Ejaculation issues are very common age novelty

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Ejaculation issues are VERY common Age, novelty, frequency… Variances in these can change ejaculation times drastically **1 minute rule Average time from vaginal penetration to ejaculation in healthy populations: 3-8 minutes Premature (early) Ejaculation (PE) A persistent or recurrent pattern of ejaculation occurring during partnered sexual activity within approximately 1 minute following vaginal penetration and before the individual wishes it Premature (early) Ejaculation (PE) A persistent or recurrent pattern of ejaculation occurring during partnered sexual activity within approximately 1 minute following vaginal penetration and before the individual wishes it People who ejaculated within 1 minute were statistically more likely to have distress Hasn’t been researched in areas other than vaginal penetration Risk factors Anxiety disorders, especially social anxiety Genetics (in the form of penile hypersensitivity?) MAYBE super sensitive P might result in quick ejaculation Learning and environmental factors 10.4 Genitopelvic pain/penetration disorder, vulvodynia Sexual Dysfunctions: DSM-5 A clinically significant disturbance in a person’s ability to respond sexually or to experience sexual pleasure (6+ months) Pain can happen from time to time… (not talking about pain from kink) Lack of lubrication Tight muscles Infections Tears in vulvar/vaginal tissues Fissures (dermatological condition) Can open with vaginal activity Partner technique ** pain can happen → if it persists get it checked out Genitopelvic pain/penetration disorder (GPPPD) Persistent or recurrent difficulties with at least one of the following: Vaginal penetration during intercourse Can range from inability to experie,nce penetration in all contexts to JUST in certain situations Vulvovaginal or pelvic pain during vaginal intercourse or penetration attempts Can have pain in different areas, multiple areas, and variance in amount of pain in each
Provoked pain → pain elicited by an external stimulus such as someone touching the area Fear/anxiety about pain in anticipation of, during, or as a result of vaginal penetration Fear/anxiety is intense and CAN lead to avoidance of sexual and/or intimate Can end up looking like a phobia Tensing/tightening of the pelvic floor muscles during attempted vaginal penetration Guarding → natural response anytime someone is experiencing pain DSM-IV → DSM-5 = Dyspareunia & vaginismus → GPPPD DSM 4 had “sexual pain disorders: * Dyspareunia: pain * Vaginismus: muscle spasm that prevented penetration of vagina - Tried to include pain & muscle stuff in overall categoria of GPPPD *Some people argue that these are so different + shouldn’t be grouped * Vaginismus is more of a symptom of pain GPPPD, issues with… Vaginal penetration during intercourse Vulvovaginal or pelvic pain during vaginal intercourse or penetration attempts Fear/anxiety about pain in anticipation of, during, or as a result of vaginal penetration

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