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lüll Identifying and treating premature ejaculation: importance of the sexual history Payne RE; Sadovsky RCleve Clin J Med 2007[May]; 74 Suppl 3 (ä): S47-53Premature ejaculation (PE) is one of the most common sexual dysfunctions in men, with prevalence rates ranging from 21% to 31%. Because many physicians do not inquire about sexual dysfunction and patients are reluctant to offer it as a medical complaint, PE is underreported in clinical practice. A sexual history is therefore necessary to uncover the diagnosis. PE can have a significant impact on the quality of life of the patient and his sexual partner, and may lead to psychological distress and loss of self-esteem. It appears that PE has no single etiology, and treatments have been based on both its neurophysiologic and behavioral components. Although no therapies are currently approved for PE by the US Food and Drug Administration, medications that have shown some success include selective serotonin reuptake inhibitors, tricyclic antidepressants, phosphodiesterase type 5 inhibitors, and topical anesthetics. Behavioral techniques have been the mainstay of PE treatment, and include techniques to decrease sensory input.|*Medical History Taking[MESH]|*Sex Counseling[MESH]|*Sexual Behavior[MESH]|*Sexual Dysfunction, Physiological[MESH]|Administration, Topical[MESH]|Anesthetics/administration & dosage[MESH]|Antidepressive Agents, Tricyclic/therapeutic use[MESH]|Benzylamines/therapeutic use[MESH]|Diagnosis, Differential[MESH]|Ejaculation/*physiology[MESH]|Humans[MESH]|Male[MESH]|Naphthalenes/therapeutic use[MESH]|Risk Factors[MESH]|Selective Serotonin Reuptake Inhibitors/therapeutic use[MESH] |