Rapid Ejaculation: Causes & Types
There are lots of theories trying to explain what causes rapid ejaculation. After all, sex is a complicated process – there are physical, mental and social factors all working simultaneously. Like many men’s sexual health issues, guys didn’t used to talk about rapid ejaculation with their doctors or partners; today, new research is shedding light onto the physiology of ejaculation.
The pelvic nerves and the muscles of the pelvic floor interact in a complicated way when men ejaculate. Recently, studies have shown hypersensitivity of the penile sensory receptors, hyperactivity of the ejaculatory reflex, and lower thresholds to unblock the normal neural inhibition of ejaculation. This neuro-muscular complex responds to a mix of neurotransmitters like adrenalin, serotonin, nitric oxide, and the latest discovery, carbon monoxide.
You think that’s complicated? Try this: a guy’s neurotransmitter levels at any given moment will also vary in accordance with his hormone level, not to mention his stress level, or his level of caffeine, alcohol, and who knows what else.
A recent report also identified a hereditary component to rapid ejaculation. That’s right. Your Dad, your Grandfather, your great Grandfather – you may have inherited more than you bargained for from the (ahem) family tree.
How do we know all this? It’s simple: guys have started to talk about rapid ejaculation as a part of living healthy -- and sexually fulfilling – lives.
The Natural History of Rapid Ejaculation
The time it takes between ejaculating and regaining an erection is called the refractory period. In young men, it’s short – the penis often stays hard, allowing guys to continue sexual activity without interruption. For these guys, it’s often easy to ignore rapid ejaculation (after all, you’re ready to go again, right?).
As we get older, the refractory period increases. By the mid-thirties, rapid ejaculation may become a more noticeable problem for guys. Sometimes, our sexual partners are just getting started, and – BAM – we’re done for the night.
Rapid ejaculation can cause frustration, tension, and depression in both partners. For the man, sexual encounters are less satisfying (after all, it’s difficult to enjoy sex when you’re preoccupied with thoughts of how long you’re going to last). For some, a disappointing sex life can be an obstacle to a happy and healthy relationship.
Types of Rapid Ejaculation
PRIMARY RE
This is most common type. It starts early in life, often with first sexual experiences. It’s only a problem if it persists.
SECONDARY RE
This is when rapid ejaculations begin later in their life. Secondary RE has been associated with some underlying medical conditions, like prostate problems, so it’s wise to see a doctor for a medical evaluation. Stress or relationship issues may also contribute.
The other possible cause of Secondary RE is erectile dysfunction (ED). This too should prompt a visit to a physician so that any underlying medical conditions like diabetes or vascular disease (to name just a few) can be uncovered if present, or ruled out. When rapid ejaculation develops as a result of ED, it is generally accepted that the best plan is to treat the erectile dysfunction and the RE will probably clear up on its own.
