Premature Ejaculation Re-Visited: Definition and Contemporary Management Approaches
Abstract
Erectile Dysfunction -Disease-Associated Mechanisms and Novel Insights into Therapy 98 occurrence of ejaculation in the absence of sufficient erection to make intercourse possible.The problem is not the result of prolonged absence from sexual activity.American Psychiatric Association, the diagnostic and statistical manual of mental disorders-fourth edition (DSM-IV), 2000 (American Psychiatric Association, 2000):A. Persistent or recurrent ejaculation with minimal sexual stimulation before, on, or shortly after penetration and before the person wishes it.The clinician must take into account factors that affect duration of the excitement phase, such as age, novelty of the sexual partner or situation, and recent frequency of sexual activity.B. The disturbance causes marked distress or interpersonal difficulty.C. The premature ejaculation is not due exclusively to the direct effects of a substance (eg, withdrawal from opioids).
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