The Definition Of Premature Ejaculation
In men's clinics, patients often ask questions like: Doctor, am I premature ejaculation ? What is the specific reason? Maybe you can't get a satisfactory answer to a question like this, so why? Is the doctor reluctant to speak? Can't you explain clearly? Don't the doctor know? Now let's talk about this.
In fact, The Definition Of Premature Ejaculation is not as simple as you might think. Many doctors have tried to give you a clear statement of what premature ejaculation is and give you a clear definition of premature ejaculation, but most of these definitions fail.
Here Are Some Common Definitions Of Premature Ejaculation:
In 1970 , Masters and Johnson defined that the duration of ejaculation during intercourse should be kept at a frequency that is satisfactory to the spouse, below 50. Premature ejaculation.
In 1973, OBLER defined premature ejaculation as "premature ejaculation lasting less than 2 minutes in male ejaculation".
In 1974, American sexual medicine expert Kaplan (Kaplan) defined that because men lack the ability to regulate ejaculation at will, so they can not achieve the expected premature ejaculation orgasm. He believes that it is normal to maintain ejaculation for more than 5 minutes after penetration, or that both the husband and wife are satisfied and will not be affected by the man's delayed ejaculation.
In 1984, the American Psychiatric Association DSM-III-RIII-R criteria defined ejaculation as premature ejaculation when the penis was not inserted into the vagina as required, or ejaculation with minimal sexual stimulation.
The definition of ejaculation in the Diagnostic and Statistical Manual of Mental Disorders DSM-IV-TR 4th Revision is: Ejaculation is always or frequently performed with minimal sexual stimulation before, during, or shortly after vaginal penetration, and the patient Don't want such ejaculation. Clinicians must consider various factors that affect the duration of arousal, such as age, novelty of the sexual partner or sexual environment, and frequency of recent intercourse.
In 1997, the American Urological Association proposed a definition: Premature ejaculation can be considered as either dissatisfaction with the ejaculation latency or an attempt to prolong the ejaculation latency by either partner .
World Health Organization International Classification of Diseases, 10th Edition (ICD-10) definition: Ejaculation cannot be delayed to fully enjoy sex, as manifested by ejaculation occurring shortly before or shortly after intercourse (if a time limit is requested: within 15 seconds before or after intercourse ), or the penis is not fully erect and ejaculation cannot occur during intercourse. Physical education at this time is not caused by a long-term lack of sex.
The Second International Consultation on Sexual and Erectile Dysfunction (Second International Consultation) defines erectile dysfunction as: Ejaculation occurs when the penis is slightly stimulated, before or shortly after penetration of the penis, and ejaculation occurs more than expected early, causing trouble or pain to patients who have little or no active control over ejaculation.
In October 2007 , the International Society of Sexual Medicine (ISSM) first used evidence-based medicine to define a new definition of erectile dysfunction: Erectile dysfunction is a male sexual dysfunction characterized by the fact that ejaculation is always or almost always Occurs before or within 1 minute of vaginal penetration; failure to delay ejaculation with every or nearly every vaginal penetration; negative consequences such as pain, distress, depression, and/or avoidance of intimacy.
Did You Want To Know How To Prevent Premature Ejaculation?
As you can see, I have no definition of premature ejaculation. However, these definitions encounter so many difficulties in practical clinical application that doctors sometimes cannot tell what is premature ejaculation. Why Is This Happening?
1. The definition of premature ejaculation must consider the feelings of the spouse, but only defining the feelings of the spouse of premature ejaculation will ignore the man's own experience. Some definitions focus on the spouse's satisfaction during sexual intercourse. It's true that a man can achieve orgasm just by ejaculating, but a woman must have enough stimulation time to orgasm. But if only women's feelings are considered, is this ok? Don't men need to enjoy sex? The answer is definitely no! Furthermore, it is difficult to define premature ejaculation in terms of whether a woman is clinically satisfied. Most of the time, patients are not married. Also, sometimes the wife cannot tell how many times she is absolutely satisfied and how many times she is absolutely dissatisfied! Or if the wife is satisfied, if the man is not?
2. The definition of premature ejaculation should have a time limit for sexual intercourse, so that doctors can better judge who is premature ejaculation and who is not! Perhaps this definition is easier to manipulate, and readers may think so. is that so? But in fact, it's not.
People behave very differently when it comes to their sexuality. This is not only reflected in sexual intercourse location, situational choice and so on. , in sexual intercourse itself, each person's posture, voice, speed and amplitude of movement are very different. The rate of ejaculation during intercourse is also the same, and varies greatly from person to person. Some people have sex for a long time before ejaculation, while others don't. Also, everyone has different requirements for sex time. Some people think 5 minutes is too long, while others think 10 minutes is not enough. This definition is even more difficult if one takes into account the expected timing of intercourse for the spouse.
Given this situation, we may wish to make some suggestions:
1. Sexual intercourse is an activity that provides a pleasurable experience for both spouses. When you or your spouse feel unhappy, you may consider seeing a doctor.
2. Don't ask the doctor how long it will be normal. You and your lover feel the most authentic. Defining premature ejaculation as 1 minute or 10 minutes won't change how you feel.
3. Don't pay too much attention to the timing of intercourse. While timing and erection hardness are important, the emotional experience of touch during intercourse is even more important.
As with erectile dysfunction, regular sex and a good relationship are prerequisites for measuring premature ejaculation. Don't measure your sexual function with masturbation, prostitution, and promiscuity.
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