Lifelong PE, acquired PE, and situational PE each have different root causes and respond to different treatments. Dr. Hwang's assessment identifies which type you have — before any treatment plan is proposed.
IELT (Intravaginal Ejaculatory Latency Time) is measured from penetration to ejaculation. Use a stopwatch for 4–5 separate occasions. Average the results. Share your average IELT with Dr. Hwang via WhatsApp.
| IELT range | Clinical classification | Recommended first step |
|---|---|---|
| <1 minute | Clinical PE | Dapoxetine or nerve block |
| 1–2 minutes | Probable PE | Topical anesthetic trial |
| 2–3 minutes | Borderline | Behavioral techniques first |
| 3+ minutes | Not clinical PE | Reassurance, technique review |
The average IELT in studies is 5.4 minutes. Clinically, PE is defined as consistently ejaculating within 1 minute of penetration (lifelong PE) or a significant reduction from your personal baseline (acquired PE). Men with IELT 1–2 minutes may benefit from treatment but are not always classified as having clinical PE.
Lifelong PE: hypersensitivity of the glans penis, serotonin receptor sensitivity, genetic predisposition. Acquired PE: relationship issues, performance anxiety, ED compensating mechanism, prostatitis, hyperthyroidism. Treatment differs significantly by cause.
Medication (dapoxetine, SSRIs, topical anesthetics) delays ejaculation pharmacologically — effective 65–80% and reversible. Surgery (dorsal nerve block, frenular cut, dermis graft) reduces sensitivity structurally — more permanent but irreversible. Dr. Hwang recommends exhausting medication before surgery for acquired PE.
Message your IELT and PE history via WhatsApp. Dr. Hwang will indicate whether your case warrants a non-surgical trial first, or whether surgical assessment is appropriate.