Defining Premature Ejaculation for Experimental and Clinical Investigations

@article{Rowland2001DefiningPE,
  title={Defining Premature Ejaculation for Experimental and Clinical Investigations},
  author={David L. Rowland and Stewart E. Cooper and M. Schneider},
  journal={Archives of Sexual Behavior},
  year={2001},
  volume={30},
  pages={235-253}
}
Researchers investigating premature ejaculation (PE) have employed widely diverse definitions of it, thereby limiting progress in the field. This study summarizes available research on PE, notes patterns that emerge from these studies, compares patterns across several types of studies, and suggests a common model for defining PE groups to guide future research. We surveyed two bibliographic databases, identifying 45 studies employing a definition or description of a PE group. From these, we… 

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The diagnosis of PE is based upon sexual history of a shortened latency time, poor control over ejaculation, low satisfaction with intercourse, and distress regarding the condition.

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  • C. CarsonK. Gunn
  • Medicine, Psychology
    International Journal of Impotence Research
  • 2006
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An improved and universal definition and understanding of PE and its epidemiology will improve the clinical management ofPE and the success of future epidemiologic studies and clinical trials.

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  • F. Montorsi
  • Psychology, Medicine
    The journal of sexual medicine
  • 2005
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The effort to determine the global burden of premature ejaculation (PE) has been impeded by the lack of a clear and universally accepted definition of the condition, but current evidence suggests a global prevalence of PE of approximately 30% across all age groups.

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  • G. Broderick
  • Medicine, Psychology
    The journal of sexual medicine
  • 2006
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There is a recent paradigm shift away from PE as an unidimensional disorder of IELT toward a multidimensional description of PE as a biologic dysfunction with psychosocial components.

Premature ejaculation: an observational study of men and their partners.

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Shorter IELT was significantly associated with reduced ejaculatory control and sexual satisfaction and increased distress and interpersonal difficulty, indicating the need for additional PRO measures to characterize PE.
...

References

SHOWING 1-10 OF 24 REFERENCES

Rapid ejaculation: A review of conceptual, etiological, and treatment issues

TLDR
A multivariate approach to operationalizing RE based on both ejaculatory latency and perceived control is proposed, which would facilitate the understanding of both etiological and treatment issues.

Premature ejaculation: investigation of factors in ejaculatory latency.

Factors hypothesized as being related to ejaculatory latency were evaluated to determine whether they may be implicated in premature ejaculation. Data from 10 premature ejaculators and 14 normal male

The study of ejaculatory response in men in the psychophysiological laboratory

TLDR
The sexual response patterns of men with premature ejaculation, penile response, subjective arousal, and subjective and objective measures of pending or actual ejaculation were measured.

Clomipramine and sexual function in men with premature ejaculation and controls.

Clomipramine in the treatment of rapid (premature) ejaculation.

TLDR
The results of this study strongly support the value of low doses of clomipramine in the treatment of premature ejaculation, specifically when taken on an as-needed basis as little as 4 hours prior to sexual activity.

The psychophysiological nature of premature ejaculation

TLDR
Data revealed that both the PEs and NPEs were equally accurate in assessing their level of physiological sexual arousal, and several hypotheses regarding the nature and etiology of premature ejaculation were evaluated.

Incidence and prevalence of the sexual dysfunctions: A critical review of the empirical literature

TLDR
Recent studies suggest an increase in the frequency of orgasmic and erectile dysfunction and a decrease in premature ejaculation as presenting problems in sex clinics, with recent data indicating that males outnumber females.

Penile sensitivity in men with premature ejaculation and erectile dysfunction.

TLDR
Findings argue against a primary role for penile sensitivity in ejaculation latency, and suggest that other somatic factors or cognitive factors may play the more critical role in premature ejaculation.

Yohimbine, Erectile Capacity, and Sexual Response in Men

TLDR
Mixed effects were found on measures of sexual function in men with erectile dysfunction, with 3 of 11 men reporting strong positive effects under yohimbine, as did self-assessed genital response to VSS.