Speaker 1
The other one says 15 seconds. Then you've got the DSM-5, which breaks it down a little bit more into mild, moderate and severe. So for example, mild would be less than a minute. I think it's less than 30 seconds, then severe is less than 15 seconds. The DSM is the Diagnostic and Statistical Manual, which has criterion for you to meet in order to be clinically diagnosed with having premature ejaculation from a person who's going to diagnose you. So possibly a sex therapist, possibly a rologist, whoever it might be. So then you've got the ISM, which is the International Society for Sexual Medicine, and they've criticized those and they offer their own definition of premature ejaculation. And they break down a little bit more into lifelong, acquired and situational. So they say less than a minute for lifelong premature ejaculation, less than three minutes, I believe, for acquired premature ejaculation, and then less than six minutes for what they call situational premature ejaculation, again, or with different contexts. And something I think is important to note here as well is the measurement they use for this time, right? So I said 15 seconds here or 30 seconds there, one minute there, six minutes there. That timing is known as intra-vaginal ejaculation latency time, or IELT. Now if you're clued into that language, intra-vaginal, what they're measuring there is penetration of a penis in a vagina, right? So they're talking about P and V sex. So it's 15 seconds from penetration of a penis in a vagina. That excludes, I mean, excludes gay men straight up. They're not having sex with vaginas, I presume. And it also excludes oral sex, anal sex, digital sex using your hands, mutual masturbation, all other sexual activities. So to be clinically diagnosed with premature ejaculation, you have to meet this really strict criterion, and it's also exclusive of, like I said, people that have sex with men, and that there is no vagina involved because they're not measuring intra-anal ejaculation latency time or intra-manual. It's intra-vaginal. So there's problems and there's flaws in the way that we're measuring what people deem to be premature ejaculation. But that language is so caked into our understanding of male sexuality, right? People use the term premature ejaculation, not in a clinical diagnostic way, but in a kind of lay person way to describe their experience. So it has validity in the sense of like, I'm not trying to throw the baby out of the bath, water here. There is validity in using the term premature ejaculation if that's how you feel.