Skip to main content

Thank you for visiting nature.com. You are using a browser version with limited support for CSS. To obtain the best experience, we recommend you use a more up to date browser (or turn off compatibility mode in Internet Explorer). In the meantime, to ensure continued support, we are displaying the site without styles and JavaScript.

Prevalence and impact of premature ejaculation in outpatients complaining of ejaculating prematurely: using the instruments of intravaginal ejaculatory latency time and patient-reported outcome measures

Abstract

This study was designed to assess the impact of premature ejaculation (PE) on a large population of men and their female partners using the instruments of intravaginal ejaculatory latency time (IELT) and patient-reported outcome (PRO) measures. A non-interventional, observational and cross-sectional field survey enrolled 2704 men with self-reported PE and their female partners from January 2010 to January 2012. PE was diagnosed by the International Society for Sexual Medicine (ISSM) criterion. IELT and sexual dysfunction were measured using a stopwatch and PRO measures, respectively. The incidence of PE in this study was 19.27%. PE negatively impacted on subjects and their partners, including reduced ejaculatory control and sexual satisfaction, and increased personal distress and interpersonal difficulty (P<0.001 for all). The severity of PE was considered worse by subjects than by their female partners (P<0.001). Reduced ejaculatory control and sexual satisfaction were considered the central themes of PE. Furthermore, a correlation was observed among the outcomes of IELT and PRO measures for subjects and their partners (absolute correlation coefficient ranged from 0.33 to 0.67). This in-depth qualitative study provides valuable insight into the PE status in Chinese men. Further research is needed to confirm and extend these results.

Your institute does not have access to this article

Relevant articles

Open Access articles citing this article.

Access options

Buy article

Get time limited or full article access on ReadCube.

$32.00

All prices are NET prices.

Figure 1
Figure 2

References

  1. Waldinger MD, McIntosh J, Schweitzer DH . A five-nation survey to assess the distribution of the intravaginal ejaculatory latency time among the general male population. J Sex Med 2009; 6: 2888–2895.

    Article  Google Scholar 

  2. Porst H, Montorsi F, Rosen RC, Gaynor L, Grupe S, Alexander J . The Premature Ejaculation Prevalence and Attitudes (PEPA) survey: prevalence, comorbidities, and professional help-seeking. Eur Urol 2007; 51: 816–823.

    Article  Google Scholar 

  3. Laumann EO, Nicolosi A, Glasser DB, Paik A, Gingell C, Moreira E et al. Sexual problems among women and men aged 40–80 y: prevalence and correlates identified in the Global Study of Sexual Attitudes and Behaviors. Int J Impot Res 2005; 17: 39–57.

    CAS  Article  Google Scholar 

  4. Rowland D, Perelman M, Althof S, Barada J, McCullough A, Bull S et al. Self-reported premature ejaculation and aspects of sexual functioning and satisfaction. J Sex Med 2004; 1: 225–232.

    Article  Google Scholar 

  5. Rowland DL, Patrick DL, Rothman M, Gagnon DD . The psychological burden of premature ejaculation. J Urol 2007; 177: 1065–1070.

    Article  Google Scholar 

  6. Graziottin A, Althof S . What does premature ejaculation mean to the man, the woman, and the couple? J Sex Med 2011; 8: 304–309.

    Article  Google Scholar 

  7. Rosen RC, Althof S . Impact of premature ejaculation: the psychological, quality of life, and sexual relationship consequences. J Sex Med 2008; 5: 1296–1307.

    Article  Google Scholar 

  8. Montague DK, Jarow J, Broderick GA, Dmochowski RR, Heaton JP, Lue TF et al. AUA guideline on the pharmacologic management of premature ejaculation. J Urol 2004; 172: 290–294.

    Article  Google Scholar 

  9. Rowland DL, Cooper SE, Schneider M . Defining premature ejaculation for experimental and clinical investigations. Arch Sex Behav 2001; 30: 235–253.

    CAS  Article  Google Scholar 

  10. Rowland D, Burek M . Trends in research on premature ejaculation over the past 25 years. J Sex Med 2007; 4: 1454–1461.

    Article  Google Scholar 

  11. Association AP. Diagnistic and Statistical Manual of Mental Disorders 4th edn Text revision (DSM-IV-TR) American Psychiatric Association: Washington, DC, USA, 2000.

  12. Patrick DL, Althof SE, Pryor JL, Rosen R, Rowland DL, Ho KF et al. Premature ejaculation: an observational study of men and their partners. J Sex Med 2005; 2: 358–367.

    Article  Google Scholar 

  13. Althof SE, Abdo CH, Dean J, Hackett G, McCabe M, McMahon CG et al. International Society for Sexual Medicine's guidelines for the diagnosis and treatment of premature ejaculation. J Sex Med 2010; 7: 2947–2969.

    Article  Google Scholar 

  14. McMahon CG . Ejaculatory latency vs patient-reported outcomes (PROs) as study end points in premature ejaculation clinical trials. Eur Urol 2007; 52: 321–323.

    Article  Google Scholar 

  15. Althof SE . Evidence based assessment of rapid ejaculation. Int J Impot Res 1998; 10: 74–79.

    Article  Google Scholar 

  16. Althof SE . Prevalence, characteristics and implications of premature ejaculation/rapid ejaculation. J Urol 2006; 175: 842–848.

    Article  Google Scholar 

  17. Patrick DL, Rowland D, Rothman M . Interrelationships among measures of premature ejaculation: the central role of perceived control. J Sex Med 2007; 4: 780–788.

    Article  Google Scholar 

  18. Rosen RC, McMahon CG, Niederberger C, Broderick GA, Jamieson C, Gagnon DD . Correlates to the clinical diagnosis of premature ejaculation: results from a large observational study of men and their partners. J Urol 2007; 177: 1059–1064, discussion 1064.

    Article  Google Scholar 

  19. Hatzichristou D, Rosen RC, Broderick G, Clayton A, Cuzin B, Derogatis L et al. Clinical evaluation and management strategy for sexual dysfunction in men and women. J Sex Med 2004; 1: 49–57.

    Article  Google Scholar 

  20. Althof S, Rosen R, Symonds T, Mundayat R, May K, Abraham L . Development and validation of a new questionnaire to assess sexual satisfaction, control, and distress associated with premature ejaculation. J Sex Med 2006; 3: 465–475.

    Article  Google Scholar 

  21. Yuan YM, Xin ZC, Jiang H, Guo YJ, Liu WJ, Tian L et al. Sexual function of premature ejaculation patients assayed with Chinese Index of Premature Ejaculation. Asian J Androl 2004; 6: 121–126.

    PubMed  Google Scholar 

  22. Huang YF, Li HJ . Practical Andrology (in Chinese) 1. Science Press: Beijing, China, 2009.

    Google Scholar 

  23. Jannini EA, Lenzi A . Epidemiology of premature ejaculation. Curr Opin Urol 2005; 15: 399–403.

    Article  Google Scholar 

  24. Liang CZ, Hao ZY, Li HJ, Wang ZP, Xing JP, Hu WL et al. Prevalence of premature ejaculation and its correlation with chronic prostatitis in Chinese men. Urology 2010; 76: 962–966.

    Article  Google Scholar 

  25. Hobbs K, Symonds T, Abraham L, May K, Morris MF . Sexual dysfunction in partners of men with premature ejaculation. Int J Impot Res 2008; 20: 512–517.

    CAS  Article  Google Scholar 

  26. Kempeneers P, Andrianne R, Bauwens S, Georis I, Pairoux JF, Blairy S . Functional and psychological characteristics of belgian men with premature ejaculation and their partners. Arch Sex Behav 2012; 42: 51–66.

    Article  Google Scholar 

  27. Giuliano F, Patrick DL, Porst H, La Pera G, Kokoszka A, Merchant S et al. Premature ejaculation: results from a five-country European observational study. Eur Urol 2008; 53: 1048–1057.

    Article  Google Scholar 

  28. Perelman MA . A new combination treatment for premature ejaculation: a sex therapist's perspective. J Sex Med 2006; 3: 1004–1012.

    Article  Google Scholar 

Download references

Acknowledgements

We thank Dr Zheng Peng for his assistance in the statistical analysis.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to X Zhang.

Ethics declarations

Competing interests

The authors declare no conflict of interest.

Rights and permissions

Reprints and Permissions

About this article

Cite this article

Gao, J., Zhang, X., Su, P. et al. Prevalence and impact of premature ejaculation in outpatients complaining of ejaculating prematurely: using the instruments of intravaginal ejaculatory latency time and patient-reported outcome measures. Int J Impot Res 26, 94–99 (2014). https://doi.org/10.1038/ijir.2013.42

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1038/ijir.2013.42

Keywords

  • female partner
  • men
  • premature ejaculation
  • sexual dysfunction

Further reading

Search

Quick links