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Sexuality in Ageing Male: Review of Pathophysiology and Treatment Strategies for Various Male Sexual Dysfunctions

Premature Ejaculation: Aetiology and Treatment Strategies

Griffith University School of Medicine, Gold Coast QLD 4215, Australia
St Andrew’s War Memorial Hospital, Spring Hill QLD 4001, Australia
Author to whom correspondence should be addressed.
Med. Sci. 2019, 7(11), 102;
Received: 24 July 2019 / Revised: 16 October 2019 / Accepted: 23 October 2019 / Published: 25 October 2019
(This article belongs to the Special Issue Men's Sexual Health)
Premature ejaculation (PE) is a highly prevalent male sexual dysfunction that is often neglected, presenting a currently unmet therapeutic need. The classification of PE has historically been varied and at times ambiguous, contributing to inaccurate prevalence estimates. This review uses the International Society for Sexual Medicine (ISSM) definition of PE, which includes reduced ejaculatory latency, lack of control and associated negative personal consequences. Patient assessment and management options differ depending on the classification of PE and it is the role of the clinician to appropriately classify patients and be aware of the correct management strategies. This review provides an overall background of PE in terms of classification and underlying physiology, patient assessment and management strategies along with the scientific rationale for treatment. Patients with lifelong and acquired PE are most likely to benefit from combination therapy of pharmacological treatment in the form of selective serotonin re-uptake inhibitor dapoxetine, psychosexual behavioural therapy and psychological therapy. View Full-Text
Keywords: premature ejaculation; aetiology; treatment premature ejaculation; aetiology; treatment
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MDPI and ACS Style

Gillman, N.; Gillman, M. Premature Ejaculation: Aetiology and Treatment Strategies. Med. Sci. 2019, 7, 102.

AMA Style

Gillman N, Gillman M. Premature Ejaculation: Aetiology and Treatment Strategies. Medical Sciences. 2019; 7(11):102.

Chicago/Turabian Style

Gillman, Nicholas, and Michael Gillman. 2019. "Premature Ejaculation: Aetiology and Treatment Strategies" Medical Sciences 7, no. 11: 102.

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