DIFFICULTIES IN DEFINING PREMATURE EJACULATION [PE]Sexual intercourse by man does not last for a time long enough to give climax/orgasm to female partner during penis-vagina sex it cannot be considered as Premature Ejaculation or Rapid Ejaculation or Early Orgasmic Response or PE because many females are unable to reach climax at all with vaginal intercourse (no matter how prolonged). This situation may actually represent delayed orgasm in the female partner rather than premature ejaculation in the male; the problem can be either or both.
Unless marked distress or interpersonal difficulty is present it is not considered as PREMATURE EJACULATION [PE]_ according to DSM IVThis highlights the importance of obtaining a thorough sexual history from the patient (and preferably from the female sexual partner.)
WHAT IS PE ACCORDING TO The criteria for premature ejaculation stated in the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, text revision
(DSM IV-TR)is as follows:
- (1) persistent and recurrent ejaculation with minimal sexual stimulation before, on, or shortly after penetration before the person wishes it;
- (2) marked distress or interpersonal difficulty; and
- (3) not exclusively due to direct effects.
PREMATURE EJACULATION PE ON THE BASIS OF HUMAN SEXUAL RESPONSE and DSM IVThe human sexual response can be divided into 4 phases:
- desire (libido),
- excitement (arousal), and
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