Premature ejaculation (PME) is one of the commonest male sexual problems, which is seen in almost 30% of men at some point in time. The definition of premature ejaculation has the following three components:
1. There is ejaculation before or immediately after (within one minute) of vaginal penetration
2. The patient is unable to delay the ejaculation or control the ejaculation
3. Early ejaculation leads to poor sexual satisfaction and embarrassment and may result in avoidance of sex altogether
Some individuals have this condition from the very beginning and could never control the ejaculation since they became sexually active (called as Lifelong PME) whereas others had normal sexual functioning easier however developed this condition later in life (Acquired PME).
Premature ejaculation often results in low self-esteem in men, as they feel that they are not able to ‘satisfy their partner’. It can also result in a stressed relationship between the couple and many times can result in anxiety and depressive symptoms in the patient. It is important to identify this disorder and seek help early as effective treatment is available for the disorder.