PE, personal distress and partners relationship

A satisfying sex life is essential to any successful relationship, and sexual wellbeing is crucial to a person's overall health. The World Health Organisation (WHO) defines health as: “A state of complete physical, mental and social well-being and not merely the absence of disease or infirmity”.

Feelings of frustration. Sexual dissatisfaction can cause feelings of frustration, anger and disappointment and may negatively impact a couple’s intimacy and harmony. A man's discomfort (both physical and psychological) combined with his partner's reduced sexual satisfaction, can cause serious problems in both a couple’s sexual and emotional life. In other words, there are many aspects to Premature Ejaculation (PE), which can have negative effects on the couple.
Men/couples with PE and their partners show significant:

  • reductions in levels of sexual functioning;
  • reductions in levels of satisfaction with sexual intercourse;
  • reductions in the overall quality of life;
  • increased levels of distress;
  • increased levels of interpersonal difficulty.

The fact remains unchallenged that both men and women find it difficult to talk about PE:

  • Only 9% of men with PE consult a physician about their problem, and over half of the men with PE (52.2%) who did not talk to a physician indicate that they had never considered such an option.
  • PE men may believe that they are not providing adequate sexual satisfaction and find it easier to cheat on their partners. On the other hand, the man may be perceived by his partner as selfish, while often an open heart talking demonstrates that men feels bad about his condition too.

A problem that couples can resolve together. Premature ejaculation is a problem that a couple should try to resolve together. Mutual dialogue unites the couple and represents one of the most effective "tools" for finding a solution. A partner, who shares the burden of premature ejaculation may also contribute to the solution, talking to the man gently, and helping him to become aware of the problem, so that he can seek a way to resolve it. In fact, it’s often thanks to a partner that men go to see a doctor, which is the only way to diagnose the problem properly, find the underlying cause and, if necessary, undergo effective therapy to treat it.
A majority of men with PE (more than 60%) stated that they would seek treatment for PE if their partner suggested it, and nearly 75% of men with PE who did seek treatment did so based on a desire to increase the sexual satisfaction of their partner. See more in: How to talk to your partner with PE

In conclusion, PE is certainly a delicate subject to discuss, but talking openly with a doctor is the only way to overcome the problem. Therefore:

  • you need to overcome taboos and embarrassment in speaking about PE;
  • you must recognise PE as a medical condition that can be treated successfully;
  • it’s important to present at a doctor's office for the correct diagnosis and treatment, because there are appropriate solutions available.


Althof SE et al. J Sex Med. 2010;7(9):2947-2969.


Atikeler MK, Gecit I, Senol FA. Andrologia 2002;34(6):356-359.


Broderick GA. J Sex Med 2006;3(4):295-302.


Buvat J. J Sex Med 2011;8(suppl 4):316–327.


Donatucci CF. J Sex Med. 2006;3(Suppl 4):303-308.


EAU Guidelines on ED and PE 2012.


El-Nashaar A, Shamloul R. J Sex Med. 2007;4(2):491-496.


Gallo L, Perdonà S, Gallo A. J Sex Med. 2010;7(3):1269-1276.


Giuliano F et al. BJU International 2008;102 (6):668-675.


Giuliano F, Clement P. Eur Urol 2006;50 (3):454-466.


Graziottin A, Althof S. J Sex Med 2011;8 Suppl 4:304-309.


Halvorsen JG et al. J Am Board Fam Pract 1992;5:51-612.




Jannini EA et al. Sessuologia Medica. Trattato di psicosessuologia e medicina della sessualità. Elsevier Masson Ed. 2007


Jannini EA, Lombardo F, Lenzi A. Int J Androl 2005;28 Suppl 2:40-45.


Jannini EA, Porst H. J Sex Med 2011;8 Suppl 4:301-303.


Jannini EA, Simonelli C, Lenzi A. J Endocrinol Invest 2002;25(11):1006-1019.


Laumann EO, Paik A, Rosen RC. JAMA. 1999; 281 (6) :537-544.


Limoncin E, Tomassetti M, Gravina GL et al. J Urol 2012 Nov 6. Epub ahead of print.


Lindau ST, Schumm LP, Laumann EO et al. NEngl J Med 2007;357:762–74.


Masters WH, Johnson VE. Human sexual inadequacy. Boston: Little Brown; 1970:92–115.


McCarty EJ. Core Evidence 2012;7:1-14.


McMahon CG et al. J Sex Med 2008;5:1590–1606.


McMahon CG et al. J Sex Med 2011;8:524-539.


McMahon CG, Jannini E, Waldinger M, Rowland D. J Sex Med 2013;10(1):204-229.


Montorsi F. J Sex Med 2005;suppl 1:8, ABS PS-3-1.


Porst H et al. Eur Urol 2007;51(3):816-824.


Porst H. “Premature Ejaculation”. In: Porst H, Reisman Y (eds):The ESSM Syllabus of Sexual Medicine.Medix Publishers,Amsterdam 2012; pp 547-595.


Revicki V et al. Health and Quality of Life Outcomes 2008;6:33.


Rosenberg MT, Sadovsky R. Identification and diagnosis of premature ejaculation. Int J Clin Pract. 2007;61(6):903-908.


Screponi E, Carosa E, Di Stasi SM et al. Urology 2001;58(2):198-202.


Shabsigh R, Rowland D. J Sex Med 2007;4 (5):1468-1478.


Sotomayor M. J Sex Med 2005;2(2):110-114.


Waldinger MD. Premature Ejaculation Definition and Drug Treatment. Drugs 2007;67 (4):547-568.


World Health Organisation. ICD-10;1992. p. 355–356.

37 "The Counterfeiting Superhighway" report

Advisory Board

Prof. Jacques Buvat

Prof. Jacques Buvat Director of the Centre d’Etude et de Traitement de ...
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Dr. Ian Eardley

Dr. Ian Eardley Consultant urologist in St James’s Hospital in Lee ...
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Prof. Dimitrios Hatzichristou

Prof. Dimitrios Hatzichristou Professor of Urology and Director of the Unit for ...
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Prof. François Giuliano

Prof. François Giuliano Urologist, Department of Physical Medicine and Reh ...
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Prof. Alessandra Graziottin

Prof. Alessandra Graziottin Currently Director of the Centre of Gynecology and ...
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Prof. Emmanuele Jannini

Prof. Emmanuele Jannini Professor of Endocrinology and Sexology at Univers ...
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Prof. Chris McMahon

Prof. Chris McMahon He is an Associate Professor in the Faculty of Hea ...
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Prof. Vincenzo Mirone

Prof. Vincenzo Mirone Professor of Urology, Director of the Postgraduate ...
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Prof. Ignacio Moncada

Prof. Ignacio Moncada Head of Urology at La Zarzuela Hospital, Madrid an ...
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Prof. Francesco Montorsi

Prof. Francesco Montorsi Professor of Urology at the University Vita Salute ...
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Prof. Hartmut Porst

Prof. Hartmut Porst Associate Professor of Urology at the University o ...
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