Epidemiology of delayed ejaculation

S, Di Sante; Mollaioli, Daniele; Gravina, Giovanni Luca; Ciocca, Giacomo; Limoncin, Erika; Carosa, Eleonora; Lenzi, Andrea; Ea, Jannini

doi:10.21037/tau.2016.05.10

Cited by 45 publications

(33 citation statements)

References 54 publications

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“…The aim of this paper was to review the cross-sectional and longitudinal studies as well as case reports on potential associations between the use of pornography and sexual dysfunctions, namely erectile dysfunction, delayed ejaculation, and decrease in sexual desire and sexual satisfaction. These conditions are among the most often identified sexual dysfunctions in men and women [30,31,32]. Both quantitative (addressing the frequency of use) and qualitative (addressing the patterns of use) research was taken into account as these two approaches complement each other in understanding the complex nature of factors associated with pornography [33,34].…”

Section: Introductionmentioning

confidence: 99%

The Potential Associations of Pornography Use with Sexual Dysfunctions: An Integrative Literature Review of Observational Studies

Dwulit

Rzymski

2019

JCM

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This paper reviews the associations between pornography use and sexual dysfunction based on evidence from observational studies. The existing data in this regard mostly derive from cross-sectional investigations and case reports. There is little if no evidence that pornography use may induce delayed ejaculation and erectile dysfunction, although longitudinal studies that control for confounding variables are required for a full assessment. The associations between pornography use and sexual desire may differ between women and men although the existing data is contradictory and causal relationships cannot be established. The strongest evidence is available for the relation of pornography use with decreased sexual satisfaction, although the results of prospective studies are inconsistent. The paper outlines future research prospects beneficial in understanding the nature of associations between pornography use and sexual dysfunctions in men and women.

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Section: Introductionmentioning

confidence: 99%

The Potential Associations of Pornography Use with Sexual Dysfunctions: An Integrative Literature Review of Observational Studies

Dwulit

Rzymski

2019

JCM

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“…The diagnosis of DE was confirmed in the majority of patients seeking help for prolonged ejaculatory period (79.5% of patients), while 12.3% showed a low sexual desire and 8.2% an ED; thus, DE was the most reliable diagnosis at first consultation among all the conditions explored [12].…”

Section: Discussionmentioning

confidence: 99%

“…Moreover, ejaculatory dysfunctions (EjDs) other than PE are a spectrum of distressful ejaculatory symptoms that include delayed ejaculation (DE), anejaculation (AE), perceived ejaculate volume reduction (PEVR), or decreased force of ejaculation (DFE) [11]. In addition, in this case, several organic and nonorganic risk factors have been described, but their prevalence in the the general population is relatively poorly assessed [12].…”

Section: Introductionmentioning

confidence: 99%

Evaluation of the Mistakes in Self-Diagnosis of Sexual Dysfunctions in 11,000 Male Outpatients: A Real-Life Study in An Andrology Clinic

Burgio

Giammusso²,

Calogero

et al. 2019

JCM

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Purpose: The aim of this study was to compare the initial request for sexual consultation with the final diagnosis and to evaluate the limits of the active andrological anamnesis concerning unclassified male sexual dysfunction. Methods: In this 12-year observational retrospective study, we collected data from patients referring to an andrological outpatient clinic, evaluating the requests, perceptions, needs, and self-diagnosis at their first visit and comparing them with the final diagnosis reached after a complete clinical, laboratory, and instrumental investigation. Results: A total of 11,200 patients were evaluated. The main request of andrological consultation was erectile dysfunction (ED) (52%), followed by premature ejaculation (PE) (28%), and low sexual desire (11.5%). Among the patients seeking help for ED, about 30% were ultimately found to have a different type of dysfunction and 24% were diagnosed with an “unmet need”, which included issues not present in the current nosography nonetheless affecting sexual and relational life. Among the patients referring for PE, the final diagnosis was lifelong PE for the large majority of them, regardless of whether initially they thought to have an acquired form. Several of those who sought consultation for acquired PE were frequently found to be able to compensate for lifelong PE by a subsequent coitus or were able to induce orgasm in the partner with different modalities. Among the patients referring for low sexual desire, only 57.5% were confirmed to have it; 23% had ED and 18.5% showed a raised threshold of penile sensitivity. Conclusions: The results of this study show that the reason for consultation is frequently misleading and raise the relevance of being aware of the so-called “unmet needs” and to discuss with the patient and the couple to explore the sexual history behind the self-diagnosis. These findings also suggest the need to expand the current taxonomy of male sexual dysfunctions.

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“…Approximately 75% of affected males can achieve ejaculation through solitary masturbation, suggesting a large psychological or environmental influence on DE ( 104 ). Relationship stress, feuding, and conflict may all compromise sexual responses and inhibit achievement of orgasm and ejaculation ( 103 , 105 ).…”

Section: Disorders Of Ejaculationmentioning

confidence: 99%

“…Anatomically, damage to pelvic nerves (following prostatectomy, RPLND, TURP, bladder neck incision, or other colorectal or pelvic surgery), and spinal cord injuries may also cause DE ( 17 , 99 , 100 , 105 , 113 , 114 ).…”

Section: Disorders Of Ejaculationmentioning

confidence: 99%

Contemporary management of ejaculatory dysfunction

Gray

Zillioux

Khourdaji

et al. 2018

Transl. Androl. Urol.

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Although erectile dysfunction is the most common disorder of male sexual health, ejaculatory dysfunction is the most common form of sexual dysfunction experienced by men. Ejaculatory dysfunction covers a broad range of disorders that we have divided into four main categories: premature ejaculation, delayed ejaculation (DE)/anorgasmia, unsatisfactory sensation of ejaculation (including painful ejaculation and ejaculatory anhedonia), and absent ejaculate (including retrograde ejaculation and aspermia). We also cover several special scenarios including hematospermia, spinal cord injury and fertility with anejaculation. In this paper, we will review the anatomy and pathophysiology of normal ejaculation to establish the baseline knowledge of how this pathway can go awry. We will then briefly review the critical diagnostic criteria, pertinent steps in evaluation, risk factors, and causes (if known) for each of the ejaculatory disorders. Finally, the bulk of the paper will discuss current management strategies of each disorder.

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Epidemiology of delayed ejaculation

Cited by 45 publications

References 54 publications

The Potential Associations of Pornography Use with Sexual Dysfunctions: An Integrative Literature Review of Observational Studies

The Potential Associations of Pornography Use with Sexual Dysfunctions: An Integrative Literature Review of Observational Studies

Evaluation of the Mistakes in Self-Diagnosis of Sexual Dysfunctions in 11,000 Male Outpatients: A Real-Life Study in An Andrology Clinic

Contemporary management of ejaculatory dysfunction

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