A. Persistent or recurrent pattern of ejaculation occurring during partnered sexual activity within approximately 1 minute following vaginal penetration and before the individual wishes it
Note: Although the diagnosis of premature (early) ejaculation may be applied to individuals engaged in nonvaginal sexual activities, specific duration criteria have not been established for these activities
B. The symptom in Criterion A must have been present for at least 6 months and must be experienced on almost all or all (approximately 75%-100%) occasions of sexual activity (in identified situational contexts or, if generalized, in all contexts).
C. The symptom in Criterion A causes clinically significant distress in the individual
D. The sexual dysfunction is not better explained by a nonsexual mental disorder or as a consequence of severe relationship distress or other significant stressors and is not attributable to the effects of a substance/medication or another medical condition
Premature ejaculation disorder is different than what general society says. While a single instance of premature ejaculation can cause worries, to actually qualify as having this disorder, all or almost all sexual activity is impacted by early ejaculation. Early ejaculation is defined as within one minute of vaginal insertion.
Sufferers are distressed by their early ejaculation and despite their best efforts to lengthen vaginal intercourse, ejaculation takes place within one minute of insertion.
The exact cause of premature ejaculation is not known; there are many different factors that contribute to this disorder. Such factors include psychological and physical causes.
Physical causes, hormone changes, and medication or chemical causes should be handled by your primary care physician.
Psychological causes of premature ejaculation
Treatment for premature ejaculation should start with a consult with your primary care physician to rule out physical, hormone, chemical or medication problems. Since there are so many different causes, it’s important to look into all possibilities.
Psychotherapy is the only cure for the psychological portion of premature ejaculation, but a combination of treatment from your physician and from a mental health professional will have the best outcomes.