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Clinical right into the vagina or penis erection without ejaculation, diagnosed with premature ejaculation is easy, but can enter the vagina for sexual intercourse, what is timely, what is premature, there is no one absolute standard, premature ejaculation is difficult to determine the time limits. The premature ejaculation is divided into two categories: 1. related to premature ejaculation with sexual partners, that situation, and when they will be improved when the replacement of sexual partners that lead to confrontation of interpersonal conflicts play a role in the maintenance of sexual dysfunction. 2. True premature ejaculation, means with different partners or in different contexts were twitching when having sexual intercourse less than 15 times or less than 1 minute ejaculation, also known as complete premature ejaculation, they can easily generate a good response to drug therapy. Since the woman does not reach sexual climax, the male ejaculation penis has become soft shrinkage, resulting in normal female sexual function in at least 50% of the normal intercourse can not be met, affecting sexual life joyful and harmonious. Kaplan that have the ability to sustain a 5 minutes after insertion, or both spouses agree that they are happy and not a result of sexual intercourse to delay ejaculation are affected in the case of the normal. However, it was reported that 75% of the men in the insert 2-6 minutes or less when the ejaculation ejaculation were normal. Penile penetration of the vagina after the female has yet to reach orgasm, while men's sexual intercourse less than 3 minutes, early ejaculation sexual intercourse arising from discord can be judged to be premature ejaculation. Normal male occasional phenomenon is not surprising, but often premature ejaculation, sexual intercourse can not complete the whole process, that is sick, can be diagnosed in the medical sense of the premature ejaculation. Premature ejaculation (PE) is the most common sexual dysfunction in men younger than 40 years. Most professionals who treat premature ejaculation define this condition as the occurrence of ejaculation prior to the wishes of both sexual partners. This broad definition thus avoids specifying a precise duration for sexual relations and reaching a climax, which is variable and depends on many factors specific to the individuals engaging in intimate relations. An occasional instance of premature ejaculation might not be cause for concern, but, if the problem occurs with more than 50% of attempted sexual relations, a dysfunctional pattern usually exists for which treatment may be appropriate. To clarify, a male may reach climax after 8 minutes of sexual intercourse, but this is not premature ejaculation if his partner regularly climaxes in 5 minutes and both are satisfied with the timing. Another male might delay his ejaculation for a maximum of 20 minutes, yet he may consider this premature if his partner, even with foreplay, requires 35 minutes of stimulation before reaching climax. If intercourse is the method of sexual stimulation for the second example and the male climaxes after 20 minutes of intercourse and then loses his erection, satisfying his partner (at least with intercourse), who needs 35 minutes to climax, is impossible.  Because many females are unable to reach climax at all with vaginal intercourse (no matter how prolonged), this situation may actually represent delayed orgasm for the female partner rather than premature ejaculation for the male; the problem can be either or both, depending on the point of view. This highlights the importance of obtaining a thorough sexual history from the patient (and preferably from the couple). The human sexual response can be divided into 3 phases: desire (libido), excitement (arousal), and orgasm. The Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV) classifies sexual disorders into 4 categories: (1) primary, (2) general medical condition–related, (3) substance-induced, and (4) not otherwise specified. Each of the 4 DSM-IV categories has disorders in all 3 sexual phases. Premature ejaculation may be primary or secondary. Primary applies to individuals who have had the condition since they became capable of functioning sexually (ie, postpuberty). Secondary indicates that the condition began in an individual who previously experienced an acceptable level of ejaculatory control, and, for unknown reasons, he began experiencing premature ejaculation later in life. With secondary premature ejaculation, the problem does not relate to a general medical disorder, and it is usually not related to substance inducement, although, rarely, hyperexcitability might relate to a psychotropic drug and resolves when the drug is withdrawn. Premature ejaculation fits best into the category of not otherwise specified because no one really knows what causes it, although psychological factors are suggested in most cases. For more information visit: http://www.enlast.com/?aid=538961 2010-02-07
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