About PE

Premature Ejaculation (PE) is the most common male sexual dysfunction in men < 60 years, yet it is one of the most under-diagnosed. According to DMS-IV definition of PE, 1 in 5 men report PE ; that's a higher proportion than those suffering from Erectile Dysfunction (ED). While Erectile Dysfunction generally increases with age, PE is not age-related, and although between 20% and 30% of men report this condition, only 9% actually turn to a doctor for help.

Talking about sexual problems is often difficult both for the patients and some doctors too and can be a source of embarrassment and anxiety, especially for men. PE is perhaps an even more difficult condition because it is not always considered as a real medical problem with a cause and available solutions but often only as a lifestyle issue. Men often overlook PE, referring it to “stress” or just ignoring it because they are convinced that there are no solutions. Otherwise, they try to find (e.g. searching on the internet) some "alternative" strategies to compensate for the PE and to relieve the distress it causes to the relationship with the partner. But these unprofessional attempts are often frustrating and worsen the discomfort and stress.

PE may have a significant impact on every aspect of a man’s life and that of his partner. References to the frustration caused by PE can even be found in the Kamasutra.

PE reduces the quality of a man's life and adversely affects a couple's relationship. 44% of men affected by the condition report feelings of frustration, 36% report anxiety and 20.4% depression. The half of those affected by PE (compared to 34% of non-affected) believe that the relationship with their partner would be more intensive if they were able to satisfy them sexually. This observation owes to the fact that PE also adversely affects the partner's satisfaction with sexual life and partnership.

PE or ED? PE is often confused with Erectile Dysfunction (ED). Nonetheless, PE and ED are completely different medical conditions. In PE, the erection is normal, but ejaculation mostly occurs before or within approximately 1-2 minutes of vaginal penetration; PE is characterised by the inability to control or delay ejaculation, is even more common than ED, may appear from the first experience of sexual intercourse in about 50% of cases and is equally present across all adult age-groups. On the contrary, ED is a persistent inability to attain and maintain an erection sufficient to permit satisfactory sexual performance, has nothing to do with ejaculatory control and is more common in older ages and often associated with co-morbidities.



American Psychiatric Association. Diagnostic and statistical manual of mental disorders. 4th edition. Text revision: DSMIV-TR. Washington, DC: American Psychiatric Association; 2000.


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


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


EAU Guidelines on ED and PE 2012.


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


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


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


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


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


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


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


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

Advisory Board

Prof. Jacques Buvat

Prof. Jacques Buvat Director of the Centre d’Etude et de Traitement de ...
Advisory Board

Dr. Ian Eardley

Dr. Ian Eardley Consultant urologist in St James’s Hospital in Lee ...
Advisory Board

Prof. Dimitrios Hatzichristou

Prof. Dimitrios Hatzichristou Professor of Urology and Director of the Unit for ...
Advisory Board

Prof. François Giuliano

Prof. François Giuliano Urologist, Department of Physical Medicine and Reh ...
Advisory Board

Prof. Alessandra Graziottin

Prof. Alessandra Graziottin Currently Director of the Centre of Gynecology and ...
Advisory Board

Prof. Emmanuele Jannini

Prof. Emmanuele Jannini Professor of Endocrinology and Sexology at Univers ...
Advisory Board

Prof. Chris McMahon

Prof. Chris McMahon He is an Associate Professor in the Faculty of Hea ...
Advisory Board

Prof. Vincenzo Mirone

Prof. Vincenzo Mirone Professor of Urology, Director of the Postgraduate ...
Advisory Board

Prof. Ignacio Moncada

Prof. Ignacio Moncada Head of Urology at La Zarzuela Hospital, Madrid an ...
Advisory Board

Prof. Francesco Montorsi

Prof. Francesco Montorsi Professor of Urology at the University Vita Salute ...
Advisory Board

Prof. Hartmut Porst

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