Premature ejaculation
- Persistent or recurrent ejaculation within ∼ 1 minute of penetration and before the patient wishes to ejaculate
- PE is often situational and may not occur during masturbation, as the psychological pressure or performance anxiety is absent.
- Occurs in ≥ 75% of all sexual encounters
Psychosexual dysfunction
- Causes & risk factors
- Marital/relational stress, conflict
- Major psychosocial trauma (loss of job or loved one)
- Severe medical illness (stroke, myocardial infarction)
- Mood, anxiety disorders
- Features
- Abrupt onset, clear precipitating event or stressor
- Situational erectile dysfunction (normal nocturnal/nonsexual erections)
- Impaired or premature orgasm
- Management
- Cognitive-behavioral therapy
- Couples/relational therapy