Ejaculation and Males, Male Premature Ejaculation Tips.
Premature ejaculation (PE), also known as rapid ejaculation, premature climax, early ejaculation, or by the Latin term ejaculatio praecox, is the most common sexual problem in men, affecting 25%-40% of men. It is characterized by a lack of voluntary control over ejaculation. Masters and Johnson stated that a man suffers from premature ejaculation if he ejaculates before his partner achieves orgasm in more than fifty percent of his sexual encounters. Other sex researchers have defined premature ejaculation as occurring if the man ejaculates within two minutes or less of penetration; however, a survey by Alfred Kinsey in the 1950s demonstrated that three quarters of men ejaculated within two minutes of penetration in over half of their sexual encounters. Today, most sex therapists understand premature ejaculation as occurring when a lack of ejaculatory control interferes with sexual or emotional well-being in one or both partners.

Most men experience premature ejaculation at least once in their lives. Often adolescents and young men experience "premature" ejaculation during their first sexual encounters, but eventually learn ejaculatory control. Because there is great variability in both how long it takes men to ejaculate and how long both partners want sex to last, researchers have begun to form a quantitative definition of premature ejaculation. Current evidence supports a median average ejaculation latency time (IELT) of six and a half minutes in 18-30 year olds. If the disorder is defined as an IELT percentile below 2.5, then premature ejaculation could be suggested by an IELT of less than about one and a half minutes. Nevertheless, it is well accepted that men with IELTs below 1.5 minutes could be "happy" with their performance and do not report a lack of control and therefore do not suffer from PE. On the other hand, a man with 2 minutes IELT could present with perception of poor control over his ejaculation, distressed about his condition, has interpersonal difficulties and therefore be diagnosed with PE.

Scientists have long suspected a genetic link to certain forms of premature ejaculation. In one study, ninety-one percent of men who suffered from lifelong premature ejaculation also had a first-relative with lifelong premature ejaculation. Other researchers have noted that men who suffer from premature ejaculation have a faster neurological response in the pelvic muscles. Simple exercises commonly suggested by sex therapists can significantly improve ejaculatory control for men with premature ejaculation caused by neurological factors [citation needed]. Often, these men may benefit from anti-anxiety medication or selective serotonin reuptake inhibitors (SSRIs), such as sertraline or paroxetine. Some men prefer using anaesthetic creams; however, these creams may also deaden sensations in the man's partner, and are not generally recommended by sex therapists.

Psychological factors also commonly contribute to premature ejaculation. While men sometimes underestimate the relationship between sexual performance and emotional well-being, premature ejaculation can be caused by temporary depression, stress over financial matters, unrealistic expectations about performance, a history of sexual repression, or an overall lack of confidence. Interpersonal dynamics strongly contribute to sexual function, and premature ejaculation can be caused by a lack of communication between partners, hurt feelings, or unresolved conflicts that interfere with the ability to achieve emotional intimacy. Neurological premature ejaculation can also lead to other forms of sexual dysfunction, or intensify the existing problem, by creating performance anxiety. In a less pathological context, premature ejaculation could also be simply caused by extreme arousal.

Some physical illnesses, such as a prostate infection, are also known to induce premature ejaculation. In other instances, premature ejaculation is caused by a physical injury that affects the nervous system. Certain medications, such as cold medications containing pseudoephedrine, also cause premature ejaculation. Sexual dysfunction is a common symptom of psychiatric afflictions ranging from bipolar disorder to post-traumatic stress disorder. In these cases, it is best to discuss the issues openly with a physician.

Today it is believed that the neurotransmitor serotonin (5HT) has a central role in modulating ejaculation. Several animal studies have demostrated its inhibitory effect on ejaculation modulated through the PGI system in the brain. Therefore, it is perceived that low level of serotonin in the synaptic cleft in these specific areas in the brain could cause premature ejaculation. This theory is further supported by the proven effectiveness of SSRIs, which increase serotonin level in the synapse, in treating PE.

Definition of premature ejaculation.
Men who have a premature ejaculation come within a few seconds. Medically, premature ejaculation is defined when a man comes within one minute and often within 30 seconds of every love play. Some men come before penetration.

Many men talk about a premature ejaculation when they come faster than they want, even if it does not agree with the medical definition above.

How common is premature ejaculation.
There is not much statistics on this available, but one American study indicates that 29% of all men have problems with premature ejaculation.

Cause of premature ejaculation.
The most frequent cause is sexual insecurity and the fear of doing it wrongly. The fear increases the excitement, and makes the ejaculation take place. Sometimes, coming fast has been learned in childhood by quick masturbation for example. One has learned, as a reflex, to come fast when excited. Insufficient concentration of the neurotransmitter serotonin is now thought to be a physical cause.

Treatment of premature ejaculation.
Premature ejaculation can be treated with medicines, such as serotonergic anti-depressants or SSRIs (Seroxat, Prozac, Cipramil, Zoloft) the ejaculation can be delayed. This medication improves the transmittal of serotonin (a substance in the body) between two nerves. These medicines need to be taken 2 to 3 hours before the expected sexual activity. This can be experienced as a disadvantage, because it reduces the spontaneity around making love. But some people take them regularly every day, avoiding this problem. One has to take into account that side effects may happen.
Good results have also been obtained with sexological treatments. This treatment is aimed at giving the man control over the ejaculation. A part of this is to withdraw the penis while making love to stop stimulation and thus prevent premature ejaculation.
In some mild cases, use of a condom can help.
Problem for the man or for the woman?
If too early male orgasm is experienced as a problem by the woman, but not by the man, see our informational pages about female orgasm problems.

What is "coming too early" or "too fast"?
Men who have a premature ejaculation come within a few seconds. We talk about a premature ejaculation when a man comes within one minute and often within 30 seconds of every love play. Some men come before penetration. Many men talk about a premature ejaculation when they come faster than they want.

How common is premature ejaculation?
There is not much to say about this. It is estimated that 29% of all men suffer from premature ejaculation; this is the result of American research.

What are the causes of "coming too quickly" in men?
The most frequent cause is sexual insecurity and the fear of doing it wrongly. The fear increases the excitement, and makes the ejaculation take place. Sometimes, coming fast has been learned in childhood by quick masturbation for example. One has learned, as a reflex, to come fast when excited. Insufficient concentration of the neurotransmitter serotonin is now thought to be a physical cause.

How can "coming too quickly" in men be treated? Is there a premature ejaculation cure/treatment?
With medicines, such as serotonergic anti-depressants or SSRIs (Seroxat, Prozac, Cipramil, Zoloft, Duloxetine, Xeristar) the ejaculation can be delayed. This medication improves the transmittal of serotonin (a substance in the body) between two nerves. These medicines need to be taken 2 to 3 hours before the expected sexual activity. This can be experienced as a disadvantage, because it reduces the spontaneity around making love. Some people take such medicines every day, avoiding this disadvantage but increasing the risk of side effects.
Good results have also been obtained with sexological treatments. This treatment is aimed at giving the man control over the ejaculation. A part of this is to withdraw the penis while making love to stop stimulation and thus prevent premature ejaculation.

In some mild cases, use of a condom may help.