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Progressive arousal: a new concept and definition for premature ejaculation
Pedro Lucas Bustos1, Tesifón Parrón Carreño1, Salvador Moreno Gutiérrez2
1CERNEP Research Center, University of Almería, 04120, Almería, Spain.
Sexual Medicine
|May 1, 2023
Summary
Premature ejaculation (PE) is characterized by difficulty controlling arousal, not orgasm. This study suggests PE is a progressive arousal disorder, impacting diagnosis and treatment.
Area of Science:
- Sexual medicine
- Urology
- Psychology
Background:
- Premature ejaculation (PE) presents diagnostic and conceptual challenges.
- Current understanding often misattributes PE to the orgasm phase.
Purpose of the Study:
- To investigate whether altered sexual response in men with PE occurs during the arousal or orgasm phase.
- To determine if PE involves difficulties in modulating, regulating, or decreasing sexual arousal.
Main Methods:
- 481 men seeking help for PE performed a masturbation exercise with up to 5 stimulation stops.
- Exercise duration was measured from masturbation initiation to ejaculation.
- Sociodemographic data and PE diagnostic tools were collected.
Main Results:
- The median survival time to ejaculation was 317 seconds.
- Ejaculation times decreased progressively with each stimulation interval (P < .001).
- 62.16% of participants ejaculated before completing the exercise, indicating escalating arousal.
Conclusions:
- Findings suggest PE is primarily an arousal phase disorder, not an orgasm phase issue.
- This challenges existing conceptualizations and may necessitate revised diagnostic and treatment approaches.
- A new definition of PE as 'progressive arousal disorder' is proposed.
Keywords:
diagnostic criteriaearly ejaculationejaculatory controlejaculatory latency timepremature ejaculationprogressive arousalMore Related Videos
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