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Treatment Model for Young Patients with Psychogenic Erectile Dysfunction and Resultant Infertility

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Relationship between premature ejaculation and depression in Korean males.

Hwancheol Son¹, Sang Hoon Song, Jun-Young Lee

¹Department of Urology, Seoul National University Boramae Hospital, Seoul, Korea.

The Journal of Sexual Medicine

|January 18, 2011

Summary

Korean men experiencing premature ejaculation (PE) often suffer from depression and other psychological issues. Subjective perceptions of PE are strongly linked to mental health concerns, highlighting the need for further research in Asian populations.

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Area of Science:

Psychiatry
Sexual Health
Epidemiology

Background:

Psychological impacts of premature ejaculation (PE), including guilt and anxiety, are recognized in Western countries.
Research on PE in Asia has primarily focused on prevalence, with limited investigation into its association with depression or a standardized definition.
A gap exists in understanding the psychological burden of PE within Asian cultural contexts.

Purpose of the Study:

To investigate the association between premature ejaculation (PE) and depression in a Korean male cohort.
To apply a precise definition of PE and validated measures for depression and psychological disturbances.
To explore the psychological impact of PE, differentiating between self-assessed and presumed cases.

Main Methods:

A survey was conducted with 956 Korean males (≥20 years) using an Internet-based questionnaire.
Participants completed medical and sexual history questionnaires, including the International Index of Erectile Function (IIEF-EF) and Beck Depression Inventory (BDI).
Premature ejaculation (PE) was assessed using two definitions: self-assessed PE and presumed PE (defined by ejaculation time, control, and distress).

Main Results:

Out of 334 evaluated men, PE prevalence was 10.5% (presumed) versus 25.4% (self-assessed).
Self-assessed PE was significantly associated with depression, low self-esteem, bother, and low sexual satisfaction, even after excluding erectile dysfunction (ED).
Men with self-assessed PE but not presumed PE reported a greater psychological burden compared to other participants.

Conclusions:

Subjective perceptions of premature ejaculation (PE) in Korean men are linked to a higher likelihood of experiencing depression.
The findings underscore the importance of considering psychological distress in the management of PE.
Further research is warranted to address the psychological sequelae of PE in Asian populations.