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Related Experiment Videos

Premature ejaculation: on defining and quantifying a common male sexual dysfunction.

Gregory A Broderick1

  • 1Department of Urology, Mayo Clinic College of Medicine, Jacksonville, FL 32224, USA. broderick.gregory@mayo.edu

The Journal of Sexual Medicine
|August 31, 2006
PubMed
Summary

Premature ejaculation (PE) is a common male sexual dysfunction. Current definitions acknowledge its multidimensional nature, including control, satisfaction, and distress, beyond just time to ejaculation.

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Area of Science:

  • Sexual Medicine
  • Urology
  • Psychiatry

Background:

  • Premature ejaculation (PE) is a prevalent male sexual dysfunction with centuries-old recognition.
  • Affecting nearly one in three men globally (ages 18-59), PE was historically viewed as a learned behavior managed by psychosexual therapy.
  • Recent decades have advanced the understanding of PE's etiology, diagnosis, and management, though a universal definition remains elusive.

Purpose of the Study:

  • To review and analyze five prominent published definitions of premature ejaculation (PE).

Main Methods:

  • A State of the Art Conference on Premature Ejaculation was convened by the Sexual Medicine Society of North America in June 2005.
  • Data were sourced from major health organizations including the World Health Organization and the American Psychiatric Association.

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  • Discussions involved 16 invited experts focusing on contemporary research and clinical information on PE.

    • Main Results:

    • Current PE definitions share similarities but lack a specific time to ejaculation due to absent normative data.
    • While shortened intravaginal ejaculatory latency time (IELT) is recognized, PE is increasingly viewed as multidimensional.
    • Subjective parameters like control, satisfaction, and distress are now integral to understanding PE.

    Conclusions:

    • A paradigm shift is occurring, moving from viewing PE solely as a unidimensional IELT disorder.
    • PE is now increasingly described as a multidimensional dysfunction with both biologic and psychosocial components.