What should be the focus of history in patients with lifelong premature ejaculation (PE)?

Updated: Jan 15, 2019
  • Author: Samuel G Deem, DO; Chief Editor: Edward David Kim, MD, FACS  more...
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Answer

In patients with lifelong premature ejaculation, inquire about the following:

  • Previous psychological difficulties

  • Early sexual experiences

  • Family relationships during childhood and adolescence

  • Peer relationships

  • Work or school

  • General attitude toward sex

  • Context of the event (eg, marital versus nonmarital)

  • Sexual attitude and response of the female partner

  • Nonsexual aspects of the current relationship

  • level of involvement of the sexual partner in treatment

Clues from these and similar questions usually point toward causative factors that may be addressed specifically with therapy.


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