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2016 ; 5
(4
): 434-49
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English Wikipedia
The pathophysiology of acquired premature ejaculation
#MMPMID27652216
Transl Androl Urol
2016[Aug]; 5
(4
): 434-49
PMID27652216
show ga
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.