Is Premature Ejaculation a Disease?
Consumers are being marketed drugs for premature ejaculation without good evidence that premature ejaculation is a disease to be treated, an Australian conference heard this week.
US-based psychologist's and sex therapist's agree ... premature ejaculation is "the next sexual dysfunction" to be marketed by the pharmaceutical industry. In society there's always a "new" problem needing medical attention. Remember back about 15 plus years when everyone and their brother were hypoglycemic? Premature ejaculation is being marketed as a condition in need of treatment and is beginning to have the hallmarks of disease mongering. What's Normal?
People are now asking doctors what the normal speed of ejaculation is, and wondering whether they meet the normal standard. Most doctors will tell you that there is there is no such thing as normal and there's actually a range. Some people are quick, some people are slow. Most people are in the middle. Although there are no drugs yet specifically approved to treat premature ejaculation, doctors are treating the condition with available drugs that are known to slow down the speed of ejaculation. Doctors are getting a lot of medical education about the off-label uses of medication directly from the pharmaceutical representatives themselves. There are articles published, there are conferences organized around this and there are drug company-paid people going out there and saying you can use this for this.
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It Depends on what Is is ....Over the years there has been an attempt to define premature ejaculation according to the amount of time that lapsed, or the number of thrusts that occurred, before ejaculation occurred, but no agreement has ever been reached. The American Psychiatric Association defines premature ejaculation as persistent and recurrent ejaculation either before a man has intercourse, during attempts at penetration or very shortly after intercourse begins, in a way that is distressing to him or his partner. The Times, they are a changin...Statisically, the norms about when men should ejaculate during coitus are constantly changing. A study in 1948 by Alfred Kinsey discovered three-quarters of men ejaculated within two minutes of coitus and regarded this as acceptable. During the 1960s the period of time to ejaculation considered normal by experts was extended. This coincided with a belief that women's lack of sexual satisfaction during intercourse could be addressed if her male partner could take longer to ejaculate.
In fact ... different cultures have different norms about how long men should take to ejaculate (one Melanesian culture that considers ejaculation after 15 to 30 seconds normal.) Premature ejaculation is often mentioned in the same advertisements discussing erectile dysfunction, and is sometimes referred to under the banner of "ejaculatory problems". Only time and further research will tell and determine if premature ejaculation is truly a "disease".
Jim Shaw
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