Premature ejaculation: A clinical review for the general physician

Area of Science:

• Urology
• Sexual Health
• Men's Health

Background:

• Premature ejaculation (PE) is a prevalent male sexual dysfunction.
• Epidemiological studies indicate a prevalence of 21-31% in Australia.

Purpose of the Study:

• To define premature ejaculation (PE) from a urological standpoint.
• To elucidate the pathogenesis, assessment, and management of PE.

Main Methods:

• Literature review of current definitions and research on PE.
• Discussion of diagnostic criteria and therapeutic interventions.

Main Results:

• PE significantly impacts patient and partner quality of life.
• Associated issues include psychological distress, anxiety, and relationship problems.

Conclusions:

• Despite psychological and relational effects, men hesitate to discuss PE with physicians.
• Physicians should be confident in offering evidence-based treatments for PE.
• Improving quality of life for men with PE is achievable through appropriate management.