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Definition
By Mayo Clinic staffMany men occasionally ejaculate sooner during sexual intercourse than they or their partner would like. As long as it happens infrequently, it's not cause for concern. However, if you regularly ejaculate sooner than you and your partner wish — such as before intercourse begins or shortly afterward — you may have a condition known as premature ejaculation.
Premature ejaculation is a common sexual complaint. Estimates vary, but as many as one out of three men may be affected by this problem at some time.
Both psychological and biological factors can play a role in premature ejaculation. Although many men feel embarrassed to talk about it, premature ejaculation is a common and treatable condition.
Medications, psychological counseling and sexual techniques that delay ejaculation can improve sex for you and your partner. For many men, a combination of treatments works best.
- Lue TF, et al. Evaluation and nonsurgical management of erectile dysfunction and premature ejaculation. In: Wein AJ, et al, eds. Wein: Campbell-Walsh Urology. 9th ed. Philadelphia, Pa.: Saunders Elsevier; 2007:756.
- Premature ejaculation. In: Diagnostic and Statistical Manual of Mental Disorders DSM-IV-TR. 4th ed. Arlington, Va.: American Psychiatric Association; 2000. http://www.psychiatryonline.com. Accessed Jan. 28, 2009.
- Waldinger, MD. Premature ejaculation: State of the art. Urologic Clinics of North America. 2007;34:591.
- McMahon CG. An evidence-based definition of lifelong premature ejaculation: Report of the International Society for Sexual Medicine (ISSM) ad hoc committee for the definition of premature ejaculation. The Journal of Sexual Medicine. 2008;5:1590.
- Althof SE. Psychological approaches to the treatment of rapid ejaculation. The Journal of Men's Health & Gender. 2006;3:180.
- Park J, et al. Complementary and alternative medicine in men's health. Journal of Men's Health. 2008;5:305.
- Dhikav V. Yoga in premature ejaculation: A comparative trial with fluoxetine. The Journal of Sexual Medicine. 2007;4:1726.
