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Defining and Treating Premature Ejaculation

Defining and Treating Premature EjaculationIn the course of your practice, it’s likely that you’ll meet men or couples coping with premature ejaculation (PE). A man might say he can’t control his ejaculation and that he climaxes before he and his partner wish it to happen, leaving both feeling frustrated and disappointed. If a man is single, he might avoid starting new relationships because he feels too embarrassed or anxious.

But how, exactly, is premature ejaculation defined clinically? This question can be difficult to answer. And couples may feel differently about it.

The International Society for Sexual Medicine (ISSM) defines it this way:

Premature ejaculation is a male sexual dysfunction characterized by

·         ejaculation which always or nearly always occurs prior to or within about one minute of vaginal penetration from the first sexual experiences (lifelong PE), or, a clinically significant and bothersome reduction in latency time, often to about 3 minutes or less (acquired PE), and

·         the inability to delay ejaculation on all or nearly all vaginal penetrations, and

·         negative personal consequences, such as distress, bother, frustration and/or the avoidance of sexual intimacy.

(Note: The Sexual Medicine Society of North America is a regional society of the ISSM.)


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