Patient's question:
Can it be considered premature ejaculation if it only lasts 5 minutes?Doctor's answer:
Erectile dysfunction (ED) is one of the more common male sexual dysfunctions, second only to impotence.Generally, premature ejaculation is defined as the phenomenon where a man, after achieving an erection, either before entering the vagina, during the act of penetration, or immediately after entering but before withdrawing, experiences ejaculation. The penis then naturally becomes flaccid and enters a refractory period. Clinically, it is straightforward to diagnose premature ejaculation when a man ejaculates before penetrating the vagina. However, for those who do penetrate, there is no absolute standard to determine what constitutes "timely" versus "premature" ejaculation, making it difficult to establish a clear boundary for premature ejaculation.
In the West, Masters and Johnson defined premature ejaculation as the inability to control ejaculation during intercourse long enough to allow the female partner to reach orgasm. As a result, the penis becomes soft and retracts, leaving at least 50% of normally functioning women unsatisfied during normal sexual activity, which affects the pleasure and harmony of sexual life. Kaplan, on the other hand, believed that men who could maintain penetration for more than 5 minutes or whose partners agreed that their sexual experience was satisfying without being negatively impacted by efforts to delay ejaculation were considered normal. However, some reports suggest that 75% of men ejaculating between 2 and 6 minutes after penetration, or even sooner, are still considered normal. Gopla proposed that if a man ejaculates prematurely before the female partner reaches orgasm, and the intercourse duration is less than 3 minutes, the resulting sexual disharmony can be classified as premature ejaculation.