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How is delayed ejaculation defined and treated in North America?

M J Butcher1, R C Welliver2, D Sadowski1

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|May 28, 2015
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Summary
This summary is machine-generated.

Delayed ejaculation (DE) remains poorly understood, leading to inconsistent treatment approaches. Practitioners report low success rates, highlighting the need for further research and education on this sexual health disorder.

Keywords:
delayed ejaculationejaculationepidemiologyorgasmic dysfunction

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Area of Science:

  • Sexual Medicine
  • Urology
  • Men's Health

Background:

  • Delayed ejaculation (DE) is an uncommon sexual disorder with limited understanding and treatment options.
  • Current clinical management practices for DE are not well-defined.

Purpose of the Study:

  • To evaluate the current opinions and clinical management strategies for delayed ejaculation (DE) among sexual medicine practitioners.
  • To identify perceived etiologies, treatment successes, and challenges in managing DE.

Main Methods:

  • A web-based survey was distributed to members of the Sexual Medicine Society of North America (SMSNA).
  • The survey included eight questions on patient volume, perceived patient bother, etiologies, treatment success, and practitioner type.
  • Ninety-four sexual medicine practitioners, predominantly urologists, completed the survey.

Main Results:

  • Most respondents (89%) considered DE moderately to severely bothersome to patients.
  • Primary perceived etiologies included medications and psychological factors.
  • Practitioners reported low success rates for DE treatment, with 49% experiencing 'seldom' success and 11% 'never' achieving success.

Conclusions:

  • Delayed ejaculation (DE) is a poorly understood condition with significant variability in clinical practice patterns among sexual medicine specialists.
  • Low reported treatment success rates underscore the need for enhanced research and practitioner education to improve management of DE.