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There is no uniform cut-off defining "premature", but a consensus of experts at the International Society for Sexual Medicine endorsed a definition including "ejaculation which always or nearly always occurs prior to or within about one minute".

Although men with premature ejaculation describe feeling that they have less control over ejaculating, it is not clear if that is true, and many or most average men also report that they wish they could last longer.

and it included 2 other PE syndromes: "natural variable PE" and "premature-like ejaculatory dysfunction".

Only individuals with lifelong PE with IELT shorter than 1–1.5 minutes should require medication as a first option, along with or without therapy.

For those who fall into one of the other categories, treatment should consist of patient reassurance, behavior therapy, and/or psychoeducation to explain that irregular early ejaculation is a normal variation.

Several possible sub-classifications have been discussed, but none is in universal usage.

These motor neurons are located in the thoracolumbar and lumbosacral spinal cord and are activated in a coordinated manner when sufficient sensory input to reach the ejaculatory threshold has entered the central nervous system.

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For example, the shares of bachelor's degrees earned by female students were 64 percent for Black students, 61 percent for American Indian/Alaska Native students, 60 percent for Hispanic students and students of Two or more races, NOTE: Degree-granting institutions grant associate's or higher degrees and participate in Title IV federal financial aid programs. Scientists have long suspected a genetic link to certain forms of premature ejaculation.In one study, 91% of men who have had premature ejaculation for their entire lives also had a first-relative with lifelong premature ejaculation.Between academic years 200314, the total number of postsecondary degrees awarded increased at all degree levels: certificates by 41 percent (from 688,000 to 969,000), associate's degrees by 51 percent (from 665,000 to 1.0 million), bachelor's degrees by 34 percent (from 1.4 million to 1.9 million), master's degrees by 34 percent (from 564,000 to 754,000), and doctor's degrees by 41 percent (from 126,000 to 178,000).Reflecting the overall increase in the number of postsecondary degrees awarded at each level, the number of postsecondary degrees awarded generally increased for racial/ethnic groups at each level between 200314.Primary premature ejaculation refers to lifelong experience of the problem (since puberty), and secondary premature ejaculation reference to the problem beginning later in life.It has also been subdivided into global premature ejaculation, when it occurs with all partners and contexts, and situational premature ejaculation, when it occurs in some situations or with specific partners.Men's typical ejaculatory latency is approximately 4–8 minutes. Many theories have been suggested, including that PE was the result of masturbating quickly during adolescence to avoid being caught, performance anxiety, an unresolved Oedipal conflict, passive-aggressiveness or having too little sex; but there is little evidence to support any of these theories.Several physiological mechanisms have been hypothesized to contribute to causing premature ejaculation, including serotonin receptors, a genetic predisposition, elevated penile sensitivity and nerve conduction atypicalities.In contrast, the share of associate's degrees earned by White students over the same period decreased from 70 to 61 percent. In both 200314, the share of associate's degrees earned by Asian/Pacific Islander students was 5 percent, and the share earned by American Indian/Alaska Native was 1 percent. Race categories exclude persons of Hispanic ethnicity.


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