Skip to main content
SpringerLink
Log in

Taxonomy of Ejaculatory Disorders and Definitions of Premature Ejaculation

  • Chapter
  • First Online:
Premature Ejaculation

  • 1970 Accesses

Abstract

In 1943, Schapiro proposed a distinction of premature ejaculation (PE) into Types A and B. Men with Type B have always suffered from a very rapid ejaculation (or short latency), whereas in Type A, the rapid ejaculation develops later in life and is often associated with erectile dysfunction (ED).

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 129.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 169.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 169.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Schapiro B (1943) Premature ejaculation: a review of 1130 cases. J Urol 50:374–379

    Google Scholar 

  2. Godpodinoff ML (1989) Premature ejaculation: clinical subgroups and etiology. J Sex Marital Ther 15(2):130–134

    Article  PubMed  CAS  Google Scholar 

  3. Waldinger MD, Schweitzer DH (2006) Changing paradigms from a historical DSM-III and DSM-IV view toward an evidence-based definition of premature ejaculation. Part II: proposals for DSM-V and ICD-11. J Sex Med 3(4):693–705

    Article  PubMed  Google Scholar 

  4. Waldinger MD (2006) The need for a revival of psychoanalytic investigations into premature ejaculation. J Mens Health Gender 3:390–396

    Google Scholar 

  5. Serefoglu EC et al (2009) Prevalence of the complaint of ejaculating prematurely and the four premature ejaculation syndromes: results from the Turkish Society of Andrology Sexual Health Survey. J Sex Med 8(2):540–548

    Article  Google Scholar 

  6. Waldinger MD, Schweitzer DH (2008) The use of old and recent DSM definitions of premature ejaculation in observational studies: a contribution to the present debate for a new classification of PE in the DSM-V. J Sex Med 5(5):1079–1087

    Article  PubMed  Google Scholar 

  7. Waldinger M et al (2005) A multinational population survey of intravaginal ejaculation latency time. J Sex Med 2(4):292–297

    Google Scholar 

  8. Hartmann U, Schedlowski M, Kruger TH (2005) Cognitive and partner-related factors in rapid ejaculation: differences between dysfunctional and functional men. World J Urol 10:10

    Google Scholar 

  9. Althof SE (2005) Psychological treatment strategies for rapid ejaculation: rationale, practical aspects, and outcome. World J Urol 1:1

    Google Scholar 

  10. Laumann EO et al (2005) Sexual problems among women and men aged 40–80 y: prevalence and correlates identified in the global study of sexual attitudes and behaviors. Int J Impot Res 17(1):39–57

    Article  PubMed  CAS  Google Scholar 

  11. Screponi E et al (2001) Prevalence of chronic prostatitis in men with premature ejaculation. Urology 58(2):198–202

    Article  PubMed  CAS  Google Scholar 

  12. Carani C et al (2005) Multicenter study on the prevalence of sexual symptoms in male hypo- and hyperthyroid patients. J Clin Endocrinol Metab 90(12):6472–6479

    Article  PubMed  CAS  Google Scholar 

  13. Adson DE, Kotlyar M (2003) Premature ejaculation associated with citalopram withdrawal. Ann Pharmacother 37(12):1804–1806

    Article  PubMed  Google Scholar 

  14. Peugh J, Belenko S (2001) Alcohol, drugs and sexual function: a review. J Psychoactive Drugs 33(3):223–232

    Article  PubMed  CAS  Google Scholar 

  15. Chekuri V et al (2012) Premature ejaculation and other sexual dysfunctions in opiate dependent men receiving methadone substitution treatment. Addict Behav 37(1):124–126

    Article  PubMed  Google Scholar 

  16. McMahon CG (2002) Long term results of treatment of premature ejaculation with selective serotonin re-uptake inhibitors. Int J Imp Res 14(Suppl 3):S19

    Google Scholar 

  17. Serefoglu EC, Cimen HI, Atmaca AF, Balbay MD (2010). The distribution of patients who seek treatment for the complaint of ejaculating prematurely according to the four premature ejaculation syndromes. J Sex Med. 7:810-815

    Article  PubMed  Google Scholar 

  18. Masters WH, Johnson VE (1970) Human sexual inadequacy. Little Brown, Boston, pp 92–115

    Google Scholar 

  19. American Psychiatric Association (1994) Diagnostic and statistical manual of mental disorders DSM-IV, 4th edn. American Psychiatric Association, Washington, pp 509–511

    Google Scholar 

  20. World Health Organization (1994) International stastical classification of diseases and related health problems, 10th edn. World Health Organization, Geneva

    Google Scholar 

  21. Metz M, McCarthy B (2003) Coping with premature ejaculation: how to overcome PE, please your partner and have great sex. New Harbinber Publications, Oakland

    Google Scholar 

  22. Montague DK et al (2004) American Urological Association guideline on the pharmacologic management of premature ejaculation. J Urol 172(1):290–294

    Article  PubMed  Google Scholar 

  23. Colpi G et al (2004) EAU guidelines on disorders of ejaculation. Eur Urol 46(5):555–558

    Article  Google Scholar 

  24. McMahon CG et al (2004) Disorders of orgasm and ejaculation in men, in sexual medicine: sexual dysfunctions in men and women. In: Lue TF et al (eds) 2nd International consultation on urological disorders. Health Publications, Paris, pp 409–468

    Google Scholar 

  25. Waldinger MD et al (2005) Proposal for a definition of lifelong premature ejaculation based on epidemiological stopwatch data. J Sex Med 2(4):498–507

    Article  PubMed  Google Scholar 

  26. Jannini EA, Lombardo F, Lenzi A (2005) Correlation between ejaculatory and erectile dysfunction. Int J Androl 28(Suppl 2):40–45

    Article  PubMed  Google Scholar 

  27. American Psychiatric Association (1980) Diagnostic and statistical manual of mental disorders DSM-III, 3rd edn. American Psychiatric Association, Washington

    Google Scholar 

  28. American Psychiatric Association (1987) Diagnostic and statistical manual of mental disorders DSM-III-R, 3rd edn (revised). American Psychiatric Association, Washington

    Google Scholar 

  29. American Psychiatric Association (2000) Diagnostic and statistical manual of mental disorders DSM–IV–TR, 4th edn (revised). American Psychiatric Association, Washington

    Google Scholar 

  30. Centre for Evidence-Based Medicine (2001) Oxford Centre for Evidence-based Medicine levels of evidence. http://www.cebm.net/index.aspx?o=1025. Accessed 8 Feb 2008

  31. Waldinger MD (2002) The neurobiological approach to premature ejaculation. J Urol 168(6):2359–2367

    Article  PubMed  Google Scholar 

  32. Althof SE, Symonds T (2007) Patient reported outcomes used in the assessment of premature ejaculation. Urol Clin North Am 34(4):581–589

    Article  PubMed  Google Scholar 

  33. Cooper AJ, Magnus RV (1984) A clinical trial of the beta blocker propranolol in premature ejaculation. J Psychosom Res 28(4):331–336

    Article  PubMed  CAS  Google Scholar 

  34. Spiess WF, Geer JH, O’Donohue WT (1984) Premature ejaculation: investigation of factors in ejaculatory latency. J Abnorm Psychol 93(2):242–245

    Article  PubMed  CAS  Google Scholar 

  35. Strassberg DS et al (1990) The role of anxiety in premature ejaculation: a psychophysiological model. Arch Sex Behav 19(3):251–257

    Article  PubMed  CAS  Google Scholar 

  36. Strassberg DS et al (1987) The psychophysiological nature of premature ejaculation. Arch Sex Behav 16(4):327–336

    Article  PubMed  CAS  Google Scholar 

  37. LoPiccolo J (1978) Direct treatment of sexual dysfunction in the couple. In: Money J, Mesaph H (eds) Handbook of sexology: selected syndromes and therapy, vol 5. Elsevier, New York, pp 1227–1244

    Google Scholar 

  38. Zeiss RA, Christensen A, Levine AG (1978) Treatment for premature ejaculation through male-only groups. J Sex Marital Ther 4(2):139–143

    Article  PubMed  CAS  Google Scholar 

  39. Kilmann PR, Auerbach R (1979) Treatments of premature ejaculation and psychogenic impotence: a critical review of the literature. Arch Sex Behav 8(1):81–100

    Article  PubMed  CAS  Google Scholar 

  40. Schover L et al (1982) Multiaxial problem-oriented system for sexual dysfunctions. Arch Gen Psychiat 39:614–619

    Article  PubMed  CAS  Google Scholar 

  41. Trudel G, Proulx S (1987) Treatment of premature ejaculation by bibliotherapy: an experimental study. Sex Marital Ther 2:163–167

    Article  Google Scholar 

  42. Patrick DL et al (2005) Premature ejaculation: an observational study of men and their partners. J Sex Med 2(3):58–367

    Article  Google Scholar 

  43. Giuliano F et al (2007) Premature ejaculation: results from a five-country European observational study. Eur Urol. 53:1048–1057

    Google Scholar 

  44. Waldinger MD et al (2005) A multinational population survey of intravaginal ejaculation latency time. J Sex Med 2:492–497

    Article  PubMed  Google Scholar 

  45. McMahon CG et al (2008) An evidence-based definition of lifelong premature ejaculation: report of the International Society for Sexual Medicine (ISSM) ad hoc committee for the definition of premature ejaculation. J Sex Med 5(7):1590–1606

    Article  PubMed  Google Scholar 

  46. Waldinger MD, Hengeveld MW, Zwinderman AH (1994) Paroxetine treatment of premature ejaculation: a double blind, randomized, placebo controlled study. Am J Psychiatry 151(9):1377–1379

    PubMed  CAS  Google Scholar 

  47. Althof SE et al (1995) A double-blind crossover trial of clomipramine for rapid ejaculation in 15 couples. J Clin Psychiatry 56(9):402–407

    PubMed  CAS  Google Scholar 

  48. Pryor JL et al (2005) Comparison of estimated versus measured intravaginal ejaculatory latency time (IELT) in men with and without premature ejaculation (PE). J Sex Med 3(1):54 (abstract 126)

    Google Scholar 

  49. Rosen RC et al (2007) Correlates to the clinical diagnosis of premature ejaculation: results from a large observational study of men and their partners. J Urol 177(3):1059–1064; (discussion 1064)

    Google Scholar 

  50. Waldinger M, McIntosh J, Schweitzer DH (2009) A five-nation survey to assess the distribution of the intravaginal ejaculatory latency time among the general male population. J Sex Med 6:2888–2895

    Article  PubMed  Google Scholar 

  51. Waldinger M et al (1998) An empirical operationalization of DSM-IV diagnostic criteria for premature ejaculation. Int J Psychiatry Clin Pract 2:287–293

    Article  Google Scholar 

  52. Waldinger MD et al (2007) The majority of men with lifelong premature ejaculation prefer daily drug treatment: an observation study in a consecutive group of Dutch men. J Sex Med 4(4 Pt 1):1028–1037

    Article  PubMed  CAS  Google Scholar 

  53. Grenier G, Byers ES (1997) The relationships among ejaculatory control, ejaculatory latency, and attempts to prolong heterosexual intercourse. Arch Sex Behav 26(1):27–47

    Article  PubMed  CAS  Google Scholar 

  54. McMahon CG et al (2006) Ejaculatory disorders. In: Porst H, Buvat J (eds) Standard practice in sexual medicine. Blackwell Publishing, Oxford, pp 188–209

    Google Scholar 

  55. Perelman MA (2006) A new combination treatment for premature ejaculation: a sex therapist’s perspective. J Sex Med 3(6):1004–1012

    Article  PubMed  Google Scholar 

  56. Kaplan HS et al (1974) Group treatment of premature ejaculation. Arch Sex Behav 3(5):443–452

    Article  PubMed  CAS  Google Scholar 

  57. McCarthy B (1988) Cognitive-behavioural strategies and techniques in the treatment of early ejaculation. In: Leiblum SR, Rosen R (eds) Principles and practices of sex therapy: update for the 1990s. Guilford Press, New York, pp 141–167

    Google Scholar 

  58. Vandereycken W (1986) Towards a better delineation of ejaculatory disorders. Acta Psychiatr Belg 86(1):57–63

    PubMed  CAS  Google Scholar 

  59. Zilbergeld B (1978) Male sexuality. Bantam, Toronto

    Google Scholar 

  60. Grenier G, Byers S (2001) Operationalizing premature or rapid ejaculation. J Sex Res 38:369–378

    Article  Google Scholar 

  61. McMahon CG, Stuckey B, Andersen ML (2005) Efficacy of viagra: sildenafil citrate in men with premature ejaculation. J Sex Med 2(3):368–375

    Article  PubMed  CAS  Google Scholar 

  62. Waldinger MD et al (2004) Relevance of methodological design for the interpretation of efficacy of drug treatment of premature ejaculation: a systematic review and meta-analysis. Int J Impot Res 16(4):369–381

    Article  PubMed  CAS  Google Scholar 

  63. Rowland DL et al (2000) Ejaculatory latency and control in men with premature ejaculation: an analysis across sexual activities using multiple sources of information. J Psychosom Res 48(1):69–77

    Article  PubMed  CAS  Google Scholar 

  64. Giuliano F et al (2008) Premature ejaculation: results from a five-country European observational study. Eur Urol 53(5):1048–1057

    Article  PubMed  Google Scholar 

  65. Patrick DL, Rowland D, Rothman M (2007) Interrelationships among measures of premature ejaculation: the central role of perceived control. J Sex Med 4(3):780–788

    Article  PubMed  Google Scholar 

  66. Rowland D et al (2004) Self-reported premature ejaculation and aspects of sexual functioning and satisfaction. J Sex Med 1(2):225–232

    Article  PubMed  Google Scholar 

  67. Porst H et al (2007) The Premature Ejaculation Prevalence and Attitudes (PEPA) survey: prevalence, comorbidities, and professional help-seeking. Eur Urol 51(3):816–823

    Article  PubMed  Google Scholar 

  68. Dunn KM, Croft PR, Hackett GI (1999) Association of sexual problems with social, psychological, and physical problems in men and women: a cross sectional population survey. J Epidemiol Community Health 53(3):144–148

    Article  PubMed  CAS  Google Scholar 

  69. Symonds T et al (2003) How does premature ejaculation impact a man’s life? J Sex Marital Ther 29(5):361–370

    Article  PubMed  CAS  Google Scholar 

  70. Rowland DL et al (2007) The psychological burden of premature ejaculation. J Urol 177(3):1065–1070

    Article  PubMed  Google Scholar 

  71. Rosen R, Althof S (2008) Psychological consequences of PE, quality of life and impact on sexual relationships. J Sex Med (in press)

    Google Scholar 

  72. McCabe MP (1997) Intimacy and quality of life among sexually dysfunctional men and women. J Sex Marital Ther 23(4):276–290

    Article  PubMed  CAS  Google Scholar 

  73. Byers ES, Grenier G (2003) Premature or rapid ejaculation: heterosexual couples’ perceptions of men’s ejaculatory behavior. Arch Sex Behav 32(3):261–270

    Article  PubMed  Google Scholar 

  74. Riley A, Riley E (2005) Premature ejaculation: presentation and associations. An audit of patients attending a sexual problems clinic. Int J Clin Pract 59(12):1482–1487

    Article  PubMed  CAS  Google Scholar 

  75. Brock GB et al (2007) The prevalence and impact of premature ejaculation in Canada. In: Proceedings of Annual Meeting of the American Urological Association, Anaheim, CA, 19–24 May 2007

    Google Scholar 

  76. Althof SE (2006) Prevalence, characteristics and implications of premature ejaculation/rapid ejaculation. J Urol 175(3 Pt 1):842–848

    Article  PubMed  Google Scholar 

  77. Althof S (2006) The psychology of premature ejaculation: therapies and consequences. J Sex Med 3(Suppl 4):324–331

    Article  PubMed  Google Scholar 

  78. Porst H et al (2010) Baseline characteristics and treatment outcomes for men with acquired or lifelong premature ejaculation with mild or no erectile dysfunction: integrated analyses of two phase 3 dapoxetine trials. J Sex Med 7(6):2231–2242

    Article  PubMed  Google Scholar 

  79. Oberg K, Fugl-Meyer AR, Fugl-Meyer KS (2004) On categorization and quantification of women’s sexual dysfunctions: an epidemiological approach. Int J Impot Res 16(3):261–269

    Article  PubMed  CAS  Google Scholar 

  80. Segraves RT (2010) Considerations for an evidence-based definition of premature ejaculation in the DSM-V. J Sex Med 7(2 Pt 1):672–679

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Australian Centre for Sexual Health, Suite 2–4, Berry Road Medical Centre, 1a Berry Road, St Leonards, NSW, 2065, Australia

    Chris G. McMahon

Authors
  1. Chris G. McMahon
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Chris G. McMahon .

Editor information

Editors and Affiliations

  1. , Experimental Medicine, University of L'Aquila, Via Vetoio, L'Aquila, 67100, Italy

    Emmanuele A. Jannini

  2. Australian Centre for Sexual Health, Berry Rd St Leonards 1A, Sydney, 2065, New South Wales, Australia

    Chris G. McMahon

  3. Utrecht University, Universiteitsweg 99, Utrecht, 3584, Netherlands

    Marcel D. Waldinger

Rights and permissions

Reprints and permissions

Copyright information

© 2013 Springer-Verlag Italia

About this chapter

Cite this chapter

McMahon, C.G. (2013). Taxonomy of Ejaculatory Disorders and Definitions of Premature Ejaculation. In: Jannini, E., McMahon, C., Waldinger, M. (eds) Premature Ejaculation. Springer, Milano. https://doi.org/10.1007/978-88-470-2646-9_5

Download citation

  • DOI: https://doi.org/10.1007/978-88-470-2646-9_5

  • Published:

  • Publisher Name: Springer, Milano

  • Print ISBN: 978-88-470-2645-2

  • Online ISBN: 978-88-470-2646-9

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation