Premature Ejaculation: Causes, Types and Exercises

What is Premature Ejaculation?

Premature Ejaculation (PE) is a male sexual dysfunction characterized by:

• Ejaculation that consistently occurs before or within approximately 1 minute of vaginal penetration, or a clinically significant and bothersome reduction in latency time, often to less than 3 minutes.
• Difficulty delaying ejaculation with all or nearly all vaginal penetrations.
• Negative personal consequences, distress, bother, frustration, and avoidance of sexual intimacy.

In simple words, ejaculation occurs too early, immediately after vaginal penetration or even before insertion which is called as Premature Ejaculation

Normal Ejaculation Response:

The ejaculatory reflex comprises:

• Sensory receptors and areas (over the body parts and genitalia) 
  • Serotonin receptors
  • (5-HT2c delays ejaculation, while 5-HT 1A shortens ejaculation latency)
• Afferent pathways (carrying signals to the brain)
• Cerebral sensory areas (secretes serotonergic and dopaminergic neurons)
• Cerebral motor centers
• Spinal motor centers
• Efferent pathways (carrying signals from the brain)

Ejaculation has three phases:

• Emission: Consists of contraction of seminal vesicles and prostate.
• Ejection (or Penile expulsion): Involves expulsion of sperm and seminal fluid into the posterior urethra.
• Orgasm: Characterized by increased pressure in the posterior urethra due to filling of semen, sensory stimuli arising from verumontanum. Contraction of the urethral bulb and accessory sexual organs, and cerebral processing of pudendal nerve sensory stimuli.

Types of Premature Ejaculation:

• Primary/Lifelong PE
• Secondary/Acquired PE
• Variable PE
• Subjective PE

Why premature ejaculation occurs?

• Hyposensitivity of 5HT2C receptors
• Hypersensitivity of 5HT1C receptors
• Performance anxiety
• Psychological/ Relationship problems
• Erectile dysfunction
• Hyperthyroidism
• Prostatitis

Is there any other information readers should know on this topic?

IELT (Intra vaginal Ejaculation Latency Time):
The IELT is the time extending from the onset of vaginal penetration to the moment of ejaculation.

Does exercises help to overcome pre-mature ejaculation?

Yes, regular and consistent physical exercises can help you overcome pre-mature ejaculation.
KEGEL Exercises: 

• lying on back, hands on floor and knees bent pointing upwards, draw penis inwards towards the body, try holding it for 5 seconds then release.
• Now try doing the same with anus muscles, hold as if resisting to stop stool for 5 seconds and release 
• Repeat the same about 8-10 times, with 3-5 sets a day.

Side Squeezes:

• Lay down on the floor, turn onto one side placing a large pillow enough to spread your legs in between, try squeezing the pillow hold on for 5 seconds then release, continue to do the same thing for about 8-10 times, with 3-5 sets a day.

Chair Squeezes:

• Sit on a chair, try squeezing your penis as if you are stopping the urine flow, hold for  5 seconds then release,Repeat the same about 8-10 times, with 3-5 sets a day.

Mind that while performing all these exercises, do not hold your breath and make sure that your abdominal muscles are relaxed,  instead of pushing it down try squeezing it as if you are lifting something with those muscles and do not forget to relax the pelvic muscle before each squeeze.