An evidence-based unified definition of lifelong and acquired premature ejaculation: report of the second international society for sexual medicine ad hoc committee for the definition of premature ejaculation
- PMID: 25356301
- PMCID: PMC4184676
- DOI: 10.1002/sm2.27
An evidence-based unified definition of lifelong and acquired premature ejaculation: report of the second international society for sexual medicine ad hoc committee for the definition of premature ejaculation
Abstract
Introduction: The International Society for Sexual Medicine (ISSM) Ad Hoc Committee for the Definition of Premature Ejaculation developed the first evidence-based definition for lifelong premature ejaculation (PE) in 2007 and concluded that there were insufficient published objective data at that time to develop a definition for acquired PE.
Aim: The aim of this article is to review and critique the current literature and develop a contemporary, evidence-based definition for acquired PE and/or a unified definition for both lifelong and acquired PE.
Methods: In April 2013, the ISSM convened a second Ad Hoc Committee for the Definition of Premature Ejaculation in Bangalore, India. The same evidence-based systematic approach to literature search, retrieval, and evaluation used by the original committee was adopted.
Results: The committee unanimously agreed that men with lifelong and acquired PE appear to share the dimensions of short ejaculatory latency, reduced or absent perceived ejaculatory control, and the presence of negative personal consequences. Men with acquired PE are older, have higher incidences of erectile dysfunction, comorbid disease, and cardiovascular risk factors, and have a longer intravaginal ejaculation latency time (IELT) as compared with men with lifelong PE. A self-estimated or stopwatch IELT of 3 minutes was identified as a valid IELT cut-off for diagnosing acquired PE. On this basis, the committee agreed on a unified definition of both acquired and lifelong PE as a male sexual dysfunction characterized by (i) ejaculation that always or nearly always occurs prior to or within about 1 minute of vaginal penetration from the first sexual experience (lifelong PE) or a clinically significant and bothersome reduction in latency time, often to about 3 minutes or less (acquired PE); (ii) the inability to delay ejaculation on all or nearly all vaginal penetrations; and (iii) negative personal consequences, such as distress, bother, frustration, and/or the avoidance of sexual intimacy.
Conclusion: The ISSM unified definition of lifelong and acquired PE represents the first evidence-based definition for these conditions. This definition will enable researchers to design methodologically rigorous studies to improve our understanding of acquired PE. Serefoglu EC, McMahon CG, Waldinger MD, Althof SE, Shindel A, Adaikan G, Becher EF, Dean J, Giuliano F, Hellstrom WJG, Giraldi A, Glina S, Incrocci L, Jannini E, McCabe M, Parish S, Rowland D, Segraves RT, Sharlip I, and Torres LO. An evidence-based unified definition of lifelong and acquired premature ejaculation: Report of the second International Society for Sexual Medicine Ad Hoc Committee for the Definition of Premature Ejaculation. Sex Med 2014;2:41-59.
Keywords: Acquired Premature Ejaculation; Definition; Ejaculatory Control; Interpersonal Distress; Intravaginal Ejaculatory Latency Time; Lifelong Premature Ejaculation; Negative Personal Psychological Consequences; Personal Distress; Premature Ejaculation; Sexual Satisfaction.
Similar articles
-
An evidence-based unified definition of lifelong and acquired premature ejaculation: report of the second International Society for Sexual Medicine Ad Hoc Committee for the Definition of Premature Ejaculation.J Sex Med. 2014 Jun;11(6):1423-41. doi: 10.1111/jsm.12524. Epub 2014 May 22. J Sex Med. 2014. PMID: 24848805 Review.
-
An Update of the International Society of Sexual Medicine's Guidelines for the Diagnosis and Treatment of Premature Ejaculation (PE).Sex Med. 2014 Jun;2(2):60-90. doi: 10.1002/sm2.28. Sex Med. 2014. PMID: 25356302 Free PMC article. Review.
-
An evidence-based definition of lifelong premature ejaculation: report of the International Society for Sexual Medicine (ISSM) ad hoc committee for the definition of premature ejaculation.J Sex Med. 2008 Jul;5(7):1590-606. doi: 10.1111/j.1743-6109.2008.00901.x. J Sex Med. 2008. PMID: 18466262
-
An evidence-based definition of lifelong premature ejaculation: report of the International Society for Sexual Medicine Ad Hoc Committee for the Definition of Premature Ejaculation.BJU Int. 2008 Aug;102(3):338-50. doi: 10.1111/j.1464-410X.2008.07755.x. Epub 2008 May 21. BJU Int. 2008. PMID: 18498422
-
The pathophysiology of acquired premature ejaculation.Transl Androl Urol. 2016 Aug;5(4):434-49. doi: 10.21037/tau.2016.07.06. Transl Androl Urol. 2016. PMID: 27652216 Free PMC article. Review.
Cited by
-
Rapid ejaculator rats are more susceptible to anxiety compared with normal ejaculator rats.Int J Impot Res. 2024 Apr 15. doi: 10.1038/s41443-024-00888-5. Online ahead of print. Int J Impot Res. 2024. PMID: 38622269
-
New technologies developed for treatment of premature ejaculation.Int J Impot Res. 2024 Mar 27. doi: 10.1038/s41443-024-00875-w. Online ahead of print. Int J Impot Res. 2024. PMID: 38538813 Review.
-
Prospective comparison of tadalafil 5 mg, dapoxetine 30 mg, and the combination of both in the treatment of premature ejaculation.Arab J Urol. 2023 Nov 6;22(2):81-88. doi: 10.1080/20905998.2023.2277081. eCollection 2024. Arab J Urol. 2023. PMID: 38481411 Free PMC article.
-
Daily intake of 30 mg duloxetine is effective in decreasing premature ejaculation severity: a prospective randomized placebo-controlled cross over clinical trial.Basic Clin Androl. 2023 Dec 5;33(1):34. doi: 10.1186/s12610-023-00210-1. Basic Clin Androl. 2023. PMID: 38049720 Free PMC article.
-
Abnormal cortical surface-based spontaneous and functional connectivity in the whole brain in lifelong premature ejaculation patients.Asian J Androl. 2023 Nov 1;25(6):699-703. doi: 10.4103/aja202349. Epub 2023 Sep 29. Asian J Androl. 2023. PMID: 37800899 Free PMC article.
References
-
- Masters WH, Johnson VE. Human sexual inadequacy. Boston: Little Brown; 1970.
-
- American Psychiatric Association. Diagnostic and statistical manual of mental disorders. 4th edition. Washington, DC: American Psychiatric Association; 1994. (DSM-IV)
-
- World Health Organization. International classification of diseases and related health problems. 10th edition. Geneva: World Health Organization; 1994.
-
- Metz M, McCarthy B. Coping with premature ejaculation: How to overcome PE, please your partner and have great sex. Oakland, CA: New Harbinger Publications; 2003.
-
- Montague DK, Jarow J, Broderick GA, Dmochowski RR, Heaton JP, Lue TF, Nehra A, Sharlip ID. AUA guideline on the pharmacologic management of premature ejaculation. J Urol. 2004;172:290–294. - PubMed
Publication types
LinkOut - more resources
Full Text Sources
Other Literature Sources
Miscellaneous