To Overcome Rapid Ejaculation We Need To Know What It Is!
Is There An Accurate Definition of Premature Ejaculation?
Diagnosis & Definition
Premature ejaculation is often defined by two things - first, the time between penetration (intromission) and ejaculation is two minutes or less (though some experts use three minutes as a cut off point), and second, there is distress of some kind for either the man or his sexual partner because lovemaking is so brief.
From the man's point of view, this means he has reduced control over ejaculation; he is dissatisfied with intercourse, and he or his partner are distressed about it.
Since many men do not apparently mind that they can make love in bed for so short a length of time - less than two minutes - before they ejaculate, the added factor of "distress" is needed.
In reality, substantial overlap exists between men who say they have premature ejaculation and those who don't when the length of lovemaking alone is used alone as a defining feature of the condition.
When men are asked to estimate how long they are capable of making love for, they are found to overestimate the time somewhat: men with PE think they can make love for 2 minutes, when the actual average is 1.8 minutes. Men without PE estimate their capacity at 9 minutes when they can actually make love for 7.3 minutes. Not much difference in duration, really.
By these criteria, premature ejaculation is present in at least 35% of males over 18 years of age. It's also not surprising to find that premature ejaculation is the most common male sexual dysfunction with erectile dysfunction and decreased libido close behind.
Men who can't control ejaculation in the bedroom are obviously much less happy about the quality of their sexual relationship, the duration of sex, and the period of time they spend with their partner.
So according to the definition of PE
DSM IV, coming too soon has to cause distress and/or interpersonal
problems to be considered early ejaculation, which is - to say the least
- a very subjective definition, An untimely coming, one might say!
So that means the DSM IV definition of prematurity has little value as a diagnostic test for predicting PE. The key thing here, as you may have realized, is that there is no definition of the time between penetration and ejaculation (also called the intravaginal ejaculatory latency time or for short the IELT).
And this means that men who "last a long time during sex", i.e. who can thrust for up to 20 minutes or even longer between penetration and ejaculation, may, according to the DSM IV, have premature ejaculation if they simply have some doubts or worries about how long they can last. Confused? Go to bed and put an ice-pack on your head! Lie there for as long as you want, but don't get up prematurely!!
Worse, there are plenty of men who last for a long time in bed and yet who complain that they have premature ejaculation. All in all, the unspecific and vague DSM IV definition is unhelpful in clinical practice and does not aid research into new methods of treatment.
A New Definition
The DSM IV definition of premature ejaculation emphasizes the subjective nature of premature ejaculation as a "complaint" from which men suffer. And the imprecise nature of the term "interpersonal distress" leaves the definition open to further subjective interpretation.
But worry no longer! Proposals for a new definition have been put forward: an approach which would elevate premature ejaculation from the subjective sense of "I'm not lasting long enough in bed" or "how can I last longer during sex" to a so-called syndromal approach which incorporates carefully conducted clinical studies which measure the time between penetration and ejaculation.
Premature ejaculation as a discrete clinical entity, a medical syndrome, was first described in 1943 by Schapiro, who drew a distinction between what was to become known as lifelong premature ejaculation and acquired premature ejaculation. More recently, Waldinger and Schweitzer suggested the existence and definition of a third premature ejaculation syndrome called "natural variable premature ejaculation".
And, in order to help the classification even further, Waldinger also suggested that a fourth premature ejaculation syndrome be called premature-like ejaculatory dysfunction - this is the condition experienced by men who last long enough while bedding a woman but who still claim they have premature ejaculation!
Let me try and make all this clearer:
Natural Variable PE