Male Sexuality Facts
Facts, Theories, And Information on Male Sexuality: Male Sexual Problems
Male Sexuality - Premature Ejaculation
The latest study shows that men aren't the only ones who reach orgasm too quickly. It seems that a percentage of women experience premature orgasm.
The research was conducted by Serafim Carvalho, who found that 40% of women occasionally came to orgasm faster than they intend and about 3% regularly do so. For the latter group, the situation is worrying and as serious a problem as it is in men.
Female sexual dysfunction has never had the same attention as the male equivalent, and this is particularly apparent in the case of early orgasm.
Carvalho and his associates have found a few references in clinical textbooks and have seen the occasional anecdotal account, but while problems with ejaculation in men are recognized sexual dysfunctions, listed in the medical manuals, there is no similar category for early orgasm in women.
(Don't forget women can ejaculate too! Click here to find out how.)
The study took a sample of Portuguese women ranging from ages 18 to 45, and sent out a questionnaire. The questions were on the subject of frequency of premature orgasm, whether the women ever felt loss of control over timing, and whether they experienced problems over the issue. One of the questions concerned the woman's personal and relationship satisfaction.
Over 60 percent, 510 women sent in a reply to the mail survey. Of those, 40% had at some time in their lives experienced an early orgasm. Also 14% reported premature orgasms on a regular basis. This group, says Carvalho, have cases that probably require clinical attention. Another group of 3.3% met the criteria for having a serious dysfunction and this group certainly needed advice and treatment.
Carvalho, writing in the journal Sexologies, says that at one extreme there are women who have a complete control over orgasm, and at the other end of the scale is a group of women who report lack of control and early orgasm, which leads to personal or relationship problems.
One woman described her problem of premature orgasms as just what a man would feel in the case of premature ejaculation. She said that she finished too soon, before her boyfriend got a chance, and this causes her great concern.
She explained that after she came to orgasm, she couldn't continue continue, the mood had changed and the boyfriend missed out, which made her feel bad.
Premature orgasm is bad but the inability to orgasm is worse and is a more widespread problem. A recent study of American women found that problems reaching orgasm is the most frequent sexual complaint in women, with 54% of women in the 18 to 30 year-old bracket suffering from this problem.
Difficulties in sex may be caused by all kinds of physical problem including acid reflux, hiatal hernia, gout and prostate problems. Natural remedies for all of these are often available at much lower cost than prescription drugs.
Carvalho says that although the study is preliminary, and more extensive research is required to determine the exact extent of female premature orgasm, a serious problem has been found. Women who orgasm too quickly should not hesitate to speak to a doctor as, in most cases, a solution can be found.
Men with short IELT duration may be different from the rest in either their psychological or neurobiological make-up.
Men who have lifelong premature ejaculation are mostly emotionally stable but just have this little problem. But men who complain of premature ejaculation but have a regular or long IELT may have psychological issues that influence their judgment of how adequate their sexual performance really is.
Or perhaps they have relationship issues which centre on sexual intercourse, perhaps dependant on the partners', often unrealistic, expectations.
It would seem correct to treat men in the latter group with counseling of some description, or by providing sexual psychological education material or perhaps advising psychotherapy. These men are now categorized as having 'premature-like ejaculatory dysfunction'. It is a condition exemplified by misperceptions about the man's sexual ability and often centers on the illusion that what is in fact a normal or even a long duration is over too quickly.
Obviously this means a misjudgment of the man's personal performance against a standard which he believes to be normal. It now seems obvious that this condition is most likely to be caused by issues within the relationship, either psychological or cultural.
These are the signs of premature-like ejaculatory dysfunction:
1 A perception of too rapid ejaculation during most
episodes of sexual intercourse.
Waldinger claims that now there is abundant evidence to suggest that lifelong PE, in cases where the IELT is less than 1 to 1.5 minutes, is a neurobiological dysfunction, from which psychological and relationship issues arise.
He cites that the standard treatment for this condition is now SSRIs and clomipramine. But it is not yet clear how the emotional or physiological functioning is different in those with lifelong PE and those with premature-like ejaculatory dysfunction.
Waldinger tells us that there are many men with lifelong PE who have adopted strategies that enable them and their partners to get along despite their difficulty. However there are many men who have serious interpersonal or emotional problems on this account.
It seems that men with a low IELT may have some problem in either their psychological or neurobiological functioning. Men with lifelong PE are usually OK emotionally and psychologically stable otherwise.
But men who complain of premature ejaculation but have regular or long IELT can have psychological issues that make them think their sexual performance is inadequate while in reality it is normal or even excellent. And perhaps they may have relationship problems which come to a point in sexual issues, perhaps due to the partners' requirements or expectations.