Premature ejaculation: Difference between revisions
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{{Infobox medical condition | |||
| name = Premature ejaculation | |||
| synonyms = PE, rapid ejaculation, early ejaculation | |||
| field = [[Urology]], [[Sexual medicine]] | |||
| symptoms = Ejaculation that occurs sooner than desired, causing distress | |||
| complications = [[Relationship problems]], [[anxiety]], [[depression]] | |||
| onset = Can occur at any age | |||
| duration = Can be lifelong or acquired | |||
| causes = [[Psychological factors]], [[biological factors]], [[genetic factors]] | |||
| risks = [[Stress]], [[anxiety]], [[erectile dysfunction]] | |||
| diagnosis = Based on [[patient history]] and [[clinical evaluation]] | |||
| differential = [[Erectile dysfunction]], [[delayed ejaculation]], [[anorgasmia]] | |||
| prevention = [[Behavioral therapy]], [[counseling]] | |||
| treatment = [[Behavioral techniques]], [[counseling]], [[medications]] | |||
| medication = [[Selective serotonin reuptake inhibitors]], [[topical anesthetics]] | |||
| frequency = Affects approximately 30% of men at some point in their lives | |||
}} | |||
Premature Ejaculation (PE) is a common male sexual dysfunction characterized by ejaculation that occurs too quickly, typically before or shortly after sexual penetration. This can lead to distress, frustration, and potentially impact sexual satisfaction for both individuals in a sexual relationship. | Premature Ejaculation (PE) is a common male sexual dysfunction characterized by ejaculation that occurs too quickly, typically before or shortly after sexual penetration. This can lead to distress, frustration, and potentially impact sexual satisfaction for both individuals in a sexual relationship. | ||
=== Classification === | === Classification === | ||
PE is broadly classified into two categories: lifelong (primary) and acquired (secondary). Lifelong PE begins all or nearly all of the time, beginning with the first sexual encounters. Acquired PE develops after having previous sexual experiences without ejaculatory problems. | PE is broadly classified into two categories: lifelong (primary) and acquired (secondary). Lifelong PE begins all or nearly all of the time, beginning with the first sexual encounters. Acquired PE develops after having previous sexual experiences without ejaculatory problems. | ||
=== Pathophysiology === | === Pathophysiology === | ||
The exact cause of PE is not well-understood. It's likely a combination of psychological factors such as anxiety, guilt, or tension and biological factors such as abnormal hormone levels, certain thyroid problems, inflammation and infection of the prostate or urethra, and inherited traits. | The exact cause of PE is not well-understood. It's likely a combination of psychological factors such as anxiety, guilt, or tension and biological factors such as abnormal hormone levels, certain thyroid problems, inflammation and infection of the prostate or urethra, and inherited traits. | ||
=== Clinical Presentation === | === Clinical Presentation === | ||
The principal feature of PE is the inability to delay ejaculation for more than one minute after penetration. However, the problem can occur in all sexual situations, even during masturbation. Men with PE often report emotional and relationship stress. | The principal feature of PE is the inability to delay ejaculation for more than one minute after penetration. However, the problem can occur in all sexual situations, even during masturbation. Men with PE often report emotional and relationship stress. | ||
=== Diagnosis and Treatment === | === Diagnosis and Treatment === | ||
PE is typically diagnosed through a detailed sexual history, which includes the frequency of PE, sexual response, techniques to delay ejaculation, and how PE affects sexual activity and relationships. | PE is typically diagnosed through a detailed sexual history, which includes the frequency of PE, sexual response, techniques to delay ejaculation, and how PE affects sexual activity and relationships. | ||
Treatment involves a combination of techniques, primarily behavioural therapy, counselling, and medication. Behavioural techniques such as the "start-stop" method or the "squeeze" technique may be effective. Psychotherapy or counselling can help reduce performance anxiety and resolve interpersonal issues that contribute to PE. Certain medications, including some antidepressants, analgesics, and phosphodiesterase-5 inhibitors, may be used to delay ejaculation. Topical anaesthetics may also be used. | Treatment involves a combination of techniques, primarily behavioural therapy, counselling, and medication. Behavioural techniques such as the "start-stop" method or the "squeeze" technique may be effective. Psychotherapy or counselling can help reduce performance anxiety and resolve interpersonal issues that contribute to PE. Certain medications, including some antidepressants, analgesics, and phosphodiesterase-5 inhibitors, may be used to delay ejaculation. Topical anaesthetics may also be used. | ||
=== Prognosis === | === Prognosis === | ||
With treatment, most men with premature ejaculation can expect an improvement in their sexual endurance. Lifelong PE tends to be more difficult to treat than acquired PE. | With treatment, most men with premature ejaculation can expect an improvement in their sexual endurance. Lifelong PE tends to be more difficult to treat than acquired PE. | ||
== See Also == | == See Also == | ||
* [[Sexual dysfunction]] | * [[Sexual dysfunction]] | ||
* [[Ejaculation]] | * [[Ejaculation]] | ||
Latest revision as of 03:37, 4 April 2025
| Premature ejaculation | |
|---|---|
| Synonyms | PE, rapid ejaculation, early ejaculation |
| Pronounce | N/A |
| Specialty | N/A |
| Symptoms | Ejaculation that occurs sooner than desired, causing distress |
| Complications | Relationship problems, anxiety, depression |
| Onset | Can occur at any age |
| Duration | Can be lifelong or acquired |
| Types | N/A |
| Causes | Psychological factors, biological factors, genetic factors |
| Risks | Stress, anxiety, erectile dysfunction |
| Diagnosis | Based on patient history and clinical evaluation |
| Differential diagnosis | Erectile dysfunction, delayed ejaculation, anorgasmia |
| Prevention | Behavioral therapy, counseling |
| Treatment | Behavioral techniques, counseling, medications |
| Medication | Selective serotonin reuptake inhibitors, topical anesthetics |
| Prognosis | N/A |
| Frequency | Affects approximately 30% of men at some point in their lives |
| Deaths | N/A |
Premature Ejaculation (PE) is a common male sexual dysfunction characterized by ejaculation that occurs too quickly, typically before or shortly after sexual penetration. This can lead to distress, frustration, and potentially impact sexual satisfaction for both individuals in a sexual relationship.
Classification[edit]
PE is broadly classified into two categories: lifelong (primary) and acquired (secondary). Lifelong PE begins all or nearly all of the time, beginning with the first sexual encounters. Acquired PE develops after having previous sexual experiences without ejaculatory problems.
Pathophysiology[edit]
The exact cause of PE is not well-understood. It's likely a combination of psychological factors such as anxiety, guilt, or tension and biological factors such as abnormal hormone levels, certain thyroid problems, inflammation and infection of the prostate or urethra, and inherited traits.
Clinical Presentation[edit]
The principal feature of PE is the inability to delay ejaculation for more than one minute after penetration. However, the problem can occur in all sexual situations, even during masturbation. Men with PE often report emotional and relationship stress.
Diagnosis and Treatment[edit]
PE is typically diagnosed through a detailed sexual history, which includes the frequency of PE, sexual response, techniques to delay ejaculation, and how PE affects sexual activity and relationships. Treatment involves a combination of techniques, primarily behavioural therapy, counselling, and medication. Behavioural techniques such as the "start-stop" method or the "squeeze" technique may be effective. Psychotherapy or counselling can help reduce performance anxiety and resolve interpersonal issues that contribute to PE. Certain medications, including some antidepressants, analgesics, and phosphodiesterase-5 inhibitors, may be used to delay ejaculation. Topical anaesthetics may also be used.
Prognosis[edit]
With treatment, most men with premature ejaculation can expect an improvement in their sexual endurance. Lifelong PE tends to be more difficult to treat than acquired PE.
See Also[edit]
References[edit]
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