one minute), and difficult (delayed), in which the sexual intercourse is protracted and ejaculation (and, consequently, orgasm, sexual satisfaction) may not occur at all.
Normally, according to LYMilman, ejaculation should occur 2-6 minutes after the onset of sexual intercourse and on average, after 30-50 frictions.
Premature ejaculation (ejaculation) is the main complaint of 35-40% of men turning to sex therapists. This disorder is the appearance of orgasm and ejaculation earlier than a man wants. Another name is ejaculatory-precoks.
This is considered a dysfunction, when ejaculation occurs regularly before or immediately after the introduction of the penis into the vagina. And after a long period of sexual abstinence or with a strong sexual overexcitation, the first sexual intercourse can end too quickly. Ejaculation may occur prematurely and with several subsequent sexual acts. If in the future the duration of the sexual act is restored, then this is not a sexual dysfunction.
With an early ejaculation (before the introduction of the penis into the vagina), it is impossible to have sexual intercourse, because after an ejaculation the erection disappears. Most often it occurs immediately before the introduction of the penis into the vagina, when the penis contacts the small labia or with the entrance to the vagina, but it may also occur in the period of preliminary erotic caresses, even when they are not associated with touching the genital organs of a man. Ejaculation can occur when kissing a partner, when you touch her genitals and even when she undresses before sexual intercourse.
The erection may be normal or partial. In some cases, ejaculation occurs even in the absence of an erection, before its appearance.
The term “too early ejaculation” (synonyms – accelerated ejaculation, ejaculatory medicine) is used in cases where ejaculation occurs after the introduction of the penis, but before the onset of orgasm in a woman. In these cases, ejaculation occurs immediately after the immission, after several frictional movements or after frictions within 1-2 minutes, but before the onset of orgasm in a woman. Accelerated ejaculation does not provide an opportunity to satisfy a woman.
Premature onset of ejaculation in a man, before the onset of orgasm in a woman, can be due not only to his existing impairments, but also slowed down, inhibited by sexual reactions of a woman.
Too early K.Imelinsky considers ejaculation, coming before the expiry of 2 minutes from the moment of introduction of a sexual member, if thus the partner did not have an orgasm.
Other sex therapists consider too early ejaculation, occurring before committing 25 frictions.
The famous American sexologist A. Kinsi believed that it is premature to ejaculate a man if he can not keep his penis in the woman’s vagina for more than two minutes without reaching a partner’s orgasm.
Sexologists U.Masters and V.Johnson believe that a man ejaculates prematurely, “if he can not control his ejaculatory process for a sufficiently long period of time in the course of intravaginal content, to satisfy his partner in at least 50% of sexual relations.”
That is, according to such authoritative sexologists, if the frequency of orgasms in a woman is half that of her partner, then such a man ejaculates prematurely. Thus, those men who are unable to satisfy their partner every second time, can be considered prematurely ejaculating. And those sexual egoists who do not aspire to the satisfaction of their partner – even more so.
According to the Tao philosophers, such figures could not be accepted in ancient China. For teachers of the Tao of love, every man who is not able to wait until his partner is satisfied until the end each time – still has the opportunity to improve.
Here, partnership is of great importance, because too early ejaculation means that it comes before the appearance of an orgasm in a woman.
Some sex therapists believe that 1-2 minutes is enough for the appearance of ejaculation, which can no longer be regarded as premature.
Coitus time indicators are very relative, because sexual intercourse is committed by two partners, and a sexual life is considered normal, which brings satisfaction to both partners, so that the absolute time of sexual intercourse is not in itself essential. If during a coitus the partner has not experienced an orgasm, then this can not be considered a normal sexual life of the partner couple, no matter how long the intercourse lasted.
The final criterion, which allows us to regard ejaculation as normal or premature, is the presence of an orgasm in a woman and the duration of sexual intercourse for at least 2 minutes.
U.Masters and V.Johnson consider premature ejaculation, when a man can not control ejaculation after the introduction of the penis for the time necessary for the partner to receive sexual satisfaction in at least 50% of cases. This definition is suitable only for the partner couple in which a woman is able to experience orgasm and is in favorable conditions.
Premature orgasm in a woman, if it occurs before the orgasm of a man, does not interfere with the further course of sexual intercourse, so it is not a pathology, but on the contrary, it is much easier to satisfy such women, and this shows the partner’s temperament.
Favorable and normal is a partnership, when both partners are experiencing orgasm, even if the sexual intercourse is short-lived.
And in those cases when, despite a much longer sexual intercourse, a woman does not orgasm, despite the desire to achieve orgasm – then such a partnership in terms of sexopathology is regarded as unfavorable. This condition is defined by sexopathologists as sexual disharmony. If sexual disharmony is delayed, then this may lead to secondary neurotic disorders and the reluctance of partners to continue their sexual relationships.
Depending on who of the partners, despite the prolonged sexual intercourse, does not reach orgasm, sex therapists reveal the “bearer” of the cause of sexual disharmony and the disadvantage of partnership.
There are also possible cases when one of the partners experiences an orgasm earlier (most often it is a man), then it prevents the orgasm of the woman, even if she was already quite excited and felt the approaching orgasm.
The lack of partnership does not mean that each partner will have the same relationship with the change of partners. Often, a man with another partner does not ejaculate so quickly, and a woman from a dysfunctional partner couple is able to experience an orgasm with another man.
The length of stimulation before the onset of ejaculation, the duration of the excitement phase, the age and novelty of the sexual partner and situation, and the frequency of sexual contacts, is important.
Premature ejaculation is more common among young men, as well as in men of young and mature age with a new partner in sex.
Most men who suffer from premature ejaculation have not been able to control ejaculation since the beginning of their sexual life. This primary form is associated with sexual inexperience, fear of intimacy, an underestimation of a partner’s wishes or having sexual dysfunction.
But in some men this symptom arises again, after some period of normal control over ejaculation. The secondary form is associated with the depreciation of the entire range of partnerships and conflicts that generate fears in their sexual abilities, and the more negative experience accumulates, the greater the tension and anxiety of a man, and the more pronounced his ejaculation disorder.
Premature ejaculation in men with higher education is observed more often than in less educated men.
Early and even premature ejaculation can be regarded as a physiological phenomenon in adolescents and young men (and sometimes in adulthood) if they perform sexual intercourse for the first time in their life or after a long break.