Definitions of premature ejaculation (PE) is characterized by : an ejaculation that always or nearly always occurs prior to or within about 1 minute of vaginal penetration, an inability to delay ejaculation on all or nearly all vaginal penetrations, and with negative personal consequences, such as distress, bother, frustration, and/or the avoidance of sexual intimacy.
The population of men with PE is not homogenous and includes lifelong PE, acquired PE, natural variable.
Various epidemiological studies have shown that about 20–30% of men have complaints of premature ejaculation.
Ejaculatory latency time in life long PE is probably a biological variable, which is genetically determined and may differ between populations and cultures, ranging from extremely rapid through average to slow ejaculation.
Acquired PE can often be traced to either neurobiogenic (endocrine, urologic, neurobiologic) or psychogenic factors, or in some instances, both.
PE co-exists in about one-third of patients complaining of erectile dysfunction.
Hypoactive sexual desire may lead to PE, due to an unconscious desire to abbreviate unwanted penetration.
Female sexual dysfunctions (such as anorgasmia, hypoactive sexual desire, sexual aversion, sexual arousal disorders, and sexual pain disorders, as vaginismus) may also be related to acquired PE.
PE exerts a significant psychological burden on men, their partners, the male/partner relationship, and their overall relationship. Men with PE show other negative effects, including a general negative affect associated with sexual situations, and more intense feelings of embarrassment/guilt, worry/tension and fear of failure.
Psychotherapy and behavioral interventions improve ejaculatory control by helping men/ couples to: learn techniques to control and/or delay ejaculation; gain confidence in their sexual performance; lessen performance anxiety; modify rigid sexual repertoires; surmount barriers to intimacy; resolve interper-sonal issues that precipitate and maintain the dysfunction; increase communication and come to terms with feelings/thoughts that interfere with sexual function.
The use of anesthetics to diminish the sensitivity of the glans penis is probably the oldest known form of treating PE.
On-demand administration of Dapoxetine has received regulatory approval as an on-demand treatment for PE in several parts of the world.
MHISC is a collective group of five International and European recognized surgeons. Leading experts from England, France, Italy and Serbia have been brought together to establish a global centre of excellence in the fields of genital and urethral reconstruction, erectile dysfunction (penile implants), peyronie’s disease, genital reconstruction for trauma, cancer and male infertility.
The idea is to create a base in Europe which will carry out the above surgeries and treatment in a bespoke, boutique private facility. Patients travelling to the centre would be offered the best treatment available in a comfortable and luxurious setting.
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