Premature ejaculation is one of the most widespread dysfunctions of sexual function. PE makes men feel discomfort and reduces life quality. Early ejaculation often has an unfavorable influence on sexual relationships and directly or indirectly becomes the reason of family conflicts.
Generally accepted norms of the duration of a sexual intercourse don’t exist and duration of friction period is from 1 to 10 minutes.
According to World Health Organization the ejaculation which occurs earlier than in a minute can be called premature. But, in our opinions, the following definition is more precisely: any ejaculation is considered to be early if a man is unable to control its occurrence. Extreme manifestation of early ejaculation is the ejaculation which, appearing before penis penetration into vagina belongs to impotence and becomes the reason of infertility. For a long time official medicine hasn’t paid any attention to the problem of early ejaculation. Concept of ‘life quality’ made them pay their attention to this aspect of life too.
Reasons of Premature ejaculation are as follows:
• Low frequency of sexual intercourses;
• Anxiety and fear during sexual intercourses;
• Local vegetative neurosis in case of chronic inflammatory diseases of the prostate and seminal vesicles;
• Hypersensitivity of glans of penis.
Nowadays there are 5 basic approaches to the treatment of early ejaculation:
• Treatment of inflammatory diseases which are the reason of the disease;
• Sexual therapy and behavior therapy;
• Pharmacotherapy;
• Reflex therapy – acupuncture;
• Surgical treatment/therapy.
