How can lifelong or acquired premature ejaculation (PE) be differentiated based on patient history?

Updated: Jan 15, 2019
  • Author: Samuel G Deem, DO; Chief Editor: Edward David Kim, MD, FACS  more...
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If the patient has always experienced premature ejaculation from the time he began coitus, then he has lifelong premature ejaculation. If he had successful coital relationships in the past, yet began experiencing premature ejaculation with the current relationship, then he has acquired premature ejaculation. In most cases, acquired premature ejaculation is easier to treat and has a better prognosis.

For completeness, a general medical history should be taken to screen for other medical conditions that might be relevant. For example, if the patient has angina with subsequent fear of myocardial infarction during sexual activity, he may present with premature ejaculation, but the actual underlying problem is the cardiac disease and the attendant mental insecurity. Resolution of the cardiac problem usually suffices, with no specific therapy required for the premature ejaculation.

For the purposes of this discussion, it is assumed that the patient is healthy and that sexual dysfunction is the only significant problem.

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