Congenital premature ejaculation?
I once tried to masturbate every other day and found that I couldn't last more than three to four minutes before reaching climax.
I was stimulating my penis at a rate of about two to three strokes per second, with some slight slowing down in between.
When I used to do it once a day, I often lasted over ten minutes.
Does this mean I am considered a severe case of primary premature ejaculation?
Q, 10~19 year old female. Ask Date: 2022/08/19
Dr. Lin Wenxu reply Urology
Hello: Premature ejaculation is defined as "ejaculation that occurs within approximately one minute of the start of penetrative activity." Therefore, based on your description, it does not meet the criteria for premature ejaculation.
Dr.
Lin Wun-Hsu, Urology Department, Nantou Hospital.
Reply Date: 2022/08/19
More Info
Premature ejaculation (PE) is a common sexual dysfunction that affects many men at some point in their lives. It is characterized by ejaculation that occurs sooner than desired, either before or shortly after penetration, leading to distress or interpersonal difficulty. Understanding whether your experience constitutes a serious condition involves several factors, including the frequency of occurrence, the level of distress it causes, and the impact on your sexual relationships.
From your description, it seems that you have experienced a change in your ejaculatory control, particularly when you increased the frequency of masturbation. This could be attributed to various factors, including psychological aspects such as anxiety or performance pressure, physical factors like hormonal changes, or even the body's natural response to increased sexual activity.
In terms of classification, premature ejaculation can be categorized into two types: primary and secondary. Primary PE is characterized by a lifelong pattern of rapid ejaculation, while secondary PE develops after a period of normal ejaculatory control. Based on your description, if you have previously been able to last longer than ten minutes and are now experiencing a significant decrease in duration, this may suggest a secondary form of PE, particularly if it is a recent development.
It is essential to consider the context of your experiences. If this change is causing you distress or affecting your sexual relationships, it may be worth discussing with a healthcare professional. They can help determine if your situation qualifies as a clinical concern and explore potential treatment options. Treatment for PE can include behavioral techniques, counseling, or medications that can help delay ejaculation.
Moreover, it is important to recognize that sexual performance can fluctuate due to various factors, including stress, fatigue, or changes in routine. Therefore, occasional difficulties do not necessarily indicate a serious condition. However, if you find that this issue persists or worsens, seeking professional advice is advisable.
In conclusion, while your experience may suggest a form of premature ejaculation, it is crucial to evaluate the overall impact on your life and relationships. If you feel that this issue is significant, consulting with a healthcare provider specializing in sexual health can provide you with tailored advice and potential treatment options. Remember, sexual health is an integral part of overall well-being, and addressing concerns can lead to improved quality of life.
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