Which factors should be considered in determining the etiology of 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

Sexual functioning involves a complex interaction among biologic, sociocultural, and psychological factors, and the complexity of this interaction makes it difficult to ascertain the clinical etiology of sexual dysfunction. Before any diagnosis of sexual dysfunction is made, problems that are explained by a nonsexual mental disorder or other stressors must first be addressed. Thus, in addition to the criteria for premature (early) ejaculation, the following must be considered:

  • Partner factors (eg, partner sexual problems or health issues)

  • Relationship factors (eg, communication problems and differing levels of desire for sexual activity)

  • Individual vulnerability factors (eg, history of sexual or emotional abuse, existing psychiatric conditions such as depression, or stressors such as job loss)

  • Cultural or religious factors (eg, inhibitions or conflicted attitudes regarding sexuality)

  • Medical factors (eg, an existing medical condition or the effects of drugs or medications)


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