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Review
. 2021 Aug 4;19(3):281-302.
doi: 10.1080/2090598X.2021.1943273. eCollection 2021.

An update on the treatment of premature ejaculation: A systematic review

Ramadan Saleh  1 , Ahmad Majzoub  2   3 , Mohammed Abu El-Hamd  1
Affiliations
Review

An update on the treatment of premature ejaculation: A systematic review

Ramadan Saleh et al. Arab J Urol. .

Abstract

To analyse the current therapeutic options for patients with premature ejaculation (PE) and highlight their mechanism(s) of action, effectiveness, advantages and limitations. A literature search was conducted using the PubMed database searching for articles exploring different PE treatment modalities. A Preferred Reporting Items for Systemic Reviews and Meta-Analyses (PRISMA) approach was used to report the results of the literature search. A total of 149 articles were included in this review. The currently available treatment methods for PE include behavioural therapy, local anaesthetics, tricyclic antidepressants, selective serotonin reuptake inhibitors, and selective phosphodiesterase inhibitors. Most PE treatments are either experimental or used off-label. New treatments are certainly warranted to overcome this exasperating sexual dysfunction. Abbreviations: AIPE: Arabic Index of Premature Ejaculation; CNS: central nervous system; CYP: cytochrome P450; ED: erectile dysfunction; FDA: United States Food and Drug Administration; H1: histamine receptors; 5-HT: 5-hydroxytryptamine; IELT: The intravaginal ejaculation latency time; IPE: Index of Premature Ejaculation; M1: muscarinic receptors; OCD: obsessive-compulsive disorder; PDE5: phosphodiesterase type 5; PE: premature ejaculation; PEP: Premature Ejaculation Profile; PRO: patient-reported outcome; RCT: randomised controlled trial; SS: Severance Secret (cream); SSRIs: selective serotonin reuptake inhibitors; TCAs: tricyclic antidepressants.

Keywords: Male sexual dysfunctions; premature ejaculation; selective serotonin reuptake inhibitors; treatment of premature ejaculation; tricyclic antidepressants.

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Conflict of interest statement

The authors report no conflict of interest.

Figures

Figure 1.
Figure 1.
PRISMA 2009 flow diagram
Figure 2.
Figure 2.
Mechanism of action of SSRIs at the synaptic terminal
See this image and copyright information in PMC

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