Diagnostic Criteria for Premature Ejaculation: Clarifying the Role of “Ejaculatory Control” and “Bother/Distress”
Abstract
:1. Introduction
1.1. Role of Ejaculatory Control
1.2. The Role of Bother/Distress
1.3. Rationale and Aims
2. Method
2.1. Participants
2.2. Measures
2.2.1. Outcome Measures
2.2.2. Input/Defining Variables
2.2.3. Control Covariates
2.3. Procedure
2.4. Data Cleaning and Analytical Strategy
3. Results
3.1. General Description of the Sample and Subsamples
3.2. Aim 1: Relationships among Ejaculatory Control, Bother/Distress, and ELT
3.2.1. Correlations
3.2.2. Patterns of Change
3.3. Aim 2: PE Status (PE vs. Non-PE) and Sexual Orientation Comparisons on Control and Bother/Distress
3.3.1. PE vs. Non-PE Men
3.3.2. Sexual Orientation
3.3.3. Covariates
3.4. Aim 3: Comparison of Men with Lifelong vs. Acquired PE
3.5. Aim 4: Partner Response Regarding Ejaculatory Control during Partnered Sex
4. Discussion
4.1. Overall Sample Patterns
4.2. Patterns in Men with and without PE and in Men with Different Sexual Orientations
4.3. Lifelong and Acquired PE
4.4. Partner Response to Poor Ejaculatory Control and Short Ejaculatory Latency
4.5. Strengths and Limitations
5. Conclusions
Author Contributions
Funding
Conflicts of Interest
Appendix A. Document on Social Media Recruiting and Controls
References
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Source | N | % Sample |
---|---|---|
Facebook Paid Ads | 626 | 58.07% |
Giveaway Websites | 136 | 12.62% |
Amazon Mechanical Turk | 98 | 9.09% |
Reddit Organic | 98 | 9.09% |
Reddit Paid Ads | 80 | 7.42% |
Facebook Organic | 21 | 1.95% |
Other or Unknown | 19 | 1.76% |
Region | N | % Sample |
---|---|---|
North America | 299 | 27.74% |
Sub-Saharan Africa | 262 | 24.30% |
South Asia | 137 | 12.71% |
Europe | 125 | 11.60% |
Latin America | 113 | 10.48% |
Oceania | 86 | 7.98% |
Middle East | 36 | 3.34% |
Unknown | 14 | 1.30% |
East Asia | 4 | 0.37% |
Central and Western Asia | 2 | 0.19% |
Group | Men | Women | Men with PE | Men No PE 2 | Straight Men | Non-Straight Men |
---|---|---|---|---|---|---|
N | 572 | 499 | 154 | 321 | 398 | 174 |
Age (mean + SD) | 33.27 (11.92) | 33.61 (11.07) | 34.95 (12.42) | 33.47 (11.78) | 34.35 (12.43) 3 | 30.82 (10.27) |
Relationship Status 4 | ||||||
(N and % of group) | ||||||
Not in a relationship | 164 (28.67%) | 98 (19.84%) | 35 (22.73%) | 88 (27.41%) | 103 (25.88%) | 61 (35.06%) |
Married | 180 (31.47%) | 159 (32.19%) | 65 (42.21%) | 102 (31.78%) | 143 (35.93%) | 37 (21.26%) |
Relationship but not married | 209 (36.54%) | 225 (45.54%) | 49 (31.82%) | 122 (38.01%) | 142 (35.68%) | 67 (38.51%) |
Polyamorous relationship or marriage | 11 (1.92%) | 7 (1.42%) | 4 (2.60%) | 4 (1.25%) | 6 (1.51%) | 5 (2.87%) |
Other | 8 (1.39%) | 10 (2.02%) | 1 (0.65%) | 5 (1.56%) | 4 (1.01%) | 4 (2.30%) |
Number (% of total) of Lifetime Sexual Partners 4 | ||||||
0 | 36 (6.38%) | 26 (5.23%) | 8 (5.26%) | 9 (2.82%) | 29 (7.29%) | 7 (4.02%) |
1 | 110 (19.50%) | 111 (22.33%) | 32 (21.05%) | 64 (20.06%) | 80 (20.10%) | 30 (17.24%) |
Probably < 5 | 143 (25.35%) | 155 (31.19%) | 42 (27.63%) | 74 (23.20%) | 93 (23.37%) | 50 (28.74%) |
About 6–10 | 112 (19.86%) | 94 (18.91%) | 34 (22.37%) | 61 (19.12%) | 80 (20.10%) | 32 (18.39%) |
About 11–20 | 62 (10.99%) | 47 (9.46%) | 12 (7.89%) | 44 (13.79%) | 47 (11.81%) | 15 (8.62%) |
Probably > 20 | 101 (17.91%) | 64 (12.88%) | 24 (15.79%) | 67 (21.00%) | 63 (15.83%) | 38 (21.84%) |
Did not answer | 8 (1.40%) | 2 (0.40%) | 2 (1.30%) | 2 (0.62%) | 6 (1.51%) | 2 (1.15%) |
Importance of Sex in the Relationship (mean + SD) 1 | 3.98 (0.97) | 3.82 (1.00) | 4.16 (0.93) | 4.01 (0.91) | 3.96 (1.00) | 4.03 (0.91) |
All Men | Straight Men | Non-Straight Men | p 1 | Gay Men | p 2 |
---|---|---|---|---|---|
(N = 321) | (N = 153) | (N = 56) | |||
Ejaculatory Control Difficulty 3 | 3.8 (0.10) | 3.6 (0.13) | 0.131 | 3.3 (0.19) | 0.017 |
Ejaculatory Control Importance 4 | 2.1 (0.05) | 2.3 (0.08) | 0.068 | 2.7 (0.14) | <0.001 |
Bother/distress if ejaculate quickly 5 | 3.1 (0.09) | 2.9 (0.13) | 0.412 | 3.3 (0.23) | 0.096 |
Bother/distress if cannot have control 5 | 3.4 (0.08) | 3.1 (0.10) | 0.051 | 2.0 (0.19) | <0.001 |
PE Men Only | Straight Men | Non-Straight Men | p 1 | ||
(N = 105) | (N = 45) | ||||
Ejaculatory Control Difficulty 3 | 5.0 (0.17) | 4.2 (0.28) | 0.015 | * | |
Ejaculatory Control Importance 4 | 1.8 (0.08) | 1.7 (0.11) | 0.770 | * | |
Bother/distress if ejaculate quickly 5 | 3.8 (0.14) | 3.6 (0.24) | 0.374 | * | |
Bother/distress if cannot have control 5 | 4.0 (0.13) | 3.6 (0.20) | 0.061 | * |
Variable | Lifelong (N = 64) | Acquired (N = 31) | p 1 |
---|---|---|---|
Ejaculatory Control Difficulty 2 | 4.9 (0.24) | 4.9 (0.26) | 0.97 |
Ejaculatory Control Importance 3 | 1.8 (0.10) | 1.5 (0.12) | 0.16 |
Distress/bother if ejaculate quickly 4 | 3.7 (0.20) | 3.9 (0.25) | 0.69 |
Distress/bother if cannot have control 4 | 3.9 (0.17) | 3.9 (0.22) | 0.86 |
EL (min) 5 | 2.0 (1,5) | 3.0 (1,4) | 0.72 |
Item | MSM 1 (N = 165) | WSM 2 (N = 499) | p 3 |
---|---|---|---|
Importance of partner’s control over timing of ejaculation 4 | 2.90 (0.09) | 2.30 (0.05) | p < 0.001 |
If ejaculation ≤ 1 min, deal breaker in long-term relationship? | |||
Yes, definitely | 38 (23.0%) | 110 (22.0%) | p = 0.022 |
Potential factor | 54 (32.7%) | 189 (37.9%) | |
Not if otherwise satisfying sex life | 42 (25.5%) | 139 (27.9%) | |
No, does not matter | 31 (18.8%) | 61 (12.2%) |
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Cote-Leger, P.; Rowland, D.L. Diagnostic Criteria for Premature Ejaculation: Clarifying the Role of “Ejaculatory Control” and “Bother/Distress”. Sexes 2020, 1, 72-86. https://doi.org/10.3390/sexes1010007
Cote-Leger P, Rowland DL. Diagnostic Criteria for Premature Ejaculation: Clarifying the Role of “Ejaculatory Control” and “Bother/Distress”. Sexes. 2020; 1(1):72-86. https://doi.org/10.3390/sexes1010007
Chicago/Turabian StyleCote-Leger, Philippe, and David L. Rowland. 2020. "Diagnostic Criteria for Premature Ejaculation: Clarifying the Role of “Ejaculatory Control” and “Bother/Distress”" Sexes 1, no. 1: 72-86. https://doi.org/10.3390/sexes1010007
APA StyleCote-Leger, P., & Rowland, D. L. (2020). Diagnostic Criteria for Premature Ejaculation: Clarifying the Role of “Ejaculatory Control” and “Bother/Distress”. Sexes, 1(1), 72-86. https://doi.org/10.3390/sexes1010007