Premature Ejaculation (PME)

Premature Ejaculation (PME)

PME is one of the most common sexual issues couples are facing now days. Timing is not everything but it can still add frustration to you relation. If your timing is not enough to satisfy your partner, its called PME. In literature PME is classified as primary or lifelong, secondary or acquired, global, situational.

World Health Organization 1992  defines PE as “The inability to control ejaculation sufficiently for both partners to enjoy sexual interaction” and as “an inability to delay ejaculation sufficiently to enjoy lovemaking, and manifest as either of the following: (1) occurrence of ejaculation before or very soon after the beginning of intercourse (if a time limit is required: before or within 15 seconds of the beginning of intercourse) and (2) ejaculation occurs in the absence of sufficient erection to make intercourse possible”

30-50% men face this issue at some point in their life.
Causes: Neurological, performance anxiety, psychological, relationship problem, erectile dysfunction, prostatitis, hyperthyroidism, drugs/medicines, depression, stress, guilt.

RECOMMENDED QUESTIONS FOR PE

What is the time between penetration and ejaculation (coming)?
Can you delay ejaculation?
Do you feel bothered, annoyed, and/or frustrated by your PE?

OPTIONAL QUESTIONS

Differentiate Lifelong and Acquired PE
When did you first experience PE?
Have you experienced PE since your first sexual experience on every/almost every attempt and with every partner?

Assess Erectile Function
Is your erection hard enough to penetrate?
Do you have difficulty in maintaining your erection until you ejaculate during intercourse?
Do you ever rush intercourse to prevent loss of your erection?

Assess Relationship Impact
How upset is your partner with your PE?
Does your partner avoid sexual intercourse?
Is your PE affecting your overall relationship?

Previous Treatment
Have you received any treatment for your PE previously?

Impact on Quality of Life
Do you avoid sexual intercourse because of embarrassment?
Do you feel anxious, depressed, or embarrassed because of your PE?

You don’t have to live with it. Consult expert andrologist (urologist) nearby to deal with it.
There are many psychological therapy and behavioral therapy which will increase your timing. Talk to your doctor regarding that. There are medicines also available for the treatment of PME.