Premature Ejaculation: 2020 Update

  title={Premature Ejaculation: 2020 Update},
  author={Giorgio Ivan Russo and Ege Can Şerefoğlu},
  journal={Current Sexual Health Reports},
  pages={411 - 420}
Premature ejaculation (PE) is one of the most common forms of male sexual disorder. There are still different opinions and point of view regarding its definition, classification, prevalence, pathophysiology and treatment alternatives. For these reasons, we aim to recap the recently accumulated data on definition, classification, pathophysiology and treatment alternatives of PE. The literature pertaining to PE has been reviewed by the authors. All the related articles were critically analyzed… 



International Society for Sexual Medicine's guidelines for the diagnosis and treatment of premature ejaculation.

It is suggested that the prevalence of premature ejaculation is considerably lower than previously thought and that ongoing research will lead to a more complete understanding of the pathophysiology as well as new efficacious and safe treatments for this sexual dysfunction.

Premature Ejaculation: Different Pathophysiologies and Etiologies Determine Its Treatment

  • M. Waldinger
  • Psychology, Medicine
    Journal of sex & marital therapy
  • 2008
It is likely that only a small number of men with complaints of PE suffer from a neurobiologically determined PE disturbance, according to the proposed new classification in four well-defined PE syndromes.

Prevalence of the complaint of ejaculating prematurely and the four premature ejaculation syndromes: results from the Turkish Society of Andrology Sexual Health Survey.

The prevalence of the complaint of ejaculating prematurely among Turkish men was 20.0%, with the highest PE syndrome being natural variable PE (8.5%) and premature-like ejaculatory dysfunction (5.1%).

The pathophysiology of acquired premature ejaculation

Acquired PE is commonly due to sexual performance anxiety, psychological or relationship problems, erectile dysfunction (ED), and occasionally prostatitis and hyperthyroidism, consistent with the predominant organic etiology of acquired PE.

Defining Premature Ejaculation for Experimental and Clinical Investigations

A flowchart is suggested, based on data and a rational analysis of 40 years of research, for characterizing PE in ways that could assist the development of the field.

Distribution and factors associated with four premature ejaculation syndromes in outpatients complaining of ejaculating prematurely.

The prevalence of LPE was higher than that of other PE subtypes in an outpatient setting and several comorbidities were more common in patients with APE and PLED.

Indicators of premature ejaculation and their associations with sexual distress in a population-based sample of young twins and their siblings.

INTRODUCTION Recently, in anticipation of the Diagnostic and Statistical Manual of Mental Disorders V, much consideration has been given to the diagnostic criteria for premature ejaculation (PE). The

An evidence-based definition of lifelong premature ejaculation: report of the International Society for Sexual Medicine (ISSM) ad hoc committee for the definition of premature ejaculation.

The ISSM definition of lifelong PE represents the first evidence-based definition of PE, and will hopefully lead to the development of new tools and Patient Reported Outcome measures for diagnosing and assessing the efficacy of treatment interventions and encourage ongoing research into the true prevalence of this disorder.

History of Premature Ejaculation

The initial rather rigid view that all men with PE should undergo psychotherapy has changed to a more flexible view that various treatments can be applied to treat PE and that psychoeducation and counselling remains essential in every treatment.

Sildenafil/Viagra in the treatment of premature ejaculation

The positive role of sildenafil in the management of PE (even without ED) with acceptable adverse events is highlighted, now that the authors have a standardised definition of PE from International Society of Sexual Medicine (ISSM) and a psychogenic component in PE definition.