Premature Ejaculation

PREMATURE EJACULATION ( PE )

Premature ejaculation is when a man ejaculates with little sexual stimulation and before the man wishes. This can lead to a decrease in sexual satisfaction and quality of life for men and their partners.

Premature ejaculation can take two forms. Men can have premature ejaculation from the first time they have sex (lifelong), or develop premature ejaculation later in life, even after many years of normal ejaculatory experience (acquired). Premature ejaculation is the most common ejaculatory disorder.

While is it normal for a man to occasionally ejaculate before he wishes to, persistence or recurrence of this situation may indicate a true medical condition, particularly if this leads to personal distress or relationship difficulties. There is no 'magic number' given to define how many minutes a man must 'last' before he is considered to have PE, but most experts agree that it is unlikely for a couple to have satisfactory sex if the man ejaculates before 60 seconds.

However, it must be noted that the medical definition of PE does not rely solely on the time to ejaculation - a man who ejaculates after 1 or 2 min may still be having PE - but emphasizes on the impact the early ejaculation has on the man or the relationship with his partner.

PREMATURE EJACULATION DIAGNOSTIC TOOL (PEDT QUESTIONNAIRE)

This is a validated questionnaire to help identify men who may have a problem with ejaculating too soon during sexual activity.

Please select the response that best represents your answer for each of the questions below
Please select only one response for each question
Remember there are no right or wrong answers to these questions
While your experiences may change from time to time, what we need to know is your general experience with intercourse.

Note: Ejaculation refers to the release of semen after penetration (i.e. when your penis enters your partner)


1	How difficult is it for you to delay ejaculation?	Not difficult at all	Somewhat difficult	Moderately difficult	Very difficult	Extremely difficult
	Score	0	1	2	3	4
2	Do you ejaculate before you want to?	Almost never or never	Less than half the time	About half the time	More than half the time	Almost always or always
	Score	0	1	2	3	4
3	Do you ejaculate with very little stimulation?	Almost never or never	Less than half the time	About half the time	More than half the time	Almost always or always
	Score	0	1	2	3	4
4	Do you feel frustrated because of ejaculating before you want to?	Not at all	Slightly	Moderately	Very	Extremely
	Score	0	1	2	3	4
5	How concerned are you that your time to ejaculation leaves your partner unfulfilled?	Not at all	Slightly	Moderately	Very	Extremely
	Score	0	1	2	3	4
	Total score

If your score is more than 9 or if you suspect yourself to be suffering from premature ejaculation, do speak with our doctors about treatment options, including topical medications, oral medications and behavioural / psychological therapies.