Physical Causes Of Premature Ejaculation - Frenulum Breve (Short Frenulum)

When we think of the causes of premature ejaculation we can divide them into two broad groups - the psychological and the physical. There has been lots of research into the relative frequency of the two groups, and it now seems that most rapid ejaculation is caused by psychological issues, and the prevalence of physical issues as the cause of premature ejaculation is rather lower.

There have been suggestions over the years that men may have a hyper-sensitive penis, and that this causes rapid ejaculation. There are innate difficulties in conducting research into this possibility, and no firm evidence has ever emerged that an extreme degree of nervous sensitivity is responsible for the condition. In any event, the question arises as to how one would conduct tests to demonstrate such sensitivity. And even supposing that it were to be demonstrated that you had an unduly sensitive penis compared to the next man, what could you do about it?

The answer to this not entirely rhetorical question is that you could train yourself to respond to sexual stimulation with a lower degree of arousal. This is the basis of the program described on this website: a rapid and easy way to learn how to control the rate at which you respond to sexual stimulation so that your arousal level does not reach the point at which you ejaculate as quickly as it has in the past.

It has even been suggested that men who have over-sensitive nerves in the penis glans or frenulum (the latter being the site of much of the sexual stimulation which causes men to progress to wards orgasm and ejaculation) may obtain better ejaculatory control if they undergo circumcision. However, circumcision, which exposes the sensitive nerves of the glans and frenulum to sexual stimulation by removing the covering of the foreskin, does not produce any significant change in the length of time between penetration and ejaculation. In other words, the circumcised penis does not become less sensitive to sexual stimulation, though it would be interesting to compare the degree of sexual stimulation necessary for ejaculation between men who had been circumcised and who still had a frenulum, and those who had been circumcised and whose frenulum had been removed during the operation. In the absence of firm data on this matter, the only viable options for controlling the speed of ejaculation among these men are (1) the type of program described on this website or (2) possibly the use of a local anesthetic cream, although this has not gained widespread recognition as an effective remedy. If you wish to try it, find a cream containing lignocaine, and rub a small amount of the cream onto the glans of your penis approximately half an hour before you wish to start making love. At this point if you wash your penis well you should find that there is no taste of the cream (useful if you wish to enjoy fellatio with your partner), while you still retain a degree of reduced sensitivity.

Unfortunately, a large proportion of men do not find any benefit from anesthetic creams. If this is the case for you, you might find it useful to apply more cream, or apply it sooner or later than half an hour before you begin lovemaking. By experimenting in this way, it may be possible for you to discover a pattern of application which allows you to control your premature ejaculation more effectively.

Frenulum Breve as a cause of premature ejaculation

What we do know about the physical causes of premature ejaculation is that a very short frenulum can produce excessive sexual stimulation and cause a man to ejaculate prematurely. You can read about frenulum breve here.

In case you don't already know, the frenulum is the thin band of skin which joins the foreskin to the glans. When it is stimulated, it produces a high level of sexual arousal because it is packed full of extremely sensitive nerve endings. When the frenulum is stretched it will produce an erection and eventually, in some men at least, ejaculation.

No matter how hard the penis may be, the skin covering the penile shaft always has the capacity to move slightly, and nowhere is this more true than during intercourse as the penis moves forwards and backwards in the vagina as the man thrusts. Whether a man is circumcised or not, the thrusting motion will pull the frenulum tight as the penis moves forward in the vagina. This pulling on the frenulum will eventually produce, or assist in producing, orgasm and ejaculation. When a man is uncircumcised and has a short frenulum, plus a foreskin which moves backwards and forwards easily, he is very likely indeed to experience premature ejaculation because the rolling motion of his foreskin will produce even more pressure on his frenulum.

This condition is not common. In some cases a surgical solution is offered to men who have a short frenulum. Newspaper articles on frenulum breve and frenuloplasty. While this may seem like a good solution for men who have experienced the pain of a torn frenulum, there is an obvious problem - the surgical cutting of the frenulum leads to a loss of sensation because the nerves of the frenulum have been severed. But it might be acceptable for men who ejaculate uncontrollably to trade off a loss of sensation for greater staying power..... and yet if there is a problem with low sensitivity of the glans, then a man might conceivably find that he is unable to ejaculate at all if he also loses the stimulation derived from the nerves of his frenulum. 

Perhaps a better alternative is to stretch the frenulum. This can be achieved by adopting the following procedure: start with a really hard erection. Next, grasp your penis just below the coronal rim and pull the skin of the penile shaft downwards in the direction of the pubic bone until the stretched frenulum begins to give you a small amount of discomfort. Hold the stretched frenulum in this position until the feeling of incipient ejaculation develops. At this point, release the frenulum and allow your arousal to decrease. Then repeat the process.

If you repeat this stretching process over several days, for seven minutes each day, you will find that your frenulum soon increases in length and remains elongated, thereby allowing you to enjoy intercourse without ejaculating too rapidly.