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Intermittent premature ejaculation: exploring an understudied phenomenon.

David L Rowland1, Stanley E Althof2,3, Philippe Cote-Leger4

  • 1Department of Psychology, Valparaiso University, Valparaiso, IN 46383, United States.

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Summary
This summary is machine-generated.

A new subtype of premature ejaculation (PE), intermittent PE (IPE), affects about 70% of sexual encounters. Men with IPE experience PE symptoms inconsistently, unlike lifelong PE (LPE) or acquired PE (APE).

Keywords:
acquiredintermittentlifelongpremature ejaculationrapid ejaculationsexual dysfunction

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Area of Science:

  • Sexual Health
  • Urology
  • Psychology

Background:

  • Premature ejaculation (PE) is typically categorized into lifelong (LPE) and acquired (APE) subtypes.
  • Other potential subtypes of PE have received limited attention in scientific literature.

Purpose of the Study:

  • To describe a previously unrecognized form of PE characterized by episodic or intermittent symptomology.
  • To analyze the sexual and ejaculatory response characteristics of men experiencing intermittent PE (IPE).

Main Methods:

  • An online survey collected data from 409 men reporting PE.
  • 31 participants identified specifically with intermittent PE (IPE).
  • Data included ejaculatory control, foreplay duration, and estimated ejaculation latencies (ELs) during both PE and non-PE episodes.

Main Results:

  • Men with IPE exhibited PE-like symptoms in 40%-90% of partnered sexual encounters (average ≈ 70%).
  • Mean ELs during PE episodes ranged from immediate ejaculation to approximately 2 minutes.
  • Mean ELs during non-PE episodes were significantly longer, ranging from approximately 3 to 6.5 minutes (P < .001).

Conclusions:

  • Intermittent PE (IPE) represents a distinct pattern of PE symptom manifestation.
  • While exhibiting PE characteristics, the intermittent nature of IPE may exclude individuals from treatment under some diagnostic criteria.
  • IPE may qualify for treatment under ICD-11 guidelines, highlighting the need for updated diagnostic frameworks.