Premature Ejaculation: A First-Time Experience - Urology

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This is my first time..?


Doctor, do I have a problem? I am someone who has never had sexual experience, but I always tell my peers that I have.
Every time I'm at a gathering with men, they love to talk about those kinds of things, and I just laugh it off.
It wasn't until I had my first sexual experience that I realized how inadequate I felt.
Every time I hear them talk about lasting for several minutes, I feel like I don't measure up because I lasted much longer when I was just masturbating.
I didn't expect to last less than a minute during my first time (it was my birthday, and I was with my girlfriend enjoying the night view, and it happened in the car).
When I took off my pants, I ejaculated right away.
Do I have a problem?

Lü, 30~39 year old female. Ask Date: 2004/09/11

Dr. Xu Weikai reply Urology


Mr.
Lu: Sexual activity is a mutual endeavor.
Both partners need to cooperate and accumulate experience to perform well.
In your case, it seems quite normal: engaging in sexual activity for the first time under unexpected circumstances, in an uncomfortable environment, and with feelings of insecurity (such as passersby...), combined with being in a highly excited state (like a birthday), makes it nearly impossible for inexperienced partners to successfully engage in the act.
There is no need to be concerned about this situation, as it is completely normal.
Next time, try to find a more stable environment and complete the sexual activity after thorough communication, rather than acting impulsively.
I believe that with the accumulation of experience on both sides, the results will improve significantly.
Sincerely, Dr.
Hsu Wei-Kai, Director of Urology, Taitung Hospital, Department of Health, Executive Yuan.

Reply Date: 2004/09/11

More Info


Premature ejaculation (PE) is a common concern among men, especially those who are new to sexual experiences. It’s important to understand that PE is defined as ejaculation that occurs sooner than desired, either before or shortly after penetration, leading to distress or frustration for one or both partners. Your experience, particularly as a first-time sexual partner, is not uncommon, and many men face similar situations.

Firstly, it’s crucial to recognize that sexual performance can be influenced by various factors, including anxiety, excitement, and the novelty of the experience. In your case, the pressure of being in a new situation, combined with the excitement of being with your girlfriend, may have contributed to the rapid ejaculation. This is often referred to as "performance anxiety," where the fear of not meeting expectations can lead to a quick climax.

Here are some key points to consider regarding premature ejaculation:
1. Normalcy of the Experience: Many men experience PE at some point in their lives, especially during their first sexual encounters. It’s a natural response to the excitement and nervousness that can accompany sexual activity. The fact that you felt pressure to perform based on what you heard from peers can exacerbate this issue.

2. Understanding Ejaculation Timing: The average time for ejaculation during penetrative sex varies widely among men, with studies suggesting that it can range from a few minutes to over 20 minutes. However, the focus should not solely be on duration but rather on mutual satisfaction and comfort between partners.

3. Communication with Your Partner: Open communication with your girlfriend about your feelings and experiences can help alleviate some of the pressure you may feel. Discussing your concerns can foster intimacy and understanding, which may reduce anxiety during future encounters.

4. Techniques to Manage PE: If premature ejaculation becomes a recurring issue, there are several techniques and strategies that can help. These include:
- Start-Stop Technique: This involves stopping sexual stimulation before ejaculation and then starting again once the urge has decreased.

- Squeeze Technique: This involves squeezing the base of the penis just before ejaculation to delay it.

- Pelvic Floor Exercises: Strengthening the pelvic floor muscles through exercises like Kegels can help improve control over ejaculation.

5. Consulting a Professional: If you find that PE continues to be a concern, consider speaking with a healthcare professional or a therapist who specializes in sexual health. They can provide tailored advice and may suggest behavioral techniques or, in some cases, medication.

6. Avoiding Comparisons: It’s essential to avoid comparing your experiences to those of others. Each individual’s sexual journey is unique, and what matters most is finding a rhythm and comfort level with your partner.

In conclusion, your experience of premature ejaculation, especially as a first-time sexual partner, is not indicative of a problem but rather a common occurrence. With time, practice, and open communication with your partner, many men find that they gain better control over their ejaculation. Remember, the goal of sexual intimacy is mutual pleasure and connection, not just performance. If concerns persist, seeking professional guidance can provide additional support and strategies.

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