Premature ejaculation

Vue latérale du système reproductif masculin - Illustration : Elf Stenberg.

Ejaculation is considered premature when it occurs very shortly after sexual stimulation, and has not allowed penetration to take place, or has lasted only a short time relative to the partners’ wishes.

There is no objective time below which ejaculation is considered premature. Physiologically, a fast ejaculation is not a disorder, and it is not a disease.

Ejaculation is therefore considered premature in a subjective way. One could say that ejaculating before the partner had an orgasm or took pleasure, even if the penetration lasted long minutes, is premature.

As with erectile dysfunction, the diagnosis of premature ejaculation should only be made if the phenomenon is recurrent. Not being able to hold back occasionally is not a disorder. This is more embarrassing for the quality of sexual intercourse if it is systematic or habitual. It is then a question of learning to control the level of his excitement (and not the ejaculatory reflex, which is not controllable).

Psychological causes other than the level of excitement may be at the origin of so-called premature ejaculation, such as the fear of not being able to ejaculate if one restrains oneself or of not being efficient, which leads to precipitating things, or general behaviour usually eager, an unconscious desire to “finish quickly”, etc.