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Men with Various Subtypes of Premature Ejaculation Differ in the Perceived Cause of Their Problem.

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A retrospective-present-day analysis on acquired premature ejaculation.

Stanley E Althof1,2, David L Rowland3, Philippe Cote-Leger4

  • 1Center for Marital and Sexual Health of South Florida, Jupiter, FL 33478, United States.

Sexual Medicine
|April 21, 2026
PubMed
Summary
This summary is machine-generated.

Men with acquired premature ejaculation (APE) experience significantly shorter ejaculatory latencies (ELs) over time, with symptoms often worsening with age. Despite decreased ELs, foreplay duration remained consistent, suggesting potential for ejaculation control in some cases.

Keywords:
acquired premature ejaculationejaculatory controlejaculatory dysfunctionejaculatory latencypremature ejaculationsexual dysfunction

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Area of Science:

  • Sexual health research
  • Urology
  • Psychology

Background:

  • Acquired premature ejaculation (APE) is defined as the onset of ejaculatory dysfunction after a period of normal ejaculatory control.
  • This study is the first to investigate the developmental trajectory of APE.

Purpose of the Study:

  • To retrospectively analyze the developmental course of foreplay duration, ejaculatory latencies (ELs), and symptomology changes in men with APE.
  • To examine these changes from the age of sexual debut to the present day.

Main Methods:

  • A retrospective online questionnaire was administered to 411 volunteers aged 18-80.
  • 77 men meeting criteria for APE (symptoms developed after normal ejaculatory function) were included in the analysis.
  • Data collected included sexual debut age, age of PE onset, ejaculatory latencies, and foreplay duration.

Main Results:

  • Ejaculatory latencies significantly decreased from sexual debut (mean vaginal EL: 5.98 min) to the present (mean vaginal EL: 1.86 min) (P < .001).
  • Foreplay duration remained stable at approximately 12-13 minutes throughout the lifespan.
  • Nearly 34% of participants reported worsening APE symptoms over time.

Conclusions:

  • The study confirms the developmental decline in ejaculatory latencies for men with APE.
  • Findings suggest that foreplay duration is not associated with ejaculatory latencies in men with APE.
  • A significant portion of men with APE experience symptom deterioration with age, highlighting the need for targeted interventions.