Premature Ejaculation Questions & Answers

Updated: Aug 08, 2017
  • Author: Samuel G Deem, DO; Chief Editor: Edward David Kim, MD, FACS  more...
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Questions & Answers

Overview

What is the prevalence of premature ejaculation (PE) in the US?

How are lifelong and acquired premature ejaculation (PE) characterized?

What are the common characteristics of patients with lifelong premature ejaculation (PE)?

What should be the focus of history in patients with lifelong premature ejaculation (PE)?

What are the common characteristics of patients with acquired premature ejaculation (PE)?

What should be the focus of history in patients with acquired premature ejaculation (PE)?

What is the role of lab testing in the evaluation of premature ejaculation (PE)?

What conditions should be included in the differential diagnoses of premature ejaculation (PE)?

What are the treatment options for premature ejaculation (PE)?

Which nonpharmacologic therapies are used for premature ejaculation (PE)?

Which medications are used in the treatment of premature ejaculation (PE)?

What is premature ejaculation (PE)?

How is premature ejaculation (PE) defined?

Why is a sexual history of partners helpful in the diagnosis of premature ejaculation (PE)?

How is lifelong premature ejaculation (PE) defined?

How is acquired premature ejaculation (PE) defined?

What are the ISSM diagnostic criteria for premature ejaculation (PE)?

How is premature ejaculation (PE) classified in the DSM-5?

Which factors should be considered in determining the etiology of premature ejaculation (PE)?

What is the DSM-5 diagnostic criteria for premature ejaculation (PE)?

Which organ systems are directly affected by premature ejaculation (PE)?

What is the most pronounced effect of premature ejaculation (PE)?

What is the pathophysiology of premature ejaculation (PE)?

What is the role of biochemistry in the pathophysiology of premature ejaculation (PE)?

What is the role of psychological factors in the pathogenesis of premature ejaculation (PE)?

What is a possible psychological explanation for premature ejaculation (PE)?

What is the evolutionary theory of premature ejaculation (PE)?

What psychological issues may be present in patients with lifelong premature ejaculation (PE)?

What is the role of performance anxiety in acquired premature ejaculation (PE)?

When is specialist consultation indicated in the treatment of acquired premature ejaculation (PE)?

What is the prevalence of premature ejaculation (PE) in the US?

What is the global prevalence of premature ejaculation (PE)?

How does the prevalence of premature ejaculation (PE) vary among age groups?

How does the prevalence of premature ejaculation (PE) vary among races?

How effective is the squeeze-pause technique in the treatment of premature ejaculation?

What is the prognosis of premature ejaculation (PE)?

What is the prevalence of relapse after successful treatment of premature ejaculation (PE)?

What are the complications of premature ejaculation (PE)?

Which specialist referrals may be indicated in the treatment of patients with premature ejaculation (PE) be referred?

How can premature ejaculation (PE) be prevented?

What patient education resources are available for premature ejaculation (PE)?

Presentation

What are the ISSM guidelines for assessing history in patients with suspected premature ejaculation (PE)?

What is the role of patient history in the diagnosis and management of premature ejaculation (PE)?

How can lifelong or acquired premature ejaculation (PE) be differentiated based on patient history?

What is the role of psychiatric history in the diagnosis of premature ejaculation (PE)?

What should be the focus of history in suspected lifelong premature ejaculation (PE)?

What should be the focus of history in suspected acquired premature ejaculation (PE)?

What is the significance of a history of erectile dysfunction in patients with suspected premature ejaculation (PE)?

Which physical findings are characteristic of premature ejaculation (PE)?

DDX

What conditions must be considered in the differential diagnoses of premature ejaculation (PE)?

What is the role of preejaculate in the diagnosis of premature ejaculation (PE)?

What is the relationship between erectile dysfunction and premature ejaculation (PE)?

Which condition increases the risk of developing premature ejaculation (PE)?

Workup

Which tests are performed in the workup of premature ejaculation (PE)?

Treatment

What are the treatment options for premature ejaculation (PE)?

What is the role of the patient’s sexual partner in the treatment of premature ejaculation (PE)?

How is outpatient care for patients with premature ejaculation (PE) scheduled?

What are the surgical options for premature ejaculation (PE)?

Are penile implants used in the treatment of premature ejaculation (PE)?

Which specialist consultations may be indicated in the treatment of premature ejaculation (PE)?

Which treatment options should be offered to patients with premature ejaculation (PE)?

When is referral to a mental health professional indicated for premature ejaculation (PE)?

What is the first step of counseling and sex therapy for premature ejaculation (PE)?

What indicates lifelong premature ejaculation (PE)?

What are the sex therapy techniques for treatment of premature ejaculation (PE)?

How successful are sex therapy techniques for premature ejaculation (PE)?

What are nonpharmacological approaches for younger men with premature ejaculation (PE)?

What is the role of pharmacologic therapy in the treatment of premature ejaculation (PE)?

How are desensitizing creams used to treat premature ejaculation (PE)?

What is the most effective pharmacologic therapy for premature ejaculation (PE)?

What are the possible adverse effects of SSRIs in the treatment of premature ejaculation (PE)?

Which SSRIs are used for the treatment of premature ejaculation (PE)?

When is dapoxetine used to treat premature ejaculation (PE)?

What is the optimal dosing regimen for premature ejaculation (PE)?

What is recommended if the initial SSRI is ineffective in treating premature ejaculation (PE)?

What are adverse effects of long-term SSRI use for premature ejaculation (PE)?

When are phosphodiesterase type 5 (PDE5) inhibitors used to treat premature ejaculation (PE)?

What is the efficacy of phosphodiesterase type 5 (PDE5) inhibitors for the treatment of premature ejaculation (PE)?

Which novel agents are used to treat premature ejaculation (PE)?

Guidelines

What are the ISSM guidelines for the diagnosis and management of lifelong premature ejaculation (PE)?

What are the AUA guidelines on the pharmacologic management of premature ejaculation (PE)?

Medications

What medications are used to treat premature ejaculation (PE)?

What effect does treatment of erectile dysfunction have on comorbid premature ejaculation (PE)?

Which medications in the drug class Analgesic, Opioid are used in the treatment of Premature Ejaculation?

Which medications in the drug class Beta-adrenergic Blocker are used in the treatment of Premature Ejaculation?

Which medications in the drug class Phosphodiesterase Type 5 Inhibitors are used in the treatment of Premature Ejaculation?

Which medications in the drug class Topical anesthetic agents are used in the treatment of Premature Ejaculation?

Which medications in the drug class Tricyclic antidepressants are used in the treatment of Premature Ejaculation?

Which medications in the drug class Selective Serotonin Reuptake Inhibitors are used in the treatment of Premature Ejaculation?