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Ejaculation – Fast or Slow?

Effects Of Male Sexual Dysfunction On Men And Women

In 2005 Donald Patrick and a number of colleagues conducted an observational study into the effects of premature ejaculation on men and their partners. This was published in the Journal of Sexual Medicine, volume 2, issue 3, in May 2005.

Patrick makes the observation that whilst premature ejaculation is the most common male sexual dysfunction, estimates suggest that only a small number of men who regard themselves as having PE actually receive any treatment for this problem.

Considering that up to 50% or more of the male population ejaculate too quickly, by their own admission (the figure offered by Patrick is 20 to 30%, but we believe it to be higher) this is a very significant number of men who are tolerating the condition.

It’s obviously the very personal and intimate nature of PE that causes both men and doctors hesitancy in discussing this subject, and this also probably contributes to men’s lack of awareness of how they might deal with the problem.

As we’ve seen on other pages of this this website, there are several factors which may also affect the understanding and analysis of PE, including the lack of an accepted definition, and the controversy around treatment methodology.

We have also seen how definitions of premature ejaculation are based on factors such as personal distress, difficulty between the partners, the level of sexual satisfaction, the time between penetration and ejaculation, and the lack of control that a man subjectively feels he has over his sexual responses.

The effect on the partners is an area that has been less well studied than the effect on the man concerned.

There is no agreed standard for the time between penetration and climax which could be used as a definition of PE. Indeed, there is no standard which is agreed upon for defining delayed ejaculation either – so premature and delayed or slow ejaculation become simply two aspects of the same problem.

Indeed, studies have used intervals of anything between 1 and 7 minutes as a definition of “premature”.

Previous studies have demonstrated that it’s extremely important to take account of what the man and his partner feel about the experience that they’re having.

Factors that are relevant to both partners in a relationship would include the level of satisfaction that they feel around the man’s control, the level of satisfaction they feel with sexual intercourse, and the perception of their overall situation.

Patrick’s study was designed to characterize men with and without premature ejaculation in a large sample from the community. Of course this revealed nothing about how well men could control premature ejaculation during sex with their partners.

And it revealed nothing about sex with their partners, how satisfied their partners were with orgasm frequency or the nature of their partners orgasms. In particular, whether or not the women were able to enjoy female ejaculation as part of sexual pleasure.

The researchers used both measures that could be observed – the IELT or time between penetration and climax – and subjective measures such as reports by the man and his partner about satisfaction, distress, difficulty and severity of the condition. This was especially true in cases of delayed ejaculation. You can read a treatment protcool for this condition here.

No treatment was offered to any of the people in this study, since the objective was purely around descriptive observation of the men’s condition. The study lasted for four weeks and was conducted at 42 centers in the United States.

The couples who took part were paid approximately $400. They were required to make three visits to the centre where they were interviewed at approximately 2 week intervals.

All of the men involved in the study were more than 18 years of age, in long-term heterosexual relationships and, by their own admission, monogamous. Also, the fact that they were required to have been in a relationship for six months should have avoided any potential effects of a new sexual partner on the man’s IELT and other subjective responses to intercourse.

All the subjects underwent a review of their medical history, collection of relevant personal information, and the assessment by a clinician of their ability to control female ejaculation.

The investigators used the standard DSM IV criteria to determine the effort they had made to overcome the problem.

The definition of PE used was: persistent or recurrent ejaculation occurring with little or no physical stimulation, on or shortly after penetration, and before the man wishes it; causing distress or interpersonal difficulty; and the fact that the PE must not have been due to the direct effects of alcohol or other drugs or any other substance.

Studies Into The Effects Of Rapid Ejaculation

Any subjects who reported decreased libido or any other form of sexual dysfunction, and any men whose partners exhibited those characteristics, were ineligible to take part in the study, as were those men who were taking various medications including SSRIs, medication for erectile dysfunction, and any anesthetic ointment treatment to control premature ejaculation.

On the first visit the man and his partner were given a stopwatch and instructed how to record the time between penetration and climax: the man’s partner was asked to operate the stop watch, starting it when the man penetrated her vagina, and stopping it when he ejaculated or withdrew without any ejaculation.

During the course of the study, the couples were asked not to engage in any new sexual techniques, so that their established sexual behavior and routine would not be affected by novelty.

On the second and third visits to the investigation centre, the man was asked to complete various subjective surveys of his ejaculation control, satisfaction, distress and interpersonal difficulty.

His partner was not expected to take part in the second and third visits, but was given a questionnaire to be completed and returned to the investigators at the end of each period of the survey.

As far as the subjective measures of sexual pleasure and satisfaction were concerned, there were five questions which were rated on a scale of 0 to 4.

The first question concerned control over ejaculation, specifically his ability to prevent premature ejaculation. Both the man and his partner were asked what level of control over ejaculation during sexual intercourse the man had achieved, on a scale of 0 to 4.

The second question concerned satisfaction with intercourse and again both the man and his partner were asked where their satisfaction with sexual intercourse over the past month could be rated on a scale of 0 to 4.

The third question related to the severity of the man’s premature ejaculation, and both the man and his partner were asked independently to assess the severity of the condition on a scale of 0 to 3.

The distress caused by PE was the subject of the fourth question, and the men and their partners were asked how distressed man was by how fast he ejaculated during sexual intercourse.

Again his responses were analyzed on a scale of 0 to 4. And the final question was around interpersonal difficulty. Both the man and his partner were asked to what extent the speed with which the man ejaculated during sexual intercourse caused difficulty in the relationship. The answer was rated on a scale of 0 to 4.

Intra-vaginal ejaculatory latency time – IELT – was defined as the average duration of intercourse taking into account all attempts to have intercourse since the last visit to the survey centre.

Those men who ejaculated before they’d even penetrated their partners were given an IELT of 0 minutes. Using statistical analysis, including t-tests, correlation analysis, and chi-square tests, plus Spearman’s rank correlation coefficient, the subjective and objective scores were analyzed with respect to the differences between men who claimed to have had lifelong premature ejaculation and those who claimed that PE had started later in life.

There were 1587 men and their partners involved in the study, of whom the doctors diagnosed 207 as having premature ejaculation. Therefore, 1380 men who did not meet the criteria laid down in DSM IV were assigned to the group of men who were supposed not to have PE.

The majority of subjects completed the survey, although 13 men in the group with PE did not do so, while 38 men in the group without PE were lost to the study at some point. The average age of men in the study was 35.4 years, and the majority were white men living with their partner.

Obviously men with a long IELT of 30 minutes or more could be said to have delayed ejaculation and might benefit from delayed ejaculation treatment. All therapeutic approaches to ejaculatory difficulties aim to stop premature ejaculation and produce a more normal timescale for lovemaking.

Law Of Attraction and Sex Problems

Premature Ejaculation & Law Of Attraction

You may well have heard of the Law of Attraction and manifestation, the did you know that it can be used – or at least, the principles involved in it – can be used to cure premature ejaculation?

Now hang on before you go swanning off to another website thinking this is some new age hippy thinking….. This is based on sound psychological principles of affirmation, positive reinforcement, goal setting and visualization.

Read what Free Affirmations has to say on the subject of premature ejaculation.

You can rewire your mind and last longer in bed by using these specially designed positive affirmations. They will help you to overcome problems with premature ejaculation and retake control of your sex life!

Sexual response is so closely related to mental activity that, if you can gain a measure of control over your core thought processes, you can effortlessly last longer while still enjoying immense sexual pleasure.

Imagine just letting go and having sex for as long as you want, and not having to exert intense mental effort to stop yourself from ejaculating!

You can achieve this by using these affirmations every day to naturally develop a strong degree of mental and physical sexual control.

I imagine quite a lot of you would like to know what those affirmations might be! Well, here they are…  

Present Tense Affirmations
I am a great lover
I am in control of when I ejaculate
I always last a long time in bed
My sexual stamina is amazing
I can please my lover for hours and hours
I always maintain sexual control
I am conquering premature ejaculation
I make love to my partner slowly
I always take the time to slow down and enjoy sex
I am an extremely romantic lover

Now I dare say you’re wondering whether or not it can really be the case that simply using affirmations like this can help you achieve greater control in bed. Well the truth of the matter is that affirmations can always have a massive effect on human behavior, so there’s absolutely no reason why you should doubt the power of affirmations to control one aspect of human behaviour – premature ejaculation.

Masturbation and Law of Attraction

 

So the essential question here, as you probably realized, is precisely how can the law of attraction play into sexual energy? This information should help you understand the connection between sexual energy, emotional energy, and the emotional fuel required to send out your desires and wishes into the universe for them to manifest.

Even so it’s a tentative and sometimes quite challenging area of debate – many people find sexuality difficult to talk about, even now, in what are regarded as times which are very “open”.

Because the reason for this is undoubtedly sexual shame which is embedded in our culture in a very profound and amazingly deep way.

Sexual Shame and Law of Attraction

You’ll see that in the video above this guy asks whether or not is necessary to have a sexual partner to achieve happiness. It’s an interesting question, dont’cha think? Although everything the one of us probably assumes that a sexual partner is a great thing to have, it actually isn’t necessary to achieve a state of happiness.

Happiness comes from the internal workings of the mind, which ultimately, in the high state of evolution, something that only you would have control over, not allowing other people to influence you into responding in a certain way which is against your best interests.

Now you will observe that The Law of Attraction is certainly a mechanism by which you can achieve something approaching individual autonomy. And you can be free from the responses and emotions generated in response to other people’s actions, thoughts and feelings. Then you are certainly becoming an independent entity with much greater spiritual power, and much more ability to manifest anything you want.

So does that mean that becoming an adept at using the Law of Attraction to manifest reality is  something that removes you from the need for human interaction?

Not at all. What the Law of Attraction and spiritual evolution combined to do is to give you much greater power over your own destiny, but they don’t alter the fact that you will receive emotional reward and satisfaction from being in relationship with the human beings.

In many ways, evolving spiritually is something that everybody with an aspiration “to be the fullest person they can be” should be doing! You see, spiritual evolution means that you’re less at the behest of other people’s emotional needs and demands, which in turn means that you have more emotional energy to satisfy your own needs.

Whether that be controlling your premature ejaculation, becoming a spiritually adept individual, becoming great lover, generating wealth and prosperity… Whatever… The fact that you have more spiritual energy available to you because you’re not disbursing it on emotional defences means that you will be more in charge of your own life in every single respect, including your sexual performance.

 

 

Drug Treatment To Delay Ejaculation

Drug Category: Selective serotonin reuptake inhibitors

Their action is linked to reducing uptake of serotonin in the central nervous system. SSRIs have weak effects on norepinephrine and dopamine neuronal reuptake. They do not antagonize adrenergic, cholinergic, GABA, dopaminergic, histaminergic, serotonergic, or benzodiazepine receptors; this means they have fewer adverse anticholinergic effects than the family of tricyclic antidepressants.

SSRIs cause sexual side effects, including delay in sexual orgasm for both men and women; while delayed in reaching orgasm caused by an SSRI is an adverse effect in women, the same may not be true in men. Indeed, it can help to overcome too-rapid orgasm. Sertraline (Zoloft), paroxetine (Paxil), and fluoxetine (Prozac) are helpful SSRIs for treating premature ejaculation.

The optimal treatment for premature ejaculation is unknown, but single dosing before sex works for some men, while daily use of the medication may be necessary for others. The daily dose may be increased gradually until a therapeutic effect is achieved. If one SSRI doesn’t help, using a second alternative is reasonable. After 6 weeks at maximal dose with no improvement, no further treatment is recommended.

The Art Of Delay In Ejaculatory Control

Pathophysiology of PE

Premature ejaculation as a psychological problem does not involve any known disease of the male reproductive tract or any so far discovered problems of the brain or nervous system.

Could the problem lie somewhere in the male reproductive system (i.e., penis, prostate, seminal vesicles, testicles)? The answer is that we do not really know.

But when PE happens before satisfying intercourse is completed, both the man and his partner will be dissatisfied both emotionally and physically.

Premature ejaculation has often been spoken of as a psychological problem.

As you may have seen, some experts have suggested that young men are conditioned by societal pressures to ejaculate in rapid order because of fear of discovery when masturbating or during early sexual experiences.

But although this may become a habit, it’s hard to imagine it is actually an ingrained physiological response which cannot be changed later in life.

Therefore, some researchers have suggested there may be a physical cause, such as differences in nerve conduction rates or hormonal differences between men: even hyper-excitability or oversensitivity of the penile nerves has been suggested. This would stop down-regulation of their sympathetic nervous system pathways and inhibit delay of orgasm.

In some cases premature ejaculation represents other issues: e.g. a cardiac patient may fear a myocardial infarction during sex, and so develop premature ejaculation.

But it is logical from an evolutionary point of view that males who ejaculated rapidly would have more success when mating and fertilizing a female than those who needed prolonged mating time.

Therefore, the genes of a male who came quickly would stand more chance of passing his genes on to the next generation – and also, a male who took a long time to mate might well be killed because of his vulnerability during intercourse.

Frequency of premature ejaculation

Premature ejaculation occurs in between 30 and 70% of men. The percentage is similar in all age categories: of course, erectile dysfunction becomes more common in older age groups.

Since many men do not discuss rapid or premature ejaculation with their doctor, probably because of embarrassment or a sense of hopelessness around a cure, or even because they are satisfied with the quality of their ejaculations (no matter how quickly they occur), the proportion of men who have premature ejaculation in their lives is almost certain to exceed conventionally accepted figures of 30%.

Race and premature ejaculation

No firm data exists on the subject.

Age and premature ejaculation

Premature ejaculation is most common in younger men (in an age group between 18 and 30 years) but is far from uncommon in men aged 45-65 years, where it is often associated with erectile dysfunction.