Better diagnosis and treatment of premature ejaculation is possible

Harold Mandel's picture
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Premature ejaculation can be a devastating problem for a couple. For the man the problem can cause a great deal of anxiety and depression due to the inability to perform well sexually. For the women this problem can crush any expectations of a healthy sexual relationship with the man before they even have a chance to get started. This condition can even ruin a couple after years of marriage. New research suggests better diagnosis and treatment of premature ejaculation may be possible.

The goal of researchers was to review and critique the current literature and to develop a contemporary evidence-based definition for acquired premature ejaculation and/or a unified definition to describe both lifelong and acquired premature ejaculation reported the journal Sexual Medicine. An Ad Hoc Committee for the Definition of Premature Ejaculation met in Bangalore, India. This committee unanimously agreed that men suffering from lifelong and acquired premature ejaculation appear to share:

1: Dimensions of short ejaculatory latency

2: Reduced or absent perceived ejaculatory control

3: The presence of negative personal consequences

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It has been concluded that a unified definition of both acquired and lifelong premature ejaculation as a male sexual dysfunction is characterized by:

1: Ejaculation which always or just about always occurs before or within approximately 1 minute of vaginal penetration from the first sexual experience, which is lifelong premature ejaculation, or a clinically significant and bothersome lowering in latency time, often to approximately 3 minutes or less, which is the acquired form.

2: Inability to delay ejaculation on all or nearly all vaginal penetrations

3: Negative personal consequences, such as distress, frustration, and/or the avoidance of sexual intimacy

The development of new insights into premature ejaculation has the potential to lead to better diagnosis and treatment reports Wiley. This is important because premature ejaculation can cause significant personal and interpersonal distress for a man and for his partner. Premature ejaculation has been recognized as a syndrome for over 100 years. However, the clinical definition of this syndrome has been vague, ambiguous, and void of objective and quantitative criteria. This has made it very hard for researchers to conduct clinical trials on experimental drugs and for doctors to effectively diagnose and treat patients suffering from this problem.

A new unified definition of lifelong and acquired premature ejaculation should help reduce errors of diagnosis and classification of this disorder. This should also assist in developing clinical drug trials. It is the hope of the researchers that previous misconceptions about premature ejaculation will now be dispelled. Various approaches for treatment such as psychological, behavioral, educational, and pharmacological interventions should now hold more promise.

An issue as sensitive as premature ejaculation is likely to make many men and women turn red in the face and avoid the topic. However, this is a serious condition which should be confronted. The emotional torment involved with premature ejaculation can be significant. And a consideration of torn apart relationships which otherwise had great potential due to premature ejaculation is a disturbing thought. Hopefully a new unified definition to describe this problem will help clinicians and patients alike approach premature ejaculation in a more mature and successful manner.

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