A Comprehensive Analysis of the Definition, Causes, and Treatments of Premature Ejaculation

2026-03-09

What is premature ejaculation? What are the causes of premature ejaculation and what are the treatments?

There are three definitions of premature ejaculation:

① Ejaculation before penetration or after only a few thrusts is called premature ejaculation.

② Ejaculation immediately upon sexual arousal.

③ Ejaculation within 1-2 minutes of intercourse, after only 10 or so thrusts, is also called premature ejaculation.

There is no universally accepted standard for the duration of normal intercourse. However, it usually lasts 3-5 minutes. Some individuals may last 15-30 minutes or longer. For the purpose of research, diagnosis, and treatment, some scholars have classified premature ejaculation into types:

① Ejaculation before penetration is called "premature ejaculation."

② Ejaculation within 2 minutes of penetration, after fewer than 16 thrusts, is called "time-based premature ejaculation."

③ If intercourse fails to satisfy a sexually functional partner, or if ejaculation occurs in half of all sexual encounters without the woman's satisfaction, this is considered "quality-related premature ejaculation."

On the wedding night, during the couple's first sexual encounter, due to excitement and heightened nerve activity, ejaculation may occur immediately upon contact with the woman's genitals or upon penile penetration. This usually disappears with increased experience and is not premature ejaculation, requiring no treatment. Occasional premature ejaculation due to changes in environment, temporary mental or physical discomfort, etc., is not pathological and will resolve with time.

When a man suffers from premature ejaculation, the biggest victim is the woman. The duration of intercourse is crucial for a woman to reach orgasm. Generally, the longer the intercourse, the easier it is for a woman to become aroused and achieve pleasure. However, men with premature ejaculation ejaculate very quickly during intercourse. What causes premature ejaculation in men?

① Psychological factors: This is due to pathological excitation of the brain or increased excitability of the spinal cord center, such as excessive mental tension or fear of sexual failure.

② Long-term masturbation, excessive sexual activity, or physical fatigue and insufficient energy can also lead to premature ejaculation.

③ Chronic prostatitis, seminal vesiculitis, and other inflammatory diseases of the reproductive organs can also cause premature ejaculation.

④ Systemic diseases, such as diabetes, alcohol or morphine poisoning, and brain and spinal cord lesions, can all lead to premature ejaculation.

Almost every young man has a tendency towards premature ejaculation, and anxiety or self-misunderstanding caused by this can actually accelerate the process. With practice and familiarity with sexual activity, this can gradually become a habit, naturally resolving many issues.

The first step in treating premature ejaculation is to address the psychological causes. Many treatments involve massage. When you shower each day, massage the glans penis with a soft towel, gently and slowly rubbing until you feel a slight stinging sensation. If you can persist with this for 3-6 months, premature ejaculation may be a thing of the past. Secondly, try changing the atmosphere. Male sexual pleasure peaks at the moment of ejaculation and then quickly diminishes. To control ejaculation, when actually penetrating and feeling the urge to ejaculate, while still in the penile position, think about things unrelated to sex, such as changing to a trivial topic, or engaging in other forms of sexual activity like kissing, feeling a complete detachment from the lower body. Additionally, changing positions and engaging in different forms of sexual activity after withdrawing the penis can suppress excitement, which is also an effective method. In short, changing the atmosphere can inhibit the increased concentration of nerves in the penis, thus prolonging ejaculation time and solving the problem of premature ejaculation. Another method is the "eight shallow, two deep" technique, which involves inserting the penis to about eight degrees of shallow penetration, then rocking it up and down and left and right twice, before finally penetrating deeper. In other words, varying the intensity of sexual activity prolongs intercourse. This is certainly a secret to increasing penile stamina.

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