title: Rapid ejaculation: a review of nosology, prevalence and treatment.
abstract: Information concerning the epidemiology, etiology and treatment of premature (rapid) ejaculation is reviewed. Evidence concerning the prevalence of premature ejaculation indicates that subjective concern about rapid ejaculation is a common concern worldwide. Hypotheses concerning the pathogenesis of premature ejaculation include: (1) that it is a learned pattern of ejaculation maintained by interpersonal anxiety, (2) that it is the result of dysfunction in central or peripheral mechanisms regulating ejaculatory thresholds and (3) that it is a normal variant in ejaculatory latency. Current evidence based treatment interventions include behavioral psychotherapy and the use of pharmacological agents, including topical anesthetic agents and selective serotonin reuptake inhibitors.
authors.affiliation: Case School of Medicine, and MetroHealth Medical Center, Cleveland, OH 44109, USA. rsegraves@metrohealth.org
authors.forename: R T
authors.initials: RT
authors.lastname: Segraves
mesh_terms: D000818:Animals; D004542:Ejaculation; D007172:Erectile Dysfunction / Q000453:epidemiology* / Q000209:etiology / Q000503:physiopathology / Q000628:therapy*; D006801:Humans; D008297:Male; D009482:Neurophysiology; D009626:Terminology as Topic; D013997:Time Factors