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[Model approach for evaluation and treatment of men with premature ejaculation]. | LitMetric

AI Article Synopsis

  • Premature ejaculation (PE) is a prevalent sexual dysfunction in men but is often poorly defined and varies in how men describe their experiences, making diagnosis challenging.
  • The article aims to outline the frequency of PE, present various definitions, and propose a combined medical and psychosexual approach for evaluation and treatment.
  • Promising treatments for PE include selective serotonin reuptake inhibitors (SSRIs) and psychosexual therapy, which can enhance communication and intimacy in relationships; a thorough sexual history is crucial for effective diagnosis and understanding of the condition.

Article Abstract

Introduction: Premature ejaculation (PE) is one of the most common sexual dysfunctions among men. PE is poorly defined and inadequately characterized, therefore, professionals find it difficult to cope with the diagnosis, treatment and research. Men who complain about their PE also describe their problem in different ways.

Purpose: This article describes the prevalence of PE, presents the different definitions of the problem and provides a model for evaluation and treatment combining medical and psychosexual techniques.

Methods: The proposed model for the diagnosis and treatment of PE was composed by combining information from relevant literature with the multi-professional staff experience in our Sexual Medicine Center.

Outcomes: Selective serotonin release inhibitors (SSRIs) have been the most promising medication for treatment of PE. Psychosexual therapy, offering cognitive-behavioral techniques contribute to the man's ability to improve his sexual and couple relationships.

Conclusions: Diagnosis of PE is mainly based on sexual history as described by the male patient. Therefore, it is essential to have a comprehensive medical and sexual history, description of the effect of PE on sexual activity, and the degree of personal and couple distress. It is important to clarify the onset of the problem, as PE may be the result of another sexual dysfunction of the man or his sexual partner.

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