However, it is likely that a complex interplay between neurophysiological factors predominantly influence premature ejaculation. Psychological components often contribute to acquired premature ejaculation. IELT, intravaginal ejaculatory latency time Psychological preoccupation with imagined rapid ejaculation

Urological (erectile dysfunction, prostatitis).

Subjective, self- perception of rapid ejaculation despite normal ejaculation timeĮarly, usually from first sexual encounterĮjaculation remains rapid throughout lifetime with no ability to control ejaculationĪbility to delay ejaculation may be diminished or lacking PE is inconsistent and occurs irregularly and not the result of (psycho)pathology New onset of premature ejaculation, usually the result of an identifiable source and patient has experienced normal ejaculations in the past Summary of the four classifications of premature ejaculationĮjaculation occurs too early in nearly every sexual encounter 12 Premature ejaculation can be further divided into authority-based subtypes ‘variable’ and ‘subjective’ ( Table 1), which describe individuals experiencing significant distress and dissatisfaction with ejaculation. Lifelong premature ejaculation is characterised by an IELT of <1 minutes since first intercourse, whereas IELT of <3 minutes at any point in a man’s life is considered to be acquired premature ejaculation. The IELT is defined as the time from vaginal penetration to ejaculation. Recently, the International Society of Sexual Medicine (ISSM) classified premature ejaculation as lifelong or acquired, and proposed inclusion of an objective, quantifiable time to ejaculation, which is referred to as the intravaginal ejaculatory latency time (IELT). Premature ejaculation is defined as the inability to control or delay ejaculation, which results in dissatisfaction or distress for the patient. The aim of this article is to provide general practitioners (GPs) with an overview to assess and manage patients with premature ejaculation and other associated sexual dysfunction. 8 Men with premature ejaculation often experience significant psychological distress, avoid physical and emotional intimacy, and become victims of false medical advertisings and unproven medical management.

6,7 The impact of premature ejaculation is mostly felt psychologically and in interpersonal relationships. This is in addition to many physicians feeling uncomfortable or uncertain about the management of premature ejaculation. 1–5 This sexual condition is likely to be under-reported and under-treated because of the patients’ perceived shame and low self-esteem. Premature ejaculation is one of the most common sexual dysfunctions, affecting up to 21–31% of the Australian adult male population, irrespective of their age, marital status or ethnicity.

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