Premature Ejaculation (PE)
Definition
Premature ejaculation (PE) is a male sexual dysfunction characterized by ejaculation that occurs sooner than desired during sexual activity, typically within about one minute of vaginal penetration, and before the person wishes it to happen[1][3]. This condition can cause distress and frustration for both partners involved in sexual activity[3].
Types
Lifelong PE: Occurs from the first sexual experience and persists throughout life[5].
Acquired PE: Develops after a period of normal ejaculatory function[5].
Symptoms
- Ejaculation that routinely occurs with minimal sexual stimulation[3]
- Decreased sexual pleasure due to poor ejaculatory control[3]
- Feelings of guilt, embarrassment, or frustration[3]
- Persistent pattern of ejaculation within approximately 1 minute of vaginal penetration[1]
Causes
PE can be attributed to various factors, including:
Psychological factors:
- Performance anxiety
- Stress
- Depression
- Relationship problems[4]
Biological factors:
- Abnormal hormone levels
- Genetic predisposition
- Inflammation of the prostate gland[3][4]
Diagnosis
Diagnosis is typically based on:
- Patient's sexual history
- Physical examination (in some cases)
- Adherence to diagnostic criteria, such as those outlined in the DSM-5[1][3]
Treatment Options
- Behavioral techniques (e.g., start-stop method, squeeze technique)
- Counseling or psychotherapy
- Medications (e.g., SSRIs, topical anesthetics)
- Combination of therapeutic approaches[6][7]
Prevalence
PE affects approximately 30% to 40% of men at some point in their lives[6][7].
Impact
- Can cause significant distress and negatively affect quality of life
- May lead to relationship problems and sexual dissatisfaction
- Potential fertility issues in some cases[8]
Citations:
[1] https://en.wikipedia.org/wiki/Premature_ejaculation
[2] https://www.mountsinai.org/health-library/diseases-conditions/premature-ejaculation
[3] https://www.health.harvard.edu/mens-health/premature-ejaculation-a-to-z
[4] https://www.healthdirect.gov.au/premature-ejaculation
[5] https://pmc.ncbi.nlm.nih.gov/articles/PMC6732885/
[6] https://my.clevelandclinic.org/health/diseases/15627-premature-ejaculation
[7] https://www.webmd.com/sex/what-is-premature-ejaculation
[8] https://www.mayoclinic.org/diseases-conditions/premature-ejaculation/symptoms-causes/syc-20354900
