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Similarities and differences between men with self-reported lifelong and acquired difficulty reaching ejaculation.

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Men with lifelong delayed ejaculation are younger and report more severe symptoms than those with acquired delayed ejaculation. However, most differences between these subtypes are explained by age and erectile function.

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Area of Science:

  • Urology
  • Sexual Medicine
  • Psychiatry

Background:

  • Delayed ejaculation is often classified into lifelong and acquired subtypes.
  • Limited research exists on the similarities and differences between these subtypes.
  • Understanding these distinctions is crucial for effective clinical management.

Purpose of the Study:

  • To investigate demographic, diagnostic, relationship, and sexual activity/satisfaction differences between lifelong and acquired delayed ejaculation subtypes.
  • To explore the influence of age and erectile function as potential confounding variables.

Main Methods:

  • A multinational online survey collected data from over 3000 respondents.
  • 140 men with moderate to severe difficulty reaching ejaculation were analyzed.
  • Participants were classified as lifelong or acquired delayed ejaculation based on self-report, with analyses of covariance used to compare subtypes.

Main Results:

  • Men with lifelong delayed ejaculation were younger, reported greater symptom severity, and were less likely to attribute their condition to medical issues or medication compared to the acquired subtype.
  • Differences in masturbation frequency, pornography use, and condom use between subtypes diminished after controlling for age and erectile function.
  • Men with lifelong delayed ejaculation showed a higher propensity to masturbate for anxiety/distress reduction.

Conclusions:

  • Lifelong and acquired delayed ejaculation subtypes exhibit more similarities than differences.
  • Age and erectile function significantly influence perceived subtype differences.
  • Clinical attention should be directed towards the higher symptomology and anxiety/distress coping mechanisms in the lifelong subtype.