Premature ejaculation: a clinical update
Authors: Neil R Palmer and Bronwyn G A Stuckey
Published online: 15 September 2008
In reply: Dignam queries the validity of treating early ejaculation that may simply be a variant of normal. However, if one in three men complain to us of premature ejaculation and how it affects their relationships, we listen. They may regard themselves as very different from other men and may become psychologically disadvantaged.
In our article we detailed various presentations of premature ejaculation (PE), including that of a subjective perception of PE although the intravaginal ejaculatory time is normal.1 In such cases, reassurance is an appropriate response. However, for men with primary PE, for whom ejaculation consistently occurs within 1 minute or even before vaginal penetration, there is a problem. This problem can be treated successfully to improve a relationship that may have been foundering. And, yes, this may mean performance enhancement unrelated to aerobic fitness.
If men are unsure where their sexual performance stands, they should ask their partner. After all, communication improves a loving relationship.
References
- Palmer NR, Stuckey BGA. Premature ejaculation: a clinical update. Med J Aust 2008; 188: 662-666. 0_CFGIDJFF
The first Australian evidence‐based guidelines on male infertility
Darren J Katz, Liza O’Donnell, Robert I McLachlan, Tim J Moss, Clare V Boothroyd, Veena Jayadev, Sarah R Catford
The public health impacts of mining in Australia
Javier Cortes‐Ramirez, Ruby N Michael, Leisa‐Maree Toms, Melissa Haswell
Who smokes in Australia? Cross‐sectional analysis of Australian Bureau of Statistics survey data, 2017–19
Jessica Yi Han Aw, Christina Heris, Raglan Maddox, Grace Joshy, Emily Banks AM
Dual‐energy x‐ray absorptiometry assessment of bone health in Australian men with prostate cancer commencing androgen deprivation therapy
Mariya F Hamid, Amy Hayden, Tania Moujaber, Sandra Turner, Howard Gurney, Mathis Grossmann, Peter Wong
Modern paradigms for prostate cancer detection and management
Isabella SC Williams, Aoife McVey, Sachin Perera, Jonathan S O’Brien, Louise Kostos, Kenneth Chen, Shankar Siva, Arun A Azad, Declan G Murphy, Veeru Kasivisvanathan, Nathan Lawrentschuk, Mark Frydenberg
Urological Society of Australia and New Zealand (USANZ) and Australasian Chapter of Sexual Health Medicine (AChSHM) for the Royal Australasian College of Physicians (RACP) clinical guidelines on the management of erectile dysfunction
Eric Chung, Michael Lowy, Michael Gillman, Chris Love, Darren Katz, Graham Neilsen