Premature ejaculation (PE) is probably the most common sexual dysfunction in men below the age of 40 . Obtaining  a firm definition of what actually constitutes premature ejaculation can be a little slippery though most professionals who treat premature ejaculation define it as the occurrence of ejaculation prior to the wishes of both people engaged in the sexual act . This broad definition thus avoids specifying a precise duration for sexual relations and reaching orgasm , which is variable and depends on many factors specific to those who are engaging in the sexual act. The occasional instance of premature ejaculation may not be an issue , but, if the problem occurs with more than 50% of attempted sexual relations, then treatment of the condition may need to be considered .
 
To clarify, you might reach orgasm after 7 minutes of intercourse , but this is not premature ejaculation if your partner reaches her climax in 5 minutes and both of you are satisfied with the timing. Another man might delay his ejaculation for up to 30 minutes, yet he may consider this premature if his girlfriend , even with foreplay, requires 40 minutes of stimulation before reaching her orgasm . If thrusting is the primary method of sexual stimulation and the man orgasms after 25 minutes of intercourse and then loses his erection, then satisfying his partner (at least with intercourse), who needs 40 minutes to reach orgasm , is nigh on impossible.

As many women are actually 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 your point of view.

The human sexual act can be divided into 4 stages : desire (libido), excitement (arousal), orgasm and then resolution . 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 these 4 DSM-IV categories has disorders in all of the 3 initial sexual phases.

Premature ejaculation can be either primary or secondary . Primary PE applies to men who have had the condition ever since they became capable of functioning sexually (i.e. post puberty ). Secondary PE refers to situations where the condition began in an individual who previously experienced an acceptable level of ejaculatory control , and for reasons unknown , has begun experiencing premature ejaculation later in life. With secondary premature ejaculation, the problem does not relate to a medical disorder , and it is usually not related to substance inducement, although, in some cases , 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 nobody really knows what causes it, although psychological factors are usually suggested in most instances .


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