The prevalence of premature ejaculation and its relationship with polygamous men: a cross-sectional observational study at a tertiary hospital in Somalia

Abstract

Background Premature ejaculation (PE) is the most common and prevalent sexual disorder among men. To the best of our knowledge, this is the first study aimed at evaluating the relationship of PE among polygamous men. Method Over a 1-year period, a cross-sectional observational study was carried out among 202 married men who visited the urology polyclinic due to different clinical conditions and contributed by completing a standardized structured questionnaire regarding their sociodemographic data, as well as sexual and past medical history. Results In our study, the prevalence of PE was 37.1%; half of the monogamous men (50%) complained of PE, while 22% of men with two wives, 20% of men with three wives, and 12% of men with four wives complained of PE (p < 0.0001, 95% CI 0.122–1.920). Seventy percent of erectile dysfunction (ED) patients had PE concurrence (p < 0.0001, 95% CI 0.057–5.543). Regarding frequency of sexual intercourse, 48% of patients who complained of PE performed sexual intercourse less than two times/week, while two-thirds of the participants who did not complain of PE had sexual intercourse two to four times/week (p < 0.0001, 95% CI 0.203–0.568). Among the men who reported ED, 42% had one wife, 21.5% had two wives, 40% had three wives, and 12.5% had four wives (p < 0.029, 95% CI 0.417–0.962). Conclusions We report that polygamous men have a lower incidence of premature ejaculation and higher sexual satisfaction than monogamous men. There is a significant association between ED and PE, showing a complex and bidirectional relationship between the two conditions. The new taxonomic entity called loss of control of erection and ejaculation (LCEE) views the two sexual symptoms as deeply interrelated. The study results indicate that a sexual intercourse frequency of two or more times per week significantly lowers the risk of PE.

Erectile dysfunction and premature ejaculation: a continuum movens supporting couple sexual dysfunction

“…Overall, 27 studies including 62,809 subjects with a mean age of 45.2 ± 9.5 years were included in the analysis ([ 5 , 15 – 41 ], Table 2 ). Among them 13,026 (20.7%) reported PE which was defined according to different criteria.…”

Understanding and treating ejaculatory dysfunction in men with diabetes mellitus

“…14 Over the last 20 years, epidemiological studies/surveys of various populations have found the prevalence of PE in men to be 20%-33%, 10,15,16 whilst others more recently have estimated it to be as high as 50%. 17,18 Retrograde ejaculation refers to a partial or complete lack of antegrade seminal fluid produced on ejaculation, and unlike PE, it almost always has an organic cause. It is probably the next most common ejaculatory disorder reported by diabetic men after PE.…”

“…Premature Ejaculation is frequently reported as the most common sexual disorder in men 14 . Over the last 20 years, epidemiological studies/surveys of various populations have found the prevalence of PE in men to be 20%–33%, 10,15,16 whilst others more recently have estimated it to be as high as 50% 17,18 …”

Male sexual dysfunction: Hahnemann’s obvious cause of the modern generation

“…On the other hand, According to the Diagnostic and Statistical Manual of Mental Disorders, premature ejaculation (PE) is a condition where "Ejaculation occurring, without control, on or shortly after penetration and before the person wishes it, causing marked distress or interpersonal difficulty" [5] . Affecting 30%-50% of males, PE is the most widespread and common sexual condition in men [6] . Another form of MSD is decreased libido, which means "reduction in sex drive".…”