Premature ejaculation: Difference between revisions
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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 | ||
}}</ref> Premature ejaculation (PE) has many causes and proposed treatments,<ref>{{REFjournal | }}</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 | }}</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, will focus on male [[circumcision]] and the loss of the [[foreskin]] as a cause of premature ejaculation (PE). | |||
==Anatomical considerations== | ==Anatomical considerations== | ||
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 | ||
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}}</ref> | }}</ref> | ||
The foreskin typically covers the corona of an [[intact]] male during the | 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> | ||
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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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. | 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 | Although Yang et al. (2018) claimed that [[circumcision]] has no effect on premature ejaculation,<ref>{{REFjournal | ||
|last=Yang | |last=Yang | ||
|first= | |first= | ||
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|last2=Wang | |last2=Wang | ||
|first2= | |first2= | ||
|init2= | |init2=X | ||
|author2-link= | |author2-link= | ||
|last3=Bai | |last3=Bai | ||
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|DOI=10.1111/and.12851 | |DOI=10.1111/and.12851 | ||
|accessdate=2022-10-22 | |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 | }}</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 | |last=O'Hara | ||
|first= | |first= | ||
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|DOI=10.1046/j.1464-410x.1999.0830s1079.x | |DOI=10.1046/j.1464-410x.1999.0830s1079.x | ||
|accessdate=2022-10-21 | |accessdate=2022-10-21 | ||
}}</ref> Vissing (1999) reported more premature ejaculation in areas where most men have had a ritual circumcision.<ref>{{REFjournal | }}</ref> Vissing (1999) reported more premature ejaculation in areas where most men have had a [[Brit Milah| ritual circumcision]].<ref>{{REFjournal | ||
|last=Vissing | |last=Vissing | ||
|first= | |first= | ||
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|DOI= | |DOI= | ||
|accessdate=2022-10-21 | |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 circumcision had improved premature ejaculation, but 33 percent found it worse.<ref name="masood2005">{{REFjournal | }}</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 | |last=Masood | ||
|first= | |first= | ||
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Papers by notorious circumcision promoters [[Brian J. Morris]], [[John N. Krieger]], and [[Guy Cox]] were excluded from consideration due to overwhelming [[bias]]. | Papers by notorious circumcision promoters [[Brian J. Morris]], [[John N. Krieger]], and [[Guy Cox]] were excluded from consideration due to overwhelming [[bias]]. | ||
{{SEEALSO}} | |||
* [[Neurotomy]] | |||
* [[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]] | ||