[Detection and diagnosis of the premature ejaculation in the clinical practice]

Recently, a new classification of the premature ejaculation has been proposed. According to this classification, four clinical forms are distinguished: primary premature ejaculation, secondary or acquired premature ejaculation, normal variant that appears in certain situations and a false premature ejaculation that is given in misinformed patients or with exaggerate sexual expectations. To know these clinical forms is important for the clinical boarding of this sexual disorder. In the same way, the detection of premature ejaculation in medical practise requires doctors being receptive and suitable to make an active detection into risk groups for this sexual dysfunction, also describe in the present work. Furthermore, essential aspects of the clinical interview in patients with premature ejaculation, criteria to get an accurate diagnosis, and basic aspects of the physical exploration, complementary studies and main specific questionnaires are described.