PREMATURE EJACULATION

The American Psychiatric Association defines premature ejaculation as "persistent or recurrent ejaculation with minimal sexual stimulation before, during, or shortly after penetration and before the person wishes it." The reoccurring question remains. What is considered to be shortly after penetration? Alfred Kinsey state that 75% of men tested ejaculate within two minutes after vaginal entry. Does this mean that 75% of the men tested are premature ejaculators? Premature Ejaculation cannot be determined in time frame or by a partners dissatisfaction, considering that 75% of all women are unable to climax during sexual intercourse without direct clitoral stimulation, leaving only 25% capable of climaxing strictly from direct penile penetration. Premature ejaculation is an act of rapid, involuntary climax.

Some cases of premature ejaculation are more severe, bringing the man to orgasm as soon as his penis makes vaginal contact. In less severe cases the man is able to make vaginal entry and stroke, but unable to maintain control in high levels of arousal. The voluntary ejaculator can sustain sexual intercourse in the "plateau" stage of arousal, maximizing sexual stimulation as the penis is at its most erect state before climax.

In example (a) the male sexual response is rapid and constantly escalating with no distinguished "plateau" stage due to high levels of excitement resulting in involuntary ejaculation prior to vaginal entry. (severe premature ejaculation)

In example (b) the male sexual response is strong and controlled in th e "plateau" stage prior to intercourse but escalates to climax soon after vaginal entry. (normal case of premature ejaculation)

In example (c) the male sexual response with good ejaculatory control is able to sustain intercourse for a considerable amount of time at the "plateau stage before peaking to climax. (good ejaculatory control)

Graphs (a and b) indicate rapid rate of excitement nearly skipping the "plateau" stage immediately after vaginal entry, leading the male to ejaculate against his will. With good ejaculatory control the male is able to sustain coitus until he or his partner decide to climax.