title: Cross-cultural differences in women's sexuality and their perception and impact of premature ejaculation.
abstract: OBJECTIVE
  To assess the cross-cultural differences in women's perception of premature ejaculation (PE).
  
  
  METHODS
  A total of 1463 sexually active women from 3 different countries—Mexico, South Korea, and Italy—reporting being or having been in a relationship with a man who suffers from PE were included in the study. A mix of self-constructed questions and questions taken from validated instruments were used, including the Female Sexual Function Index, the Female Sexual Distress Scale, and the Relationship Assessment Scale.
  
  
  RESULTS
  Significant differences in importance of ejaculatory control and the degree of distress caused by PE were detected between the 3 countries (P < .001 for both). Lack of control was the most commonly reported reason for distress for Mexico, short latency for Italy, and lack of control for South Korea. Mexico reported the highest rates of previous relationship breakups due to PE (28.9%), whereas Italian women reported the lowest relationship satisfaction and South Korean women the highest.
  
  
  CONCLUSIONS
  It is important to get a better understanding of which sexual issues are important for individuals across different cultures, and whether the same aspects of the problem are considered distressing. This can have implications on nosology, on types of treatments offered, and hence, the likelihood of their efficiency when a couple's sexual perspective is carefully considered.
authors.affiliation: Department of Psychology, University of Zurich, Zurich, Switzerland. Electronic address: a.burri@psychologie.uzh.ch.
authors.forename: Andrea
authors.initials: A
authors.lastname: Burri
authors.affiliation: Center of Gynecology and Medical Sexology, H. San Raffaele Resnati, Milan, Italy.
authors.forename: Alessandra
authors.initials: A
authors.lastname: Graziottin
mesh_terms: D000328:Adult; D001290:Attitude; D003431:Cross-Cultural Comparison; D003466:Cultural Characteristics; D005260:Female; D006801:Humans; D007558:Italy; D008297:Male; D008800:Mexico; D008875:Middle Aged; D061686:Premature Ejaculation; D056910:Republic of Korea; D012737:Sex Factors; D019529:Sexuality / Q000523:psychology*; D011795:Surveys and Questionnaires; D055815:Young Adult