Question

Premature Ejaculation

What is chronic premature ejaculation?

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  • AMadeleine Castellanos, MD, Sexual Health, answered on behalf of Good In Bed
    For many guys, premature ejaculation (PE) is a chronic problem that they've been dealing with their whole lives. If your partner has chronic PE, he's probably experiencing the following three issues:
    •  He doesn't last long. Most guys can actually only have intercourse for an average of about two to five minutes before ejaculating. For men with PE, though, that's an eternity -- most can only last about a minute or less before they come. How do we know this? Researchers have devised a system called Intravaginal Ejaculatory Latency Time (IELT), which measures how long a man can have intercourse before he ejaculates. Different researchers have found different times, but most report that men with PE typically last somewhere between 15 and 60 seconds. Many guys with PE can't even make it to penetration, so they have a hard time enjoying the full spectrum of sexual possibility. They also have a difficult time explaining why it's so hard for them to receive sexual stimulation, which can often leave you feeling confused and less engaged.
    • He can't hold back. The old "think about baseball" trick doesn't work for guys with PE. They can't control or delay ejaculation and often orgasm at or shortly after penetration -- whether they want to or not. All men have a point of what we call ejaculatory inevitability during sex, as well as an ejaculatory threshold. That threshold is lower in guys with PE, and their point of ejaculatory inevitability arrives much more quickly. In fact, one of the worst things you can say to man with PE is to ask him to "wait" to have his orgasm, because the stress of being told to wait until he's ready is likely to speed up ejaculatory inevitability In general, men with PE can't last long enough to satisfy a woman during vaginal intercourse.
    • PE affects his life. I don't have to tell you that those first two issues do nothing to inspire sexual confidence. Instead, they can trigger a whole range of negative emotions in men with PE: He might feel angry and frustrated with himself, insecure and anxious about his sex life, embarrassed, worried about his relationship, or a combination of these.
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What is acquired situational premature ejaculation?