title: Self-reported premature ejaculation and aspects of sexual functioning and satisfaction.
abstract: BACKGROUND
  Although premature ejaculation (PE) is a common male sexual dysfunction, its relevant parameters have not been adequately studied in large community-based samples.
  
  
  OBJECTIVE
  To examine the diagnostic utility of two self-report questions based on the DSM-IV-TR definition of PE and to investigate the relationship between self-identified PE, sexual functioning, and sexual satisfaction in men.
  
  
  METHODS
  An Internet survey of general health and aspects of sexual functioning and satisfaction was conducted in 2,056 males. Subjects were classified as having "probable" or "possible" PE, or as "non-PE" by survey responses.
  
  
  RESULTS
  A total of 1158 men met the selection criteria (sexually active in a stable heterosexual relationship), and 189 (16.3%) were classified as having probable PE by reporting they ejaculated before they wished and indicating it was "very much" or "somewhat" a problem. Another 188 (16.2%) men reported ejaculating before they wished but rated their distress lower and were classified as having possible PE. Compared to non-PE men, those with probable and possible PE reported significantly worse sexual functioning in 6 of 8 study measures. Concern about partner satisfaction was high in all groups. The importance of ejaculatory control and the ability to have intercourse for the desired time was significantly higher in men with PE as compared to non-PE men (P < 0.01).
  
  
  CONCLUSIONS
  PE was a common problem, was characterized by a lack of ejaculatory control, and was associated with significant effects on sexual functioning and satisfaction. Additional research on the sensitivity and specificity of these self-report questions should be pursued.
authors.affiliation: Valparaiso University, Indiana 46383-6493, USA. david.rowland@valpo.edu
authors.forename: David
authors.initials: D
authors.lastname: Rowland
authors.forename: Michael
authors.initials: M
authors.lastname: Perelman
authors.forename: Stanley
authors.initials: S
authors.lastname: Althof
authors.forename: James
authors.initials: J
authors.lastname: Barada
authors.forename: Andrew
authors.initials: A
authors.lastname: McCullough
authors.forename: Scott
authors.initials: S
authors.lastname: Bull
authors.forename: Carol
authors.initials: C
authors.lastname: Jamieson
authors.forename: Kai-Fai
authors.initials: KF
authors.lastname: Ho
mesh_terms: D000328:Adult; D004542:Ejaculation / Q000502:physiology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010549:Personal Satisfaction; D012725:Sexual Behavior / Q000706:statistics & numerical data*; D012735:Sexual Dysfunction, Physiological / Q000503:physiopathology* / Q000523:psychology; D011795:Surveys and Questionnaires; D013997:Time Factors