Patient's question:
I engage in sexual activity where, if my partner does not urge me, I can thrust for a while, pause to stroke (without withdrawing the penis from the vagina), and then resume thrusting. This cycle can last for a long time without me reaching orgasm (10-30 minutes). However, if my partner urges me to thrust continuously, I will orgasm within less than a minute (sometimes after 40-50 thrusts).I would like to ask the wise ones: Does this fall under premature ejaculation? Is it severe? What should I do?
Doctor's answer:
HelloDifferent people have different understandings of premature ejaculation, and the descriptions each patient gives about it are very confusing. There is a significant variation in the diagnostic criteria for premature ejaculation, and a globally accepted definition has yet to be reached. A sexologist named Fuchs from abroad conducted research which showed that only 27% of women frequently reach orgasm during intercourse lasting less than one minute, while 66% of women require intercourse lasting more than 12 minutes to reach orgasm. Fuchs advocated that women, on average, need about 8 minutes of intercourse to frequently reach orgasm. Therefore, some have criticized the definition of premature ejaculation proposed by the famous couple sexologists Masters and Johnson in the United States. They believed: "Men cannot prolong ejaculation half the time during sexual activity to allow their partner to reach orgasm." This standard, which judges whether a man has premature ejaculation based on the sexual satisfaction of his partner or whether he can reach orgasm, is clearly too strict and varies too greatly, which would put a large number of men in an awkward situation of having a "premature ejaculation disease" and is therefore unscientific. It will further lower men's self-esteem, damage the marital relationship, and affect sexual harmony.
According to a survey of 1000 couples conducted by American sexologist Gebhard, the average duration of intercourse is 4-7 minutes. Chinese sexologist Lü Debin surveyed 2709 people, including 470 young people and 2239 elderly people, and found that the majority of intercourse durations were 5-6 minutes, 3-4 minutes, 7-8 minutes, and 10 minutes, each accounting for about 20% respectively. Qin Yunfeng surveyed the elderly and found that those with intercourse lasting less than 4 minutes and those lasting more than 5 minutes each accounted for half.