Evaluation of the quality of life of patients with premature ejaculation (lifelong and acquired)

Abstract

OBJECTIVE:The aim of this study was to evaluate the quality of life of patients with lifelong and acquired premature ejaculation and to examine its relationship with depression and anxiety. METHODS: Between February 2017 and January 2018, a total of 175 patients with premature ejaculation and 132 control men who applied to the urology department of the training and research hospital with the complaint of Premature Ejaculation were included. Patients were divided into three groups according to International Society for Sexual Medicine (ISSM) criteria as follows: Group 1, lifelong premature ejaculation; Group 2, acquired premature ejaculation, and Group 3, control group without premature ejaculation. A detailed medical history of patients was obtained and physical examinations were performed. Intravaginal ejaculation latency time (IELT) was recorded and patients were administered International Erectile Function Index-5 (IIEF-5), Premature Ejaculation Diagnostic Tool (PEDT), Sexual Health Inventory for Men (SHIM), Beck Depression Inventory (BDI), State-Trait Anxiety Inventory (STAI)-1 and STAI-2, and Short Form-36 (SF-36). RESULTS:The mean mental component score (MCS) of the SF-36 was 51.65±6.57 in the lifelong premature ejaculation group, 49.33±8.65 in the acquired premature ejaculation group, and 61.12±11.09 in the control group (p<0.0001). The mean physical component score (PCS) was 50.99±7.43 in the lifelong premature ejaculation group, 48.32±11.58 in the acquired premature ejaculation group, and 55.17±8.10 in the control group (p<0.0001). Quality of life of premature ejaculation patients as assessed by SF-36 was lower in the subscales of physical functioning, general health perception, vitality, and role limitations due to emotional functioning, compared to the control group. CONCLUSIONS: Lifelong and acquired premature ejaculation patients deteriorate their quality of life: the deterioration in these patients' quality of life also negatively affects their depression and anxiety states.

Premature Ejaculation-A Taboo in Islamic Culture Effecting Self-Esteem and Relationship of Pakistani Men

“…The present study revealed a significant decrease in overall quality of life and relationship difficulties, these results are in accordance with Bahadir, who used a short form (SF-36) to measure effect of PE on quality of life and concluded that PE has a significant negative impact on patients. 15 To the best of our knowledge, there is no previous study available in Pakistan describing the negative consequences of PE on confidence and relationship status. This is the first study in…”

High-intensity interval training (HIIT) and slow breathing interventions alleviate premature ejaculation (PE) symptoms

“…PE is characterized by a man's inability to maintain ejaculatory control as desired, resulting in a short intravaginal ejaculation latency time (IELT), such as ejaculating within one minute of penetration ( Althof et al, 2014 ), which in turn leads to sexual distress as well as diminished self-esteem and self-confidence ( Rowland et al, 2007 ; Symonds et al, 2003 ) and heightened levels of anxiety and depression ( Ermeç et al, 2022 ; Porst et al, 2007 ), increased interpersonal difficulties ( Giuliano et al, 2008 ; Patrick et al, 2005 ), and an altered rewarding processing (Y. Li et al, 2023 ).…”