Premature ejaculation must be dealt mainly with an open dialogue with the doctor. In this section, some answers to frequent questions have been collected.
- How can I know if I have premature ejaculation?
Premature ejaculation is an ejaculation that takes place before the subject wants it. If you want a “technical” indication, it is an ejaculation that happens within 3 minutes from vaginal penetration. However, of course, it is hard to clock the precise times during these circumstances…1
- What can premature ejaculation be due to?
The causes can be psychological (performance anxiety) or physical (infections, drugs intake, endocrinal or neurological disorders). It is an issue that can be solved with the help of an andrologist and a psychosexologist. First of all discuss it with your doctor, possibly together with your partner.2
- When should I be worried about premature ejaculation?
If premature ejaculation happens occasionally, you should not worry about it. In fact, ejaculation is influenced by many temporary factors like, for example, stress. However, if this disorder keeps happening, or if you are doubtful, discuss it with your doctor, if possible together with your partner.2
- Is it possible that premature ejaculation is associated with erection difficulties?
Yes, it is possible. Premature ejaculation can occur as an erectile dysfunction symptom. Therefore also this aspect must be considered, because more or less unconsciously, man may ejaculate sooner in order to hide erection weakness.3
- I hear a lot of talk about premature ejaculation, is it a rising issue?
Actually this disorder has always existed, nevertheless it has been evaluated with more attention only in the last decades and people are less embarrassed to talk about it, also because there are new and effective treatment solutions. Moreover, in recent years, attention to female pleasure has increased.4,5
- Is premature ejaculation a male issue only?
In a physiological sense, yes, it is. There is no equivalent female dysfunction (even if in a minority of women a sort of ejaculation may occur, before or during the orgasm). However, in a broader sense, premature ejaculation, in addition to being a male medical condition, deprives the woman of her right to sexual pleasure and happiness. This wears out couple intimacy, involving all the aspects of a relationship, until its break. For this reason it is important to talk about it with the partner and the couple should have a talk with their doctor.4,5
- What is orgasm?
Briefly, an orgasm is the maximum expression of sexual excitement, following a stimulation of the erogenous zones and of the sexual organs.6
- What shall I do if I have erection issues?
If the issue occurs occasionally, you shouldn’t be worried about it. Like in the case of premature ejaculation, also erection difficulties (medical term: erectile dysfunction) can depend upon several factors, like a bit of illness, tiredness, stress, lack of privacy or uncomfortable familiarity with a new partner. However, if the issue keeps happening or if you are doubtful, talk about it with your doctor, if possible together with your partner.2
- Is it true that alcohol helps me if I have premature ejaculation?
This is not true. Alcohol gives a misleading feeling of slowing down the ejaculatory reflex, improving control only because it temporarily lowers performance anxiety and inhibitions. Actually alcohol, in the long term, has a negative effect on testosterone production and on the arteries that allow blood flow to penis, therefore it leads to erectile deficiency.7
- Is it true that alcohol helps me if I have erection difficulties?
This is not true. As already answered to the question about premature ejaculation, alcohol seems to “help” because it temporarily lowers performance anxiety and inhibitions. Actually alcohol, having a vasodilatory effect, accelerates the blood flow from the penis and therefore it facilitates a quicker erection loss.7
- Can premature ejaculation cause problems in to woman?
Yes, premature ejaculation deprives the woman of her right to pleasure. This can result in turnoff and orgasm inability (medical term: anorgasmia) during intercourse, with possible consequences on coupledom. On the other side, discussing this together and speaking to the doctor together, can strengthen the relationship value e help to solve this issue more quickly.4
1. Serefoglu EC, McMahon CG, Waldinger MD, et al. An evidence-based unified definition of lifelong and acquired premature ejaculation: report of the second international society for sexual medicine ad hoc committee for the definition of premature ejaculation. Sex Med 2014;2(2):41-59.
2. Criteri di appropriatezza strutturale, tecnologica e clinica nella prevenzione, diagnosi e cura delle patologie andrologiche. Quaderni del Ministero della Salute. 2012;13.
3. Lotti F et al. Clinical correlates of erectile dysfunction and premature ejaculation in men with couple infertility. J Sex Med 2012; 8:2698-707.
4. Jannini EA, Nollaioli D, Ciocca G, Limoncin E. Ansia e depressione sono cause o conseguenze dell’eiaculazione precoce? Mediserve Ed., 2015
5. Limoncin E, et al. Premature ejaculation results in female sexual distress standardization and validation of a new diagnostic tool sexual distress, the FSDS-R-PE. J Urol 2013;189:1830-1835
6. Graziottin A, Jannini EA. Eiaculazione precoce (EP): definizione, diagnosi e terapia. Momento medico ed., 2014.
7. Porst H, et al. The Premature Ejaculation Prevalence and Attitudes (PEPA) survey: prevalence, comorbidities, and professional help-seeking. Eur Urol 2007;51(3):816-23.