Premature ejaculation: challenging new and the old concepts

Kalejaiye, Odunayo; Almekaty, Khaled; Blecher, Gideon; Minhas, Suks

doi:10.12688/f1000research.12150.1

Cited by 18 publications

(14 citation statements)

References 108 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…With regard to men, the concept of premature ejaculation is problematic in both the ICD-10 and the DSM-5, in differing ways. [27][28][29] The ICD-10 Clinical Description and Diagnostic Guidelines (CDDG) does not specify the time to ejaculation which may be considered premature. However, the ICD-10 1 Diagnostic Criteria for Research (DCR) specifies an intravaginal ejaculation latency time (IELT) of 15 s. The DSM-5, 3 on the other hand, specifies a more liberal cut-off of 1 min.…”

Section: Premature Ejaculation In Older Menmentioning

confidence: 99%

See 1 more Smart Citation

Nosology of the Sexual Dysfunctions: Are They Appropriate to Older Adults?

D’cruz

Andrade

2020

Journal of Psychosexual Health

View full text Add to dashboard Cite

The International Classification of Diseases, Tenth Revision ( ICD-10), describes sexual dysfunction on the basis of the inability of the individual to participate in a sexual relationship. On the other hand, the Diagnostic and Statistical Manual of Mental Disorders (Fifth Edition) ( DSM-5) describes it as the inability to respond sexually or experience sexual pleasure. Neither diagnostic manual addresses age as a contextual factor in sexual response, though DSM-5 notes that aging may be associated with a normative decrease in sexual response. In this review, we argue that the diagnosis of sexual dysfunction in the elderly should be based on age-related expectations. As examples, in older women, diagnostic criteria should factor in the considerations that vaginal dryness is associated with genital pain on penetration and with anorgasmia, as components of the genitourinary syndrome of menopause. In older men, the criteria for rigidity of erection and time to ejaculation may be unduly stringent and are not calibrated to changes in autonomic function with age. The lack of consideration of aging physiology in diagnostic systems and the predominance of ageist stereotypes restrict the validity of diagnoses of sexual dysfunction in older adults; there is the possibility of both under and over diagnosis, based upon the attribution models of the patient and the clinician. Age sensitivity during medical training would help reduce ageist stereotyping in clinical practice. Sexual health education in older adults would help familiarize them with and relieve distress related to body changes that may be distressing and that may impact their quality of sexual life.

show abstract

Section: Premature Ejaculation In Older Menmentioning

confidence: 99%

“…The distinction between age-related reduction in time to ejaculation and clinically significant premature ejaculation in older men is unclear 27 as is the frequency of associated distress. [8][9][10][11][12] The ILET cut-offs make no distinction [27][28][29] between younger and older men.…”

Section: Premature Ejaculation In Older Menmentioning

confidence: 99%

Nosology of the Sexual Dysfunctions: Are They Appropriate to Older Adults?

D’cruz

Andrade

2020

Journal of Psychosexual Health

View full text Add to dashboard Cite

show abstract

“…The criteria for premature ejaculatory control, according to the International Society of Sexual Medicine, are fulfilled by only 4–5% of the worldwide population. Furthermore, the perception of premature ejaculatory control is influenced by social conditioning through pornography consumption ( 14 ).…”

Section: Introductionmentioning

confidence: 99%

Markers of Prenatal Androgen Exposure Correlate With Online Sexual Compulsivity and Erectile Function in Young Men

et al. 2021

View full text Add to dashboard Cite

Pornography addiction and sexual dysfunction are increasingly prevalent in young men. Previous studies suggest that prenatal androgen exposure plays a role in addiction and sexual functionality. Here, we tested whether lower second-to-fourth finger length ratio (2D:4D) and later age at spermarche, both putative indicators of higher androgen levels in utero, correlate with online sexual compulsivity (OSC scale of ISST), erectile function (IIEF-5), and ejaculatory control (PEPA) in 4,370 young men (age IQR: 25–26 years) of the Cohort Study on Substance Use Risk Factors. Statistical analyses revealed that lower 2D:4D correlated with higher scores on the OSC scale. Moreover, higher age at spermarche correlated with higher OSC scores and decreased erectile function. Interestingly, OSC severity, but not the frequency of pornography use, correlated negatively with erectile function and ejaculatory control. This is the first study to associate two independent proxies of prenatal testosterone level with OSC. These findings provide novel insight into intrauterine predisposition of sexual behavior and related sexual function in adulthood.

show abstract

“…The management of PE remains a challenge for clinicians, patients, and their partners. The prevalence of PE is around 20% to 40% worldwide, and its diagnosis is often complicated [ 4 ]. The definition of PE frequently relies on ill-defined subjective descriptions, and as little as 5% of individuals fulfill the definition of PE according to the International Society of Sexual Medicine (ISSM) criteria [ 5 ].…”

Section: Introductionmentioning

confidence: 99%

Comparison of the Efficacy of Tramadol and Paroxetine in the Management of Premature Ejaculation

Rehman

Zaidi²,

Haq³

et al. 2020

Cureus

View full text Add to dashboard Cite

Objective The goal of this study was to compare the efficacy of tramadol and paroxetine in the treatment of primary premature ejaculation (PE). Study design This study was a randomized controlled trial performed in the outpatient department of Nishtar Hospital, Multan, from January 2017 to January 2018. Methodology One hundred six patients were diagnosed with PE and included in the study. The patients were categorized into two groups receiving either tramadol or paroxetine through a lottery randomization method. The main variables were baseline PE, baseline satisfaction after intercourse, baseline intravaginal ejaculatory latency time (IELT), ejaculation control, difficulty in ejaculation, and after-treatment satisfaction with sexual intercourse and IELT. We used IBM SPSS Statistics for Windows, Version 23.0 (Armonk, NY: IBM Corp.) for data analysis, and p≤0.05 was considered statistically significant. Results Ejaculation control, difficulty in ejaculation, and distress due to ejaculation in patients in the tramadol group was noted as 24.5%, 7.5%, and 7.5%, respectively. Ejaculation control, difficulty in ejaculation, and distress due to ejaculation in the paroxetine group was noted as 49.1%, 17%, and 24.5%, respectively. The differences were statistically significant within the groups at baseline and after treatment of PE (p<0.001). Conclusion Tramadol is an effective and useful drug as compared to paroxetine for the treatment of PE. Tramadol can be used as an alternative to other medications for the treatment of lifelong PE.

show abstract

Premature ejaculation: challenging new and the old concepts

Cited by 18 publications

References 108 publications

Nosology of the Sexual Dysfunctions: Are They Appropriate to Older Adults?

Nosology of the Sexual Dysfunctions: Are They Appropriate to Older Adults?

Markers of Prenatal Androgen Exposure Correlate With Online Sexual Compulsivity and Erectile Function in Young Men

Comparison of the Efficacy of Tramadol and Paroxetine in the Management of Premature Ejaculation

Contact Info

Product

Resources

About