What are the ISSM diagnostic criteria for 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 2014, the International Society for Sexual Medicine published an evidence-based unified definition of premature ejaculation that comprised the following criteria [2] :

  1. Ejaculation that always or nearly always occurs before, or within about 1 minute of, vaginal penetration from the first sexual experience (lifelong premature ejaculation) or a clinically significant and bothersome reduction in latency time, often to about 3 minutes or less (acquired premature ejaculation)
  2. Inability to delay ejaculation on all or nearly all vaginal penetrations
  3. Negative personal consequences, such as distress, bother, frustration, and/or the avoidance of sexual intimacy

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