Psychology Of Premature Ejaculation In Men and Premature Orgasm In Women
Men with a low intra-vaginal ejaculation latency time (IELT) may have problems with either their psychological framework or their neurobiological functions.
They are usually emotionally healthy but have this particular problem of being unable to control their ejaculation for only a short time. But there are many men who complain of premature ejaculation but have a regular or even a long time span and can usually delay ejaculation to some degree.
It would seem that this group may have psychological issues which cloud their judgement of what is an adequate sexual performance, or it may be that they have relationship problems concerning sexual intercourse, perhaps depending on their partner’s sexual expectations.
It is this latter group for whom the term ‘premature-like ejaculatory dysfunction’ has been coined. The condition is characterized by misperceptions about the subject’s personal tenacity, and is often based on the conviction that what is in fact a normal or even a long duration of sex is insufficient.
Evidently this involves a subjective judgment of the man’s personal performance compared with a standard of what he perceives as normal ejaculatory performance.
It is probable that this condition is brought about by psychological, cultural or other problems of the relationship. These are the societal values which impact the cultural conditioning of the lover archetype. It would seem therefore that this group should receive some form of counselling, or be educated in sexual psychological issues or perhaps be guided by some kind of psychotherapy.
These are the symptoms of premature-like ejaculatory dysfunction:
1 A perception of over-rapid ejaculation during all or nearly all occurrences of sexual intercourse.
2 An anxiety over the consequences of poor control and early ejaculation.
3 The misperception that the subject has a low IELT even though he has a normal or above average rating.
4 There is no other psychological dysfunction which accounts for the problem.
Waldinger asserts that there is ever growing evidence to suggest that lifelong PE, where the timing is less than 1 to 1.5 minutes, is a neurobiological dysfunction from which stem further psychological and relationship issues. He notes that drug treatment using SSRIs and clomipramine are now standard procedures for the condition. But it is not yet clear how men with lifelong PE and men with premature-like ejaculatory dysfunction differ in their emotional or physiological behavior.
Waldinger goes on to say that there are many men who suffer from lifelong PE who have adopted coping strategies that help them through, although there are many more who have serious emotional or interpersonal problems. Men with long and short IELT duration may have differences in either their psychological or their neurobiological characteristics. The average lifetime PE man is usually emotionally stable but suffers only from this particular problem.
Premature Orgasm In Women?
It seems that men are not the only ones who can find themselves climaxing too soon. A new study shows that many women also experience premature orgasm. Perhaps this is accounted for by a deficiency of sovereign energy and a excess of lover archetype energy in the woman concerned.
This study, a survey of Portuguese women, found that about 40 percent sometimes reached orgasm faster than they intended and for about 3 percent, the problem was chronic. Study researcher, Serafim Carvalho, of the Hospital Magalhães Lemos in Porto, says that for these women, premature orgasm is more than an inconvenience. It is as serious a problem as the man’s equivalent and, in some cases, causes serious distress.
Female sexual dysfunction has never received the same amount of attention as the male problem, and early orgasm has hardly ever been studied. Carvalho and his group have found little more than a few ambiguous references in clinical manuals and the occasional anecdotal report. But while premature ejaculation in men is a recognized sexual dysfunction documented in the Diagnostic and Statistical Manual of Mental Health (DSM), there is no similar category for an uncontrolled untimely orgasm in women.
The first stage of Carvalho’s study was to find out if this problem really troubled women. His office sent out a questionnaire to a sample of Portuguese women of ages between 18 and 45. The questions were about the frequency of premature orgasm, if the women ever felt a loss of control over timing, and whether they were anxious about the issue. One final question concerned their relationship satisfaction.
Over 60 percent, 510 women, responded to the mail survey. Out of those, 40 percent had experienced early orgasm at some point in their lives and 14 percent reported frequent premature orgasms. This 14 percent, says Carvalho, have cases that could require clinical attention. Strangely, there was no link discovered between premature orgasm and relationship satisfaction.
Carvalho reported his findings in the journal Sexologies. He writes that at one extreme are women who have complete control over orgasm, and at the end is a group who find themselves with a lack of control over the timing of orgasm, which can lead to possible personal or relationship problems.
One subject described her discomfort to the researchers in similar terms to that which a man would feel in the case of premature ejaculation. She reported that she finished very quickly, before her boyfriend got a chance to orgasm, and she finds the situation vexing.
She stated “Once I orgasm, I find it impossible to continue. The vibes are not the same and he misses out, which gives me a bad feeling.”
Of course premature ejaculation is a problem, but a total inability to achieve orgasm is less common. In men the condition is known as delayed ejaculation. About 12% of men apepar to have this problem. And in 2010, a study of American women found that problems reaching orgasm is the most widespread sexual complaint, with 54 percent of 18- to 30-year-olds reporting this difficulty.
Carvalho sums up by saying that although the study is preliminary and more research in a wider field is needed to discover the extent of female premature orgasm, it reveals a serious problem. He advises women not to be bashful about talking to a doctor and says that in most cases, this is a problem which can be solved.