Premature Ejaculation Results in Female Sexual Distress: Standardization and Validation of a New Diagnostic Tool for Sexual Distress

Limoncin, Erika; Tomassetti, Marco; Gravina, Giovanni Luca; Ciocca, Giacomo; Carosa, Eleonora; Sante, Stefania Di; Gentile, Vincenzo; Mirone, Vincenzo; Montorsi, Francesco; Lenzi, Andrea; Jannini, Emmanuele A.

doi:10.1016/j.juro.2012.11.007

Cited by 65 publications

(49 citation statements)

References 23 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In addition to the anatomical-physiological characterisation of orgasmic pleasure, the quality of the couple's relationship (Limoncin et al, 2013) is considered to be a fundamental factor and seems to be related to the perception of orgasm. Unfortunately, this aspect has been somewhat neglected, especially regarding premature ejaculation (PE).…”

Section: Introductionmentioning

confidence: 99%

The impact of premature ejaculation on the subjective perception of orgasmic intensity: validation and standardisation of the ‘Orgasmometer’

et al. 2016

View full text Add to dashboard Cite

SUMMARYTo the best of our knowledge, no psychometric tools have been specifically developed to measure if premature ejaculation (PE) is related to low sexual pleasure in terms of perception of orgasmic intensity. Hence, the aim of this study was to evaluate if men with PE suffer from a low perception of orgasmic intensity using a new tool, the 'Orgasmometer', to quantitatively measure the intensity of orgasmic pleasure. Among 329 subjects attending our andrological unit for suspected PE, 257 men fulfilled the inclusion criteria. Of these, 156 (60.7%; 156/257) were affected by PE (PE group) and 101 (39.3%; 101/257) did not have any sexual dysfunction (Control group). Men were requested to fill out the Premature Ejaculation Diagnostic Tool (PEDT) and the Orgasmometer, a new visual tool recording orgasm intensity on a Likert scale. Interestingly, MANCOVA analysis revealed a statistically significant difference between the two groups (p = 0.044) in the subjective perception of orgasm intensity with the PE group scoring lower on the Orgasmometer (mean 5.8; 95% CI 5.191-6.409) than the Control group (mean 7.95; 95% CI 7.033-8.87). In addition, multiple linear regression revealed an inverse correlation between the PEDT and the Orgasmometer scores (p < 0.0001). Hence, higher PEDT scores were associated with a lower subjective perception of orgasmic intensity. The Orgasmometer was well understood, had good test-retest reliability and a high AUC in differentiating between men with high and low orgasmic pleasure intensity. The ROC curve analysis showed that a cut-off ≤6 had 87.7% sensitivity (95% CI 79.6-92.6), 95% specificity (95% CI 88.7-98.4), 95.3% positive predictive value (PPV) and 86.4% negative predictive value (NPV). Men affected by premature ejaculation perceived significantly lower orgasmic intensity than sexually healthy men. The Orgasmometer is an easy-to-perform, user-friendly tool for measuring orgasmic intensity.

show abstract

Section: Introductionmentioning

confidence: 99%

The impact of premature ejaculation on the subjective perception of orgasmic intensity: validation and standardisation of the ‘Orgasmometer’

et al. 2016

View full text Add to dashboard Cite

show abstract

“…Those who are affected by PE often appear to be discouraged by the unsatisfying duration of intercourse, as well as by the sense of inadequacy related to their inability to satisfy their partner, it has negative consequences on the Quality of Life (QoL) of patients and their partners. A recent study conducted by Limoncin et al (22) showed that women with a partner affected by PE were more likely than controls to experience significant sexual distress. Until 2008 the pharmacological treatment of PE was based on off-label use of SSRIs; in 2009 the European Agency for the Evaluation of Medicinal Products (EMA) approved the use of Dapoxetine for the specific treatment of PE in patients aged between 18 and 64 years.…”

Section: Discussionmentioning

confidence: 98%

Premature ejaculation: Pharmacotherapy vs group psychotherapy alone or in combination

Pavone

Abbadessa

Gambino

et al. 2017

Arch Ital Urol Androl

View full text Add to dashboard Cite

Objectives: Premature Ejaculation (PE), the commonest sexual dysfunction in males, is generally treated with local anesthetic and SSRI (Dapoxetine). The aim of our study was investigate Group Psychotherapy as an alternative treatment for PE and compare the efficacy of pharmacological treatment and psychotherapy, either alone or in combination, in terms of response and improved Quality of Life (QoL). From a male outpatient population screened for PE, those who received a diagnosis of PE were proposed for the study, enrolled and divided into 3 groups (A, B and C). Each group was treated with Dapoxetine, Group Psychotherapy alone and Dapoxetine and Group Psychotherapy, respectively. Materials and methods: Out of 1237 male outpatients, 353 received a diagnosis of Premature Ejaculation. Of them, 279 were enrolled in the study and randomized into 3 groups (A, B and C). Only 157 patients were evaluable. Before and after treatments all participants completed two questionnaires to evaluate PE status and anxiety and referred their IELT. Results: GROUP A: The mean post-treatment Premature Ejaculation Diagnostic Tool (PEDT) score decreased from 12.95 to 8.26, while the mean Intra-vaginal Ejaculation Latency Time (IELT) increased from 50.77 sec to 203 sec. (p < 0.05); GROUP B: Reduction in the mean PEDT from 13.44 to 5.11 and an increased IELT from 48.33 to 431.11 sec (p < 0.001); GROUP C: The mean post-treatment PEDT score decreased from 12.29 to 5.57, while the mean IELT increased from 46.86 to 412.14 sec (p < 0.001). All groups recorded an improvement in anxiety. Conclusions: According to our results Group Psychotherapy is an alternative method of treatment for PE. Group Psychotherapy plays a significant role in the treatment of PE, determining a better improvement of symptoms than Dapoxetine alone even if not statistically significant.

show abstract

“…Similar findings have been reported for PE, a largely recognized partner-oriented male sexual symptom. Indeed, female partners of patients with PE are more likely to suffer from sexual problems and dissatisfaction than partners of non-PE men (Byers & Grenier, 2003;Hartmann et al, 2005;Hobbs et al, 2008;Graziottin & Althof, 2011;Limoncin et al, 2013). Interestingly, a previous study evaluating the associations between intimacy, quality of life, and sexual dysfunction in men, demonstrated that all aspects of intimacy were lower in men reporting PE than in men not reporting PE (McCabe, 1997).…”

Section: Discussionmentioning

confidence: 99%

“…It has been generally assumed that ED (Conaglen et al, 2010) and PE (Limoncin et al, 2013) are distressing diseases, not only for men who experience the conditions but also for their female partners.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Which are the male factors associated with female sexual dysfunction (FSD)?

et al. 2016

View full text Add to dashboard Cite

SUMMARYIt has been generally assumed that partner's erectile dysfunction, premature, and delayed ejaculation play a significant role in determining female sexual dysfunction (FSD). This study aimed to evaluate the role of the male partner's sexual function, as perceived by women, in determining FSD. A consecutive series of 156 heterosexual women consulting our clinic for FSD was retrospectively studied. All patients underwent a structured interview and completed the Female Sexual Function Index (FSFI). FSFI total score decreased as a function of partner's age, conflicts within the couple, relationship without cohabitation and the habit of engaging in intercourse to please the partner; FSFI total score increased as a function of frequency of intercourse, attempts to conceive and fertility-focused intercourse. FSFI total score showed a negative, stepwise correlation with partner's perceived hypoactive sexual desire (HSD) (r = À0.327; p < 0.0001), whereas no significant correlation was found between FSFI and erectile dysfunction, premature and delayed ejaculation. In an age-adjusted model, partner's HSD was negatively related to FSFI total score (Wald = 9.196, p = 0.002), arousal (Wald = 7.893, p = 0.005), lubrication (Wald = 5.042, p = 0.025), orgasm (Wald = 9.293, p = 0.002), satisfaction (Wald = 12.764, p < 0.0001), and pain (Wald = 6.492, p = 0.011) domains. Partner's HSD was also significantly associated with somatized anxiety, low frequency of intercourse, low partner's care for the patient's sexual pleasure, and with a higher frequency of masturbation, even after adjusting for age. In patients not reporting any reduction in libido, FSFI total score was significantly lower when their partner's libido was low (p = 0.041); the correlation disappeared if the patient also experienced HSD.In conclusion, the presence of erectile dysfunction, premature, and delayed ejaculation of the partner may not act as a primary contributing factor to FSD, as determined by FSFI scores; conversely, women's sexuality seems to be mostly impaired by the perceived reduction in their partner's sexual interest.

show abstract

Premature Ejaculation Results in Female Sexual Distress: Standardization and Validation of a New Diagnostic Tool for Sexual Distress

Abstract: The Female Sexual Distress Scale-Revised-Premature Ejaculation questionnaire fulfills psychometric requirements for measuring sexual distress related to partner sexual dysfunction.

Cited by 65 publications

References 23 publications

The impact of premature ejaculation on the subjective perception of orgasmic intensity: validation and standardisation of the ‘Orgasmometer’

The impact of premature ejaculation on the subjective perception of orgasmic intensity: validation and standardisation of the ‘Orgasmometer’

Premature ejaculation: Pharmacotherapy vs group psychotherapy alone or in combination

Which are the male factors associated with female sexual dysfunction (FSD)?

Contact Info

Product

Resources

About