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PE Male SuffererAs many men are unfortunately aware, premature ejaculation is a sexual dysfunction in which a man ejaculates earlier than either he or his partner would like. Most men will experience this condition at least once in their lifetime and some estimates suggest that between 25%-40% of men in the United States alone suffer from it regularly. While until recently premature ejaculation was commonly attributed to either psychological or physiological factors, new theory calls for a greater integration of these two elements and supports an expanded range of classification for this common male sexual condition.

The Four Classifications of PE (Premature Ejaculation)

Although premature ejaculation is a frequent sexual complaint from males, the occurrence of PE is not always the result of purely mental or physical factors. A newly proposed classification system separates the condition into four specific syndromes; lifelong PE, acquired PE, natural variable PE and premature-like ejaculatory dysfunction.

Each syndrome is distinguished by certain specific variables:

  • Duration of IELT (Intravaginal Ejaculation Latency Time) - this is the amount of time it takes from actual vaginal penetration until ejaculation occurs
  • Frequency of PE complaint
  • How PE progresses over time
  • The underlying cause of the disorder [Etiology]
  • The actual physiological changes that occur due to the disorder [Pathophysiology]
  • Recommended Treatment of PE

Lifelong PE
For men with lifelong PE, ejaculation usually occurs within 1 minute of penetration. Men under this classification have experienced premature ejaculation starting with their very first sexual encounter and the condition has persisted ever since. It is believed to be a mainly biological disorder and the use of drug treatment is required to delay ejaculation.

Acquired PE
Acquired PE, also called secondary premature ejaculation, describes a condition in which PE did not always exist but developed at some point in time. The cause may be either physiological or psychological (or both). Suggested treatment involves specific counseling, or in the case of an actual biological disorder such as thyroid or urological disease, medical treatment may be necessary.

Natural Variable PE
Men with natural variable PE only experience early ejaculations occasionally. Since there is no indication that an occasional occurrence of premature ejaculation is either related to psychological or physiological disorder, it is assumed that this condition is only a manifestation of normal ejaculatory performance. The treatment for those men who fit into the natural variable PE classification is generally limited to counseling.

Premature-like Ejaculatory Dysfunction
Premature-like ejaculatory dysfunction is the classification for those men who complain of rapid ejaculation yet have normal IELT (3-7 minutes) or even longer IELTs (10-25 minutes). Since these IELTs adhere to what is largely considered normal intercourse duration time and there is no evidence of physiological disturbance, it is very likely that this syndrome has either psychological or cultural origins. For men experiencing this condition, treatment with medicine is not recommended. Instead, counseling or psychological therapy designed to help them cope with their complaints should be pursued.

In a recent study to determine the prevalence of these four PE syndromes among patients admitted to a urology outpatient clinic, it was concluded that the majority of patients who seek treatment for premature ejaculation fit into the classification of lifelong PE. It should be noted that the results of this particular study only suggest that most men who actually seek treatment are classified as lifelong PE sufferers. The percentage of men correlating with the other three premature ejaculation syndromes and who never seek treatment may be significantly higher.

Source:Journal of Sexual Medicine / DOI 10.1111/j.1743-6109.2009.01570.x

Dealing with Premature Ejaculation

The new classification system for PE reveals that are many different variations of premature ejaculation to consider. Some instances of PE are caused by an actual biological disorder and require medical attention while others are more likely related to psychological issues. Regardless of the exact root cause of the condition, the end result is ultimately an undesired effect on male sexual performance.

In many cases where men feel they're not performing to their full ability and would like to increase the length of time before ejaculation occurs, there are simple techniques available that can help improve IELT. Penis exercises for instance, specifically those that target premature ejaculation, provide an easy and inexpensive way to help increase sexual endurance.

Another excellent method used to combat PE is through the use of a specially designed penile traction device. These devices can help prevent premature ejaculation and also offer the added benefit of increasing overall penis size.

While these techniques are not meant to replace medical treatment in those cases where an actual physiological pathology exists, they can be helpful for the large percentage of men who simply wish to prolong intercourse through better ejaculation control. As always, it is best to consult a physician for advice if you believe the severity of your condition warrants medical attention.

Posted by PRS
Friday, February 19th, 2010


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7 Responses to "The Different Types of Premature Ejaculation"

Could PE be caused by anticipation to have intercourse with a particular woman or partner? Too much anticipation of making out with a woman that you desire could be responsible?

Hi Francis,

Not only is it possible, it's probably one of the most common reasons why normal healthy men experience premature ejaculation. While it's common to become excited with the anticipation of being in a sexual situation, sometimes this feeling can become too overwhelming and have an adverse effect on performance.

To take one of Alfred Hitchcock's sayings slightly out of context...

"There is no terror in the bang, only in the anticipation of it."

im 19 years old and my first sexual experience was when i was 17 yrs old with an ex girl,but i only encounter with a blowjob(penis to mouth) with i had no bonner and im guessing i did have a premature ejaculation. im still a virgin, its hard to show a girl a my physical side because everytime im with a girl i alwayz premature ejaculate. its hard? should i take pills? im confuse and need help? will talk to a doctor soon. thanks

Hi Miguel,

The only way to know the exact severity of the condition is to visit a doctor. In some cases the only reliable solution is a medical one. You may however wish to experiment with natural techniques such as penis exercising.

I recommend following the program created by PenisHealth which can teach you exactly how to perform the exercises in order to get the best results. These exercises are not only for adding size to the penis but also for improving performance and increasing endurance. These qualities are of great importance particularly when dealing with sexual dysfunction issues.

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