Premature Ejaculation Reasons and Impact

Premature Ejaculation Reasons

Historically, premature ejaculation has been believed to be a psychological disorder. One theory is that males are conditioned by societal pressures to reach climax quickly because of fear of discovery when masturbating as teenagers or during early sexual experiences "in the back seat of the car" or with a prostitute. This pattern of quick realization of sexual release is difficult to change in marital or long-term relationships. The fact that female arousal and orgasm require more time than male arousal is being increasingly recognized, and this may result in increased recognition and definition of premature ejaculation as a problem.
Many have doubted whether premature ejaculation is purely psychological. A number of investigators have found differences in nerve conduction/latency times and hormonal differences in men who experience premature ejaculation compared with individuals who do not. The conjecture is that some men have oversensitivity of their genitalia, thus preventing down-regulation of their sympathetic conduits and delay of orgasm. Lately a certain group of nerves in the lumbar spinal cord has been identified as the possible originator of ejaculation. This nerve site is thought to be linked to excitatory and inhibitory dopamine pathways in the brain, which play significant roles in sexual behavior. This information is providing the basis for development of medications like Dapoxetine or Priligy specifically targeting delay of ejaculation.

Premature Ejaculation Impact

In case premature ejaculation happens too early prior to the sexual intercourse and the couple is attempting a pregnancy, it is impossible to achieve pregnancy unless the partner (female) uses simulated insemination. In addition, premature ejaculation is likely to leave both the partners emotionally and physically frustrated. Premature ejaculation is prone to have a direct impact on self-respect, marital function, and may also result in depression or other anxiety issues. Nevertheless, studies have not taken into consideration the link between premature ejaculation and sexual satisfaction or relationship satisfaction in couples who have not sought sex therapy. Hence, there is no evidence that premature ejaculation is an obstacle to a satisfying sexual relationship. Interestingly, observations made by men and women on men's ejaculatory behavior often don't correspond. In general, women see premature ejaculation as less of a problem than the men do. And how women see men's ejaculation, i.e. as a problem or not, seem to be largely influenced by whether they perceive the man as having premature ejaculation.