Attitudes of Sexual Medicine Specialists Toward Premature Ejaculation Diagnosis and Therapy

Abstract

IntroductionPremature ejaculation (PE) is one of the commonest sexual dysfunctions in men. Because the definition of and guidelines for the management of PE have been revised in recent years, our understanding of PE has changed.AimTo investigate the clinical practice patterns of sexual medicine specialists regarding the diagnosis and treatment of PE.MethodsAttendees of the 17th Annual Congress of the European Society of Sexual Medicine, held in February 2015 in Copenhagen, Denmark, were asked to participate in a survey during the congress.Main Outcome MeasuresA 23-item, self-reported, closed-question questionnaire was distributed. Sociodemographic data, professional background, and personal practice patterns of the attendees were assessed in relation to PE.ResultsIn total, 217 physicians (median age = 47 years, range = 22–74) completed the survey. Most responders (79.3%) considered PE an important sexual dysfunction that should be treated. Almost half the participants stated there is insufficient information about PE for patients and physicians (46.1% and 45.2%, respectively). When asked about the main goal of treating PE, two thirds responded that main goal is to improve patients' sexual function and 35.9% responded that the main goal was to improve partners' satisfaction.ConclusionThese findings confirmed that there are many differences among sex health experts in their understanding of PE. Educational activities are crucial in implementing the new guidelines on PE.

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“…Therefore, we likely captured a representative sample of the conference delegates. The sample size corresponds to that of previous similar studies 17 . Further limitations include the small absolute number of LI-ESWT users and the fact that most have their practice in a private setting.…”

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“…Similar social psychology, historical, and cultural effects are more evident in Asia, which may explain why the self-reported rate of ejaculatory abnormality is only 2% in these regions, while in Europe and the United States, it can reach 81.9% (14,16). Furthermore, Shechter et al pointed out that factors such as clinical practice, educational background, and the own sexual experiences of the physicians may constitute reasons for an underlying biased diagnosis of PE (17). These findings suggest that the misconceptions regarding the subjective ejaculatory symptoms and clinical history may lead to a biased patient history regarding PE and erroneous diagnosis in clinical practice.…”

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“…[8, 9] However, few men with PE had sought treatment from a physician or therapist. [10] The results from Carson et al showed that only 1% of men aged ≥ 40 reported that they had received treatment for PE. [11] Numerous factors are obstacles to PE treatment, some of which are related to the patient's inner resistance.…”