premature%20ejaculation
PREMATURE EJACULATION
Premature ejaculation is a male sexual dysfunction characterized by short, easily stimulated ejaculation that occurs always or nearly always before or within one minute of vaginal penetration.
It is involuntarily controlled and causes negative personal consequences like distress, frustration and avoidance of sexual intimacy.
Exact etiology and risk factors are unknown.

Introduction

  • A male sexual dysfunction characterized by:
    • Short, easily stimulated ejaculation that occurs always or nearly always before or w/in 1 minute of vaginal penetration or a clinically significant & bothersome reduction in latency time, often to about 3 minutes or less
    • Either present from the first sexual experience or following a new bothersome change in ejaculatory latency
    • Involuntarily controlled
    • Causes negative personal consequences eg distress, bother, frustration, avoidance of sexual intimacy & interpersonal difficulty
  • Most common male sexual dysfunction w/ prevalence not affected by age
    • More common in younger men

Etiology

  • Unknown exact etiology w/ few data to support the following suggested biological & psychological hypotheses including:
    • Anxiety
    • Penile hypersensitivity
    • 5-HT receptor dysfunction

Risk Factors

  • Risk factors include:
    • Genetic influences (lifelong PE)
    • Prostatic inflammation & chronic bacterial prostatitis (acquired PE)
    • Hormonal aberrations or thyroid hormone disorders
    • Poor overall health status & obesity
    • Psychological factors that may precipitate PE are historical factors (eg sexual abuse, attitude towards sex in the home), individual psychological factors (eg body image, depression, performance anxiety) or relationship factors (eg intimacy, anger)
Editor's Recommendations
Most Read Articles
one year ago
Patients with co-morbid insomnia and alcohol dependence may exhibit worse psychosocial problems according to a placebo-controlled medication trial.
one year ago
A national survey done in the US showed that mood disorders were associated with decreased health-related quality of life scores followed by strokes, psychotic illness and arthritis (P<0.01).
2 years ago
New drug applications approved by US FDA as of 15 – 31 May 2015 which includes New Molecular Entities (NMEs) and new biologics. It does not include Tentative Approvals. Supplemental approvals may have occurred since the original approval date.
one year ago
Individuals who experienced greater difficulties with executive functioning after acute brain injury (ABI) were more likely to use maladaptive coping styles, a cross-sectional study has shown.