Zhejiang patient Mr. Liu consulted: I was circumcised 2 years ago. In the past 1 year of marriage, most of the time the couple has a good life, but occasionally they ejaculate within 1 minute. Is this considered premature ejaculation? Is it related to circumcision? A: Premature ejaculation is when ejaculation occurs before the penis enters the vagina, or within a very short time after entering the vagina, when the woman has not yet reached orgasm. Therefore, the diagnostic criteria for premature ejaculation mainly lies in whether the female partner is satisfied. Mr. Liu’s case belongs to natural variant premature ejaculation, which has nothing to do with circumcision. Because theoretically, after surgery, the stimulation of the foreskin on the penis is reduced, and during sex, the penis sensitivity will decrease, instead of prolonging the sex time. The causes of premature ejaculation include both psychological and physical aspects, and more than 80% are caused by mental factors. Such as a long time reunion, newlywed honeymoon, excessive excitement or tension, excessive fatigue, depression, poor relationship between husband and wife, or excessive fear and worship of the wife, the existence of inferiority complex, etc. Mr. Shen’s problem may lie in too much fatigue and mental stress at work. You should adjust your physical and mental state properly, don’t take drugs or worry blindly, otherwise they will all aggravate premature ejaculation.