Premature ejaculation

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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] however this article will focus on male circumcision and the loss of the foreskin as a cause of premature ejaculation.

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.[3]

The foreskin typically covers the corona during the outstroke 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.”[4]

References

  1.   (2008). Premature ejaculation, The Free Dictionary by Farley. Retrieved 21 October 2022.
  2.   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.   Lakshmanan S, Prakash S. Human prepuce: some aspects of structure and function. Indian Journal of Surgery. 1980; 44: 134–137. 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.
  4.   Zwang, Gerard (1997): Functional and Erotic Consequences of Sexual Mutilations. Work: Sexual Mutilations — A Human Tragedy. George C. Denniston and Marilyn Milos Fayre Milos (ed.). New York: Plenum Press. Pp. 67-76. ISBN 978-1-4419-3275-4. Retrieved 21 October 2022.