“Premature ejaculation during vaginal intercourse is not a disease”: this is what emerges from the 23rd World Congress of the World Association For Sexual Health (WAS), on May 29, 2017 in Prague, see also in the Journal Of Sexual Medicine in May. Ejaculation is premature, for sexologists, if the vaginal relationship lasts less than a minute (less than three minutes, in other definitions), with the relative psychological consequences for men: frustration, stress, tendency to avoid sexual relations, performance anxiety. Sexologists do not know the causes of this sexual dysfunction, even though they say it is very common and have been studying it for decades, but men with this “disease” always show ejaculation and orgasm during intercourse. In fact, from a physiological point of view everything is normal, there are no pathologies, as shown in an article published by Clinical Anatomy.
Until a few decades ago, premature ejaculation meant no anxiety to man because in making love the female orgasm was not essential. For women, there was also talk of “conjugal duty”. Today, however, the man feels almost obliged to guarantee his partner’s orgasms during the complete relationship, the penis-vagina penetration, only with the rubbing of the penis on the vaginal walls. This is why many believe that the sexual act should last several minutes. But if sexologists know, as we have already explained, that rubbing on the vagina walls in itself cannot trigger an orgasm, why not disclose it? The vaginal orgasm does not exist, therefore the duration of the sexual act is not important, but men do not know it and many anxieties are caused by this ignorance.
The female orgasm is always triggered by female erectile organs. All women can have orgasm also during vaginal intercourse, thanks to the simultaneous stimulation of the clitoris with the fingers.
Premature ejaculation is not a disease (in fact the causes and pathogenesis are not known, and for some sexologists it may be a symptom), but it is a great issue, many sexologists in their articles, in congresses and in interviews on this topic speak almost always of drugs, for this they should always declare if they have a conflict of interests and if they collaborate with pharmaceutical companies. Knowing that premature ejaculation is not a disease will immediately release the male population from anxieties: they will no longer feel abnormal or pathological if the sexual act does not last long. Clearly, women also need to know that the quality of their sexual intercourse and the ability to have orgasms does not depend on the partner’s commitment to delay ejaculation. Many will also be happy with this, because prolonged vaginal intercourse can also be annoying for women, especially after menopause.
Men should know that ejaculation does not determine the end of the sexual act. After the male orgasm you can continue to make love: kisses and caresses after ejaculation can be used to help the partner achieve orgasm. Full sexual intercourse must mean orgasm for both partners, always, with or without vaginal intercourse. Adolescents also need to know that during their first sexual encounters it is normal for ejaculation in the vagina to be “early”, because the control of ejaculation is acquired without using drugs, and masturbation is an ideal exercise for that.