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[Premature orgasm in the male]
1Klinik für Dermatologie und Allergologie, Technische Universität München. Frank.Koehn@lrz.tu-muenchen.de
MMW Fortschritte Der Medizin
|January 1, 2004
Summary
Premature ejaculation lacks a uniform definition but often stems from psychological or relationship issues, not organic causes. Treatment involves medication and sexual therapy, with public awareness crucial for encouraging help-seeking behavior.
Area of Science:
- Urology
- Sexual Medicine
- Psychology
Context:
- Premature ejaculation (PE) lacks a universally accepted definition.
- Current understanding links PE to a failure in controlling excitement.
- Organic disorders and erectile dysfunction must be ruled out as primary causes.
Purpose:
- To explore the definition, causes, and treatment of premature ejaculation.
- To highlight the psychological and partnership factors contributing to PE.
- To emphasize the need for public awareness regarding treatment options.
Summary:
- Premature ejaculation is often attributed to psychological or relationship issues rather than organic causes.
- Effective history-taking should assess anxiety and partner reactions.
- Available treatments include pharmacotherapy (local anesthetics, antidepressants, PDE-5 inhibitors) and sex therapy.
Impact:
- Increased public awareness of premature ejaculation can encourage more individuals to seek treatment.
- Standardizing the definition of PE may improve diagnostic consistency.
- Addressing psychological and partnership factors is key to managing PE effectively.