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Premature ejaculation or early ejaculation is a known sexual dysfunction and presents itself as one of the most common sexual problems in men, as nearly 30% of the members of the mentioned sex experience premature ejaculation of some degree. Contrary to the common misconception, age is not a factor when it comes to premature ejaculation as prevalence studies have shown, that rates of premature ejaculation are constant across all age groups of grown men.

Ejaculation, and with it, climax, should typically occur after 7-10 minutes of direct penile stimulation. Premature ejaculation was consensually defined as ejaculation that always incurs prior to 2 minutes of penetration. Naturally, there are some other factors to consider:
- the intensity and type of stimuli, that bring you to premature ejaculation
- the length of the time period during which you exhibit premature ejaculation (a one-off event or one occurence every once in a while does not neccessarily point to a dysfuncion)
- frequency of the problem (occurence with one or many consecutive and/or simultaneous partners)
- sexual anamnesis (masturbation, foreplay, frequency of sexual relations)

Men, who after self-assesment consider they are suffering from premature ejaculation, not necessarily always do. One must take into account the subjectivity of every individual regarding the control of his ejaculation, how much stress it induces, what his relationship and sex life are like in general, and how satisfied he is with performance and execution of the sexual relations in general.

The latest definition by the World Health Organisation – WHO states, that an ejaculation is considered premature when it occurs either completely without or with minimal preceding stimulation or, respectively, immediately after penetration and sooner than desirable, whilst having none or minimal control over ejaculation and as such being a strong detrimental factor to a man or his partner.

Ejaculation Mechanism

Ejaculation is the emission and expulsion of the seminary fluid from the male reproductive system. It sometimes trickles, but usually squirts from the penis a few centimetres into the air in about three to ten pulses. The standard amount of secretion volume is about one to two teaspoons of semen, but can at times amount to a lot more.

In most cases, the reason for ejaculation is an orgasm. It is carried out by the muscles, which push the semen from seminal vesicles in the scrotum through the urethra out of the penis. For that, sexual stimulation is needed, which can also include stimulation of the prostate gland. Ejaculation can also occur spontaneously during sleep, resulting in an event which is also called a ’wet dream’.

Ejaculation consists of two phases: emission and expulsion. During emission the ejaculation is under control of the sympathetic neural system, while the expulsion phase is controlled by the somatic and autonomic neurons located in the spinal cord.


One of the possible and relatively effective methods of treating premature ejaculation is the penis squeezing technique, which is similar to the so called ’start-stop’ method. When a man feels he is nearing orgasm, he stops intercourse and then squeezes his penis underneath its tip, until the feeling of upcoming ejaculation subsides (usually around 4 to 20 seconds). Then, after releasing the penis, he resumes with intercourse. If this technique turns out to be successful, a man can gradually learn to postpone ejaculation even without the squeezing. This is called the ’start-stop’ method, where the squeezing is no longer used, but rather the man merely stops intercourse and all stimulation until the urge to ejaculate subsides, and then continues with intercourse. Both methods can be used indefinitely.

Another viable option is the use of medication, which prolongs the time to ejaculation. Delayed ejaculation is incidentally a common side effect of some medication, specifically some anti-depressant drugs (SSRIs). There is, however, already some medication that is nowadays perscribed exclusively to counter premature ejaculation on an ’as needed’ basis (before anticipated sexual intercourse). You can find these kinds of medication in our online store.

Some studies also show favourable effects on premature ejaculation with subjects taking drugs used for treating erectile dysfuncion, for instance Viagra, Levitra, Cialis, etc. All of those products and more can be found in our online store.

For some men, decreasing or limiting the amount of stimulation is all that is needed to keep premature ejaculation at bay, but with that also comes a decrease or even lack of pleasure that they experience during sex. Stimulation can also be managed with special desentisizing topical medication and sprays or by wearing one or more condoms. It needs to be noted, though, that a long term use of antistimulants which also reduce sexual pleasure is not a preferable permanent soultion and is more appropriate in cases where premature ejaculation is not yet considered to be a medical dysfunction.

A principal factor when dealing with problems of sexual nature, is the importance of openness towards sex and sexuality in general, the ability to communicate and cooperate with your partner and management of stress in our day to day life.

In the rare case that all aforementioned strategies prove to be of no help, a step toward psychoanalytical treatment can also be considered an option.