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|pubmedID=
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"“Contrary Contrary to a tenacious mythology, the thickened glans of the [[circumcised ]] penis is not always immune to pleasurable surfeit when brought in contact with vaginal mucous membrane. … Furthermore, there are many other [[circumcised ]] males who have directly incriminated their mutilation for their lack of staying power.”<ref name="zwang1997">{{REFbook
Wikify.
'''{{FULLPAGENAME}}''' "occurs when male sexual climax (orgasm) occurs before a man wishes it or too quickly during intercourse to satisfy his partner."<ref>{{REFweb
|url=https://medical-dictionary.thefreedictionary.com/premature+ejaculation
|date=2008
|accessdate=2022-10-21
}}</ref> Premature [[ejaculation ]] (PE) has many causes and proposed treatments,<ref>{{REFjournal
|last=Barnes
|first=Tricia
|DOI=10.1080/00926230601098472
|accessdate=2022-10-21
}}</ref> The [https://www.nhs.uk British National Health Service] offers some advice on premature ejaculation, including some drugs, that may help.<ref name="nhs2023">{{REFweb |url=https://www.nhs.uk/common-health-questions/sexual-health/can-premature-ejaculation-be-controlled/ |title=Can premature ejaculation be controlled? |last=Anonymous |first= |init= |publisher=National Health Service |date=2023-10-09 |accessdate=2023-10-31}}</ref> This article, however this article , will focus on male [[circumcision]] and the loss of the [[foreskin]] as a cause of premature ejaculation(PE).
==Anatomical considerations==
The [[glans penis]] is most heavily innervated at the [[corona]].
The [[foreskin ]] is noted for its freedom of movement and its [[gliding action]] which allows it to move to and fro during sexual intercourse.<ref name="lakshmanan1980>{{REFjournal
|last=Lakshmanan
|init=S
|init2=S
|title=Human prepuce: some aspects of structure and function
|journal=Indian Journal of SurgeryJ Surg
|volume=44
|issue=
|pages=134–137134–7
|url=http://www.cirp.org/library/anatomy/lakshmanan/
|quote=The outer layer of the prepuce in common with the [[shaft skin|skin of the shaft]] of the penis glides freely in a to and fro fashion and has to be delicate and thin, as was observed in this study. [...] The inner lining of the projecting tubular part has the structure of the outer layer and adds to the thin gliding [[skin]] when retracted.
|date=1980
|accessdate=2022-10-21
}}</ref>
The [[foreskin ]] typically covers the [[corona ]] of an [[intact]] male during the outstroke out stroke and protects it from excessive stimulation.
==Circumcision and premature ejaculation==
Gerard Zwang (1997) reported:
<blockquote>
|last=Zwang
|first=Gerard
|url=https://link.springer.com/chapter/10.1007/978-1-4757-2679-4_5
|work=Sexual Mutilations — A Human Tragedy
|editor=George C. Denniston and Marilyn Milos Fayre Milos |edition=
|volume=
|chapter=
|note=
}}</ref>
</blockquote>Zwang had discovered that [[circumcision]] moves the dominant sexual stimulation from the nerves in the [[foreskin]] to the nerves in the corona of the [[glans penis]] with consequent loss of control of ejaculation. Although Yang et al. (2018) claimed that [[circumcision]] has no effect on premature ejaculation,<ref>{{REFjournal |last=Yang |first= |init=Y |author-link= |last2=Wang |first2= |init2=X |author2-link= |last3=Bai |first3= |init3=Y |author3-link= |last4=Han |first4= |init4=P |author4-link= |etal=no |title=Circumcision does not have effect on premature ejaculation: A systematic review and meta-analysis |trans-title= |language= |journal= Andrologia |location= |date=2018-03 |volume=50 |issue=2 |article= |page= |pages= |url=https://onlinelibrary.wiley.com/doi/10.1111/and.12851 |archived= |quote= |pubmedID=28653427 |pubmedCID= |DOI=10.1111/and.12851 |accessdate=2022-10-22}}</ref> others have also observed and reported more premature ejaculation in [[circumcised]] men as compared with [[intact]] men. Women reported that their [[circumcised]] partners were more likely to have premature [[ejaculation]].<ref name="ohara1999">{{REFjournal |last=O'Hara |first= |init=K |author-link= |last2=O'Hara |first2= |init2=J |author2-link= |etal=no |title=The effect of male circumcision on the sexual enjoyment of the female partner |trans-title= |language= |journal=BJU Int |location= |date=1999-01 |season= |volume=83 Suppl 1 |issue= |article= |page= |pages=79-84 |url=http://www.cirp.org/library/anatomy/ohara/ |archived= |quote= |pubmedID=10349418 |pubmedCID= |DOI=10.1046/j.1464-410x.1999.0830s1079.x |accessdate=2022-10-21}}</ref> Vissing (1999) reported more premature ejaculation in areas where most men have had a [[Brit Milah| ritual circumcision]].<ref>{{REFjournal |last=Vissing |first= |init=M |author-link= |etal=so |title=Premature ejaculation and circumcision: biogenic or a cultural factor |trans-title= |language= |journal=Scand J Sexol |location= |date=1999 |season= |volume=3 |issue=3 |article= |page=103 |pages= |url=http://www.cirp.org/library/sex_function/vissing1/ |archived= |quote= |pubmedID= |pubmedCID= |DOI= |accessdate=2022-10-21}}</ref> Masood et al. (2005) surveyed men who had experienced an [[adolescent and adult circumcision| adult circumcision]]. 13 percent reported that [[adult circumcision| circumcision]] had improved premature [[ejaculation]], but 33 percent found it worse.<ref name="masood2005">{{REFjournal |last=Masood |first= |init=S |author-link= |last2=Patel |first2= |init2=HRH |author2-link= |last3=Himpson |first3= |init3=RC |author3-link= |last4= |first4= |init4= |author4-link= |last5= |first5= |init5= |author5-link= |last6= |first6= |init6= |author6-link= |etal=yes |title=Penile sensitivity and sexual satisfaction after circumcision: Are we informing men correctly? |trans-title= |language= |journal=Urol Int |location= |date=2005 |season= |volume=75 |issue=1 |article= |page= |pages=62-6 |url=http://www.cirp.org/library/sex_function/masood1/ |archived= |quote= |pubmedID=16037710 |pubmedCID= |DOI=10.1159/000085930 |accessdate=2022-10-21}}</ref>
Papers by notorious circumcision promoters [[Brian J. Morris]], [[John N. Krieger]], and [[Guy Cox]] were excluded from consideration due to overwhelming [[bias]].
{{SEEALSO}}
* [[Sexual effects of circumcision]]
{{REF}}
[[Category:Circumcision complication]]
[[Category:Circumcision risk]]
[[Category:Male sexuality]]
[[Category:Penile disorder]]