Premature ejaculation (PE)
Overview
Premature ejaculation (PE) is a common male sexual problem that is frequently overlooked, resulting in an unmet treatment need. PE has previously been classified in a variety of ways, some of which were confusing, contributing to incorrect prevalence estimates.
Despite this, it is a neglected area of male sexual health, providing an unmet therapy need. This is most likely owing to a mix of reasons, including low rates of seeking therapy as a consequence of humiliation or shame, as well as professional misunderstanding over therapeutic care of the disorder.
Patient evaluation and care choices vary based on the categorization of PE, and it is the clinician's responsibility to correctly identify patients and be aware of the proper therapeutic tactics.
Patients with both lifelong and acquired PE are most likely to benefit from a combination of pharmaceutical treatment (dapoxetine, a selective serotonin reuptake inhibitor), psychosexual behavioral therapy, and psychological therapy.