Premature ejaculation (PE) occurs when a man experiences orgasm and expels semen soon after sexual activity begins and with minimal penile stimulation. It has also been called early ejaculation, rapid ejaculation, rapid climax, premature climax, and (historically) ejaculatio praecox. 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”. The International Classification of Diseases (ICD-10) applies a cut-off of 15 seconds from the beginning of sexual intercourse.1
Symptoms of this disorder include the inability to hold an ejaculation longer than 1 minute during sexual activity. 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. Men with PE often report emotional and relationship distress, and some avoid pursuing sexual relationships because of PE-related embarrassment.2
The causes of premature ejaculation are unclear. Many theories have been suggested, including that PE was the result of masturbating quickly during adolescence to avoid being caught by an adult, of performance anxiety, of an unresolved Oedipal conflict, of passive-aggressiveness, and 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. The nucleus paragigantocellularis of the brain has been identified as having involvement in ejaculatory control. Scientists have long suspected a genetic link to certain forms of premature ejaculation. In one study, 91 percent of men who have had premature ejaculation for their entire lives also had a first-relative with lifelong premature ejaculation. Other researchers have noted that men who have premature ejaculation have a faster neurological response in the pelvic muscles. Furthermore, PE may be caused by prostatitis or as a drug side effect.3
Related Acupuncture Points:
Acupuncture notes premature ejaculation as due to a kidney problem, especially kidney qi deficiency. There are several diagnosis pattern regarding this disorder, which are:4
1. Kidney deficiency with Liver Qi stagnation foot: PC-6, CV-17, LV-2 or LR-3 (Heat or deficiency), CV-4, KI-3, SP-6 (consolidate Kidney).
2. Kidney Yin deficiency with Hyperactive Minister (Ming Men) Fire: KI-3, KI-6, SP-6, LR-2, BL-23, CV-4, BL-52 (will power).
3. Kidney Qi deficiency: GV-4, CV-4, BL-23, BL-52, KI-3, SP-6.
4. Fear/Shock injure Kidney: GV-20, HT-7, KI-3, CV-4, SP-6, BL-15, BL-19, PC-5 (ghost), GB-40.
In addition, stimulating the following acupoints are recommended:
- Premature ejaculation – wikipedia.org – 2017, https://en.wikipedia.org/wiki/Premature_ejaculation
- Premature Ejaculation Treatments and Causes – webmd.com – 2017, http://www.webmd.com/men/tc/premature-ejaculation-topic-overview#1
- Symptoms and causes – Premature ejaculation – Mayo Clinic, http://www.mayoclinic.org/diseases-conditions/premature-ejaculation/symptoms-causes/dxc-20264133
- Premature ejaculation- Acupuncture point treatment – tcm.health-info.org – 2017, http://tcm.health-info.org/Acupunture/treatment/premature-ejaculation.htm
- Acupuncture For Premature Ejaculation – mistermanpower.net – 2017, https://www.mistermanpower.net/blog/using-acupuncture-to-overcome-premature-ejaculation.php