How is premature ejaculation diagnosed? Is my situation like this?

Patient's question:

Hello, how is premature ejaculation diagnosed? Usually, it doesn't last more than five minutes when having sex with my girlfriend, but I can last for minutes when I masturbate. After orgasm, the penis will again become erect but not firm, which makes me feel particularly painful. Until now, I haven't figured out whether I have premature ejaculation.

Doctor's answer:

If the sexual duration is too short, it indicates a problem in sexual function. However, if the sexual duration is less than three minutes, it does not qualify as premature ejaculation. During masturbation, since the entire body is self-restrained, it does not mean that sexual duration during intercourse will be long. There should be a distinction between the two. However, excessive masturbation is not good for sexual ability. Currently, the situation does not yet qualify as premature ejaculation. But if this behavior continues, it is indeed likely to lead to premature ejaculation again. During intercourse, using a double-layered condom and varying sexual positions can help shorten the sexual duration.

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