Patient's question:
Hello, every time my husband comes back from a business trip, he almost always reaches orgasm in less than five minutes during sexual activity. However, at home, it usually takes more than twenty minutes. Is this considered premature ejaculation? Thank you!Doctor's answer:
Narrowly defined, premature ejaculation refers to the occurrence of ejaculation before the penis is inserted into the vagina during contact with the female genitalia. Broadly defined, premature ejaculation is when the penis can still become erect but ejaculation occurs too early, too quickly, followed by immediate softening of the penis and inability to continue sexual intercourse, resulting in neither partner achieving sexual satisfaction. Therefore, premature ejaculation is one of the manifestations of male sexual dysfunction. If it is not treated in time, it can easily lead to impotence over time.Most causes of premature ejaculation are psychological, such as marital relationship conflicts, potential hostility, resentment, or anger toward the wife by the husband, or excessive fear, admiration, or (low self-esteem) toward the wife. Some cases may be due to prolonged masturbation before marriage or excessive sexual indulgence after marriage, excessive mental tension, extreme emotional excitement, or fear of rapid ejaculation, all of which can lead to sexual failure. Excessive physical fatigue and insufficient energy can also weaken the control of the ejaculation center. Organic causes are less common, such as multiple sclerosis, spinal tumors, cerebrovascular accidents, phimosis, urethritis, epididymitis, or chronic prostatitis.