As early as the early 1940s, Shapiro divided premature ejaculation into two types: Type A, a manifestation of premature ejaculation that is popular among young people with high sexual drive but no difficulty in erection, who have never had good control over the ejaculation process; Type B, commonly seen in elderly people, often accompanied by erectile difficulties, occurs after having good control ability. Most people tend to view type B as a manifestation of impotence.
True premature ejaculation refers to ejaculation with less than 15 thrusts or less than 1 minute during sexual intercourse with different partners or in different occasions, also known as complete premature ejaculation. They are prone to producing a good response to medication for premature ejaculation.
The classification of premature ejaculation can also be divided into two categories: primary premature ejaculation and secondary premature ejaculation based on whether there has been a satisfactory sexual history in the past. Premature ejaculation that occurs during first sexual intercourse is called primary premature ejaculation. Previously had satisfactory sexual activity, but later developed premature ejaculation, known as secondary premature ejaculation.
According to the different manifestations of the disease, premature ejaculation can be classified into three types.
(1) Primary premature ejaculation occurs from adolescence, accompanied by normal erections and related psychological anxiety. The habit of rapid ejaculation caused by premarital sexual activity can result in a firm erection during excitement, but it is not durable and can be ejaculated instantly.
(2) Acute premature ejaculation: usually characterized by weak erection and accompanied by generalized anxiety, such as husband’s dissatisfaction with his wife, or potential resentment, hostility, or excessive fear, worship, and strong inferiority complex towards his wife, resulting in premature ejaculation.
(3) Implicit premature ejaculation attack: Not only is there insufficient erection, but also low libido and less obvious anxiety. For example, some people may experience sexual fatigue due to too few sexual encounters. “One position, one posture, one time, one movement”, even the greatest charm will be worn away, often leading to premature ejaculation.