The second Ad Hoc International Society for Sexual Medicine (ISSM) Committee for the Definition of Premature Ejaculation defined acquired premature ejaculation (PE) as a male sexual dysfunction characterized by a the development of a clinically significant and bothersome reduction in ejaculation latency time in men with previous normal ejaculatory experiences, often to about 3 minutes or less, the inability to delay ejaculation on all or nearly all vaginal penetrations, and the presence of negative personal consequences, such as distress, bother, frustration and/or the avoidance of sexual intimacy. The literature contains a diverse range of biological and psychological etiological theories. Acquired PE is commonly due to sexual performance anxiety, psychological or relationship problems, erectile dysfunction (ED), and occasionally prostatitis and hyperthyroidism, consistent with the predominant organic etiology of acquired PE, men with this complaint are usually older, have a higher mean BMI and a greater incidence of comorbid disease including hypertension, sexual desire disorder, diabetes mellitus, chronic prostatitis, and ED compared to lifelong, variable and subjective PE.
Translational andrology and urology. 2016 Aug [Epub]
Chris G McMahon, Emmanuele A Jannini, Ege C Serefoglu, Wayne J G Hellstrom
Australian Centre for Sexual Health, Sydney, NSW, Australia ;, School of Sexology, Department of Experimental Medicine, University of L'Aquila, L'Aquila, Italy ;, Department of Urology, Bagcilar Training & Research Hospital, Istanbul, Turkey ;, Department of Urology, Tulane University School of Medicine, New Orleans, USA.