Premature ejaculation: what you don't know

1. Premature ejaculation after a long period without sexual intercourse does not necessarily indicate a problem with sexual function: In fact, there is an inverse relationship between the speed of ejaculation and the length of time between sexual encounters. That is to say, if sexual activity is frequent and the intervals between sessions are short, ejaculation tends to occur more slowly. Conversely, if sexual activity is infrequent and one is in a state of "sexual hunger" due to prolonged abstinence, sexual excitement can spike suddenly, leading to quicker ejaculation during intercourse. Therefore, occasional premature ejaculation due to a long period without sexual activity should not be regarded as indicative of sexual dysfunction.

2. Believing that premature ejaculation inevitably leads to erectile dysfunction: The pathogenesis of premature ejaculation and erectile dysfunction are different, so there is no causal relationship between them. However, some patients who experience prolonged premature ejaculation may later develop erectile dysfunction, which is often due to psychological factors. Long-term premature ejaculation can lead to frustration and anxiety about sexual performance, causing tension, worry, and stress that can trigger erectile dysfunction. If the patient is further mocked, criticized, or blamed by their partner, it exacerbates the psychological trauma and worsens the erectile dysfunction.

3. Comparing oneself to others and believing faster ejaculation equals premature ejaculation: This is a major misconception. Such comparisons are unnecessary because each person's sexual physiology is different, and their sexual experience and frequency vary as well. There is no basis for comparison, so it is best not to engage in such evaluations.

4. Viewing the inability to induce female orgasm as premature ejaculation: There is a natural difference in male and female sexual function characterized by "men being quick and women being slow." Men typically experience rapid erection and quickly reach orgasm and ejaculate. On the other hand, women generally take longer to become sexually excited, often requiring several minutes or even longer before reaching orgasm. This is a natural difference, so it is common for men to ejaculate before their female partners reach orgasm. In such cases, at most, it represents a lack of harmony in sexual coordination.

5. Believing that early marriage premature ejaculation will last a lifetime: Premature ejaculation is more likely to occur during the early stages of marriage for several reasons: First, sexual excitement is especially high during this phase, filled with anticipation and curiosity, easily triggering ejaculation. Second, the accumulation of semen in the reproductive organs during the unmarried period can create a sense of fullness, making it easier to ejaculate quickly during the initial stages of married life. Third, at the beginning of marital life, couples have yet to achieve satisfactory coordination, and sexual function has not fully normalized, leading to premature ejaculation. Fourth, during the initial stages of sexual activity, there may be some mental and psychological concerns, such as uncertainty about one’s performance, whether the approach is correct, or if past masturbation habits will interfere. These mental factors can disrupt sexual function, making premature ejaculation understandable under these circumstances.