Premature Ejaculation (PE)

ranks among the TOP 5 sex problems.
I am reminded of this joke.
A couple wanted treatment for Premature Ejaculation. They met a Sex Therapist. “What is your problem?” asked the Therapist. The Man looked at his wife and calmly replied, “I have no problem, doctor. It is she who has the problem.”

What is the normal time from insertion of penis in the vagina to ejaculation?
You think, “She is not satisfied.”, is it not?

You must also know the secret or the keys to bring a woman to the height of sexual excitement.

Many sex problems arise due to misconceptions that result from lack of scientific, correct knowledge about sex. Consequently, in Premature Ejaculation (PE)the most common cause of suffering due to unrealistic expectations.

PE Problem
People seeking medical help for Premature Ejaculation PE invariably say that
the sexual intercourse must last long enough to satisfy the female partner. Hence, treatment necessarily consists of methods

1] to satisfy the female partner.
2] to delay ejaculation
What is the normal time from insertion of penis in vagina to ejaculation [Medical Term]? IELT
Intra Vaginal Ejacualation Latency Time
What does medical science offer for delaying ejaculation?

Treatment of PE

This is topic merits exclusive separate chapter.

These are the two aspects we have to consider.
What is the usual time in normal healthy men from insertion of penis in vagina to discharge, also called as IELT?
You may be surprised to know that the normal time is 60 seconds 180 seconds.

1 minute 3 minutes.
In the same person some times it can be

What do the Sex Therapists World over say?
Most Sex Therapists shy away or avoid telling this normal time and the shroud of mystery and consequent misconception prevails. The Sex Therapists cannot specify the time in minutes or in the number of strokes because it varies. All men are not of the same height. Would your answer be right if you were to specify, “5 feet, 6 inches” that is 5 and 1/2 feet, is the normal height of healthy male adult. This is incorrect. A man of 4 feet 11 inches could be as capable and absolutely normal as any other man in all areas of human life.
You cannot say that a man of height 6 feet is abnormal. Hence, your definition becomes tricky.
Dr. Prakash Kothari roars
Dr. Prakash Kothari’s patent answer to the question is, “If you were to measure the temperature of all people sitting here, would their temperatures be exactly 37 degrees Celsius or 98.7 degrees Fahrenheit. Similarly we cannot specify a particular time as normal time. If you label it as premature ejaculation, what is mature ejaculation, is another favorite question that Prof. Prakash Kothari asks. Dr. Prakash Kothari is hell bent on changing the word premature ejaculation to Early Orgasmic Response for good reasons. Medical Science knows conditions in which ejaculation is absent but orgasm present.
Example: Retrograde ejaculation following Trans Urethral Resection (TUR) of Prostrate.

When most of the times ejaculation occurs after one or two strokes following insertion or even before insertion than the Sex Therapist considers that he has Premature Ejaculation (PE) and he qualifies for treatment.
Treatment to delay ejaculation consist of
# non medicine methods and/or
# use of appropriate medicines.
You can also send your detailed query by
clicking here.
Early Orgasmic Response is a term favored over the term Premature Ejaculation by my teacher and colleague Dr. Prakash Kothari [Premature Ejaculation]. Intra Vaginal Ejaculation Latency Time IELT is the medical term useful for scientific analysis and statistical studies.

Medicines used for delaying ejaculation
Comparison of Effect of Medicines
Name of Medicine — IELT fold-increase
Paroxetine — 8.8(5.9-13.2)
Clomipramine 4.6(3.0-7.4)
Sertraline — 4.1(2.6-7.0)
Fluoxetine — 3.9(3.0-5.4)
Placebo — 1.4(1.2-1.7)
Marcel D. Waldinger MD PhD
has reported the results of comparative study (
New Medicine
Dapoxetine 30mg –0.92-2.78 min
Dapoxetine 60mg –0.91-3.32 min
Placebo –0.9 -1.75 min

Adverse Effects of Dapoxetine
Common Side Effects
Nausea (30mg = 8.7%)(60mg = 20.1%)
Headache(30mg = 5.9%)(60mg = 6.2%) resulting
Discontinuation of
Medicine 30mg = 4%) (60mg = 10%)

Giuliano F and team published the above study in Eur Urol Supp. 6(13):780-6, July 2007

All the above mentioned Medicines (except Placebo) belong to group called SSRI, , Selective Serotonin Reuptake Inhibitors. These medicines are used in the treatment of Major Clinical Depression, termed as Phoenix Disease by Dr. Ashok Koparday due to dramatic recovery of a person who is handicapped by Endogenous Depression when SSRI are given in adequate dose. SSRI correct the Serotonergic 5-hydroxytrymptamine (5-HT) neurotransmission in the brain.
A side effect of SSRI is to delay ejaculation.
This side effect is used as Therapy in people having Premature Ejaculation.

The benefit of the newer medicine Dapoxetine is that it has quick action unlike all other SSRI . Maximum Plasma Concentration is achieved in 1 hour. The Plasma Concentration of Dapoxetine 24 hours after taking the swallowing the medicine is less than 5% of the Maximum Plasma Concentration.

Dapoxetine because of its rapid action has the advantage of ‘on demand’ medicine unlike the other medicines in this genre, namely,

Look forward for the elaborate details that are to come soon about the above topics.



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