Premature, or rapid ejaculation, is the most common male sexual problem. The term refers to the event when a man reaches orgasm before he wants to during intercourse. The problem is usually stated in terms of time, but it is really about a lack of voluntary control. There is no real definition of what is too premature or too rapid. Most men would consider that reaching orgasm thirty seconds into sex is too quick. However, some men might consider a few minutes adequate, while others would not.

About one third of American men are not able to control the timing of their ejaculations. This problem usually affects younger men and tends to improve with age. However, some men may struggle with this problem into old age.

This problem is very rarely a physical problem. Guilt, anxiety, fear, excitement, and other emotions can contribute. Infrequent sex also affects control. Even a man with normally good control may reach orgasm quickly after a long period of time without sex. Premature ejaculation is also common the first few times a man has sex with a new partner. Men with good ejaculatory control can enjoy sustained levels of sexual arousal before choosing to ejaculate. A man without this control tends to go from zero excitement to orgasm without leveling off.

Premature ejaculation is very common. It is also a problem that responds well to treatment. Make a commitment to your treatment and you are likely to see good results. The good news is that many men can learn to control their ejaculation. About 60 to 90 percent of men can learn to do this by learning the "start-stop" or "squeeze" techniques.

To learn more, ask your healthcare provider for information. Some men may prefer to work with a sex therapist. Check with your State Board of Mental Health for specialists in this area.

Last Reviewed 2005

Disclaimer: This content is reviewed periodically and is subject to change as new health information becomes available. The information provided is intended to be informative and educational and is not a replacement for professional medical evaluation, advice, diagnosis or treatment by a healthcare professional.

HIL File MENS4766.rf2 VRS# 4766 Data Version 7.0 Copyright 1999 McKesson Health Solutions LLC. All rights reserved.

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