Difference between revisions of "Premature ejaculation"

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'''{{FULLPAGENAME}}'''  "occurs when male sexual climax (orgasm) occurs before a man wishes it or too quickly during intercourse to satisfy his partner."<ref>{{REFweb
 
'''{{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
 
  |url=https://medical-dictionary.thefreedictionary.com/premature+ejaculation
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  |date=2008
 
  |date=2008
 
  |accessdate=2022-10-21
 
  |accessdate=2022-10-21
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}}</ref> Premature ejaculation (PE) has many causes and proposed treatments,<ref>{{REFjournal
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}}</ref> Premature [[ejaculation]] (PE) has many causes and proposed treatments,<ref>{{REFjournal
 
  |last=Barnes
 
  |last=Barnes
 
  |first=Tricia
 
  |first=Tricia
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  |DOI=10.1080/00926230601098472  
 
  |DOI=10.1080/00926230601098472  
 
  |accessdate=2022-10-21
 
  |accessdate=2022-10-21
−
}}</ref> however this article will focus on male [[circumcision]] and the loss of the [[foreskin]] as a cause of premature ejaculation.
+
}}</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
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|first=
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|init=
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|publisher=National Health Service
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|date=2023-10-09
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|accessdate=2023-10-31
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}}</ref>
 +
 
 +
This article, however, will focus on male [[circumcision]] and the loss of the [[foreskin]] as a cause of premature ejaculation (PE).
  
 
==Anatomical considerations==
 
==Anatomical considerations==
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The [[glans penis]] is most heavily innervated at the corona.  
+
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
+
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
 
  |last=Lakshmanan
 
  |init=S
 
  |init=S
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  |init2=S
 
  |init2=S
 
  |title=Human prepuce: some aspects of structure and function
 
  |title=Human prepuce: some aspects of structure and function
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  |journal=Indian Journal of Surgery
+
  |journal=Indian J Surg
 
  |volume=44
 
  |volume=44
 
  |issue=
 
  |issue=
−
  |pages=134–137
+
  |pages=134–7
 
  |url=http://www.cirp.org/library/anatomy/lakshmanan/
 
  |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.
 
  |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.
−
|pubmedID=
 
−
|pubmedCID=
 
−
|DOI=
 
 
  |date=1980
 
  |date=1980
 
  |accessdate=2022-10-21
 
  |accessdate=2022-10-21
 
}}</ref>  
 
}}</ref>  
  
−
The foreskin typically covers the corona during the outstroke and protects it from excessive stimulation.
+
The [[foreskin]] typically covers the [[corona]] of an [[intact]] male during the out stroke and protects it from excessive stimulation.
  
 
==Circumcision and premature ejaculation==
 
==Circumcision and premature ejaculation==
 
Gerard Zwang (1997) reported:
 
Gerard Zwang (1997) reported:
 
<blockquote>
 
<blockquote>
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"“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>{{REFbook
+
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
 
  |last=Zwang
 
  |last=Zwang
 
  |first=Gerard
 
  |first=Gerard
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  |year=1997
 
  |year=1997
 
  |title=Functional and Erotic Consequences of Sexual Mutilations
 
  |title=Functional and Erotic Consequences of Sexual Mutilations
−
  |url=
+
  |url=https://link.springer.com/chapter/10.1007/978-1-4757-2679-4_5
 
  |work=Sexual Mutilations — A Human Tragedy
 
  |work=Sexual Mutilations — A Human Tragedy
−
  |editor=George C. Denniston and Marilyn Milos Fayre Milos
+
  |editor=George C. Denniston and Marilyn Fayre Milos
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  |edition=
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  |edition
 
  |volume=
 
  |volume=
 
  |chapter=
 
  |chapter=
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  |note=
 
  |note=
 
}}</ref>
 
}}</ref>
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<blockquote>
+
</blockquote>
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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
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|author-link=
 +
|last2=Wang
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|first2=
 +
|init2=X
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|author2-link=
 +
|last3=Bai
 +
|first3=
 +
|init3=Y
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|author3-link=
 +
|last4=Han
 +
|first4=
 +
|init4=P
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|author4-link=
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|etal=no
 +
|title=Circumcision does not have effect on premature ejaculation: A systematic review and meta-analysis
 +
|trans-title=
 +
|language=
 +
|journal= Andrologia
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|location=
 +
|date=2018-03
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|volume=50
 +
|issue=2
 +
|article=
 +
|page=
 +
|pages=
 +
|url=https://onlinelibrary.wiley.com/doi/10.1111/and.12851
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|archived=
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|quote=
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|pubmedID=28653427
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|pubmedCID=
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|DOI=10.1111/and.12851
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|accessdate=2022-10-22
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}}</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
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|author-link=
 +
|last2=O'Hara
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|first2=
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|init2=J
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|author2-link=
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|etal=no
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|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
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|url=http://www.cirp.org/library/anatomy/ohara/
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|archived=
 +
|quote=
 +
|pubmedID=10349418
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|pubmedCID=
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|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
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|author-link=
 +
|etal=so
 +
|title=Premature ejaculation and circumcision: biogenic or a cultural factor
 +
|trans-title=
 +
|language=
 +
|journal=Scand J Sexol
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|location=
 +
|date=1999
 +
|season=
 +
|volume=3
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|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}}
 
{{REF}}
  
 
[[Category:Circumcision complication]]
 
[[Category:Circumcision complication]]
 
[[Category:Circumcision risk]]
 
[[Category:Circumcision risk]]
 +
[[Category:Male sexuality]]
 
[[Category:Penile disorder]]
 
[[Category:Penile disorder]]

Latest revision as of 00:03, 1 November 2023

Premature ejaculation "occurs when male sexual climax (orgasm) occurs before a man wishes it or too quickly during intercourse to satisfy his partner."[1] Premature ejaculation (PE) has many causes and proposed treatments,[2] The British National Health Service offers some advice on premature ejaculation, including some drugs, that may help.[3]

This article, however, 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.[4]

The foreskin typically covers the corona of an intact male during the out stroke and protects it from excessive stimulation.

Circumcision and premature ejaculation

Gerard Zwang (1997) reported:

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.[5]

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,[6] 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.[7] Vissing (1999) reported more premature ejaculation in areas where most men have had a ritual circumcision.[8] Masood et al. (2005) surveyed men who had experienced an adult circumcision. 13 percent reported that circumcision had improved premature ejaculation, but 33 percent found it worse.[9]

Papers by notorious circumcision promoters Brian J. Morris, John N. Krieger, and Guy Cox were excluded from consideration due to overwhelming bias.

See also

References

  1. ↑ REFweb (2008). Premature ejaculation, The Free Dictionary by Farley. Retrieved 21 October 2022.
  2. ↑ REFjournal Barnes T, Eardley I, et al. Premature ejaculation: the scope of the problem. J Sex Marital Ther. March 2007; 33(2): 151-70. PMID. DOI. Retrieved 21 October 2022.
  3. ↑ REFweb Anonymous (9 October 2023). Can premature ejaculation be controlled?, National Health Service. Retrieved 31 October 2023.
  4. ↑ REFjournal Lakshmanan S, Prakash S. Human prepuce: some aspects of structure and function. Indian J Surg. 1980; 44: 134–7. Retrieved 21 October 2022.
    Quote: The outer layer of the prepuce in common with the 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.
  5. ↑ REFbook Zwang, Gerard (1997): Functional and Erotic Consequences of Sexual Mutilations. Work: Sexual Mutilations — A Human Tragedy. George C. Denniston and Marilyn Fayre Milos (ed.). New York: Plenum Press. Pp. 67-76. ISBN 978-1-4419-3275-4. Retrieved 21 October 2022.
  6. ↑ REFjournal Yang Y, Wang X, Bai Y, Han P. Circumcision does not have effect on premature ejaculation: A systematic review and meta-analysis. Andrologia. March 2018; 50(2) PMID. DOI. Retrieved 22 October 2022.
  7. ↑ REFjournal O'Hara K, O'Hara J. The effect of male circumcision on the sexual enjoyment of the female partner. BJU Int. January 1999; 83 Suppl 1: 79-84. PMID. DOI. Retrieved 21 October 2022.
  8. ↑ REFjournal Vissing M. Premature ejaculation and circumcision: biogenic or a cultural factor. Scand J Sexol. 1999; 3(3): 103. Retrieved 21 October 2022.
  9. ↑ REFjournal Masood S, Patel HRH, Himpson RC, et al. Penile sensitivity and sexual satisfaction after circumcision: Are we informing men correctly?. Urol Int. 2005; 75(1): 62-6. PMID. DOI. Retrieved 21 October 2022.
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