Encyclopedia of Couple and Family Therapy

Living Edition
| Editors: Jay Lebow, Anthony Chambers, Douglas C. Breunlin

Delayed Ejaculation in Couple and Family Therapy

  • Michael A. Perelman
Living reference work entry
DOI: https://doi.org/10.1007/978-3-319-15877-8_456-1

Name of the Concept

Delayed ejaculation in couple and family therapy

Synonyms

Introduction

Delayed ejaculation (DE) is a type of diminished ejaculation disorder (DED), which includes all subtypes manifesting ejaculatory delay/absence (Perelman et al. 2004). Many clinicians may find DE difficult to treat and may not grasp the psychosocial distress it causes. Assessment requires a thorough sexual history including inquiry into masturbatory methods to ascertain the information needed for proper diagnosis and treatment. This entry describes a transdisciplinary approach to the etiology, diagnosis, and treatment of men with DE based on the Sexual Tipping Point® model (Perelman 2009, 2016).

DE remains an uncommon disorder, with prevalence rates in 1–4% of males (Rowland and Perelman 2006). Rates are increasing due to greater use of pharmacotherapy [5-alpha reductase inhibitors (5αRIs), serotonin reuptake inhibitors (SRIs),...

Keywords

Sexual Fantasy Sexual Medicine Partner Experience Partner Attractiveness Delay Ejaculation 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.
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References

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  2. Apfelbaum, B. (2000). Retarded ejaculation: A much-misunderstood syndrome. In S. Leiblum & R. Rosen (Eds.), Principles and practice of sex therapy (3rd ed.). Guilford Press NY, USAGoogle Scholar
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  7. Perelman, M. A. (2003). Sex coaching for physicians: Combination treatment for patient and partner. International Journal of Impotence Research, 15(Suppl 5), S67–S74.CrossRefPubMedGoogle Scholar
  8. Perelman, M. A. (2005). Idiosyncratic masturbation patterns: A key unexplored variable in the treatment of retarded ejaculation by the practicing urologist. Journal of Urology, 173(4), 340–Abstract 1254.Google Scholar
  9. Perelman, M. A. (2009). The sexual tipping point: A mind/body model for sexual medicine. Journal of Sexual Medicine, 6(3), 227–632. http://doi.org/10.1111/j.1743-6109.2008.01177.x
  10. Perelman, M. A. (2016). Psychosexual therapy for delayed ejaculation based on the Sexual Tipping Point model. Translational Andrology and Urology, 5(4), 563–575. http://doi.org/10.21037/tau.2016.07.05.CrossRefPubMedPubMedCentralGoogle Scholar
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  12. Rowland, D. L., & Perelman, M. A. (2006). Retarded ejaculation. World Journal of Urology, 24(6), 645–652.CrossRefPubMedGoogle Scholar
  13. Waldinger, M. D., McIntosh, J., & Schweitzer, D. H. (2009). A five-nation survey to assess the distribution of the intravaginal ejaculatory latency time among the general male population. Journal of Sexual Medicine, 6(10), 2888–2895. http://doi.org/10.1111/j.1743-6109.2009.01392.x

Copyright information

© Springer International Publishing AG 2017

Authors and Affiliations

  1. 1.Department of Psychiatry, Reproductive Medicine & UrologyWeill Cornell Medicine/New York PresbyterianNew YorkUSA
  2. 2.MAP Education & Research FundNew YorkUSA

Section editors and affiliations

  • Farrah Hughes
    • 1
  • Allen Sabey
    • 2
  1. 1.Employee Assistance ProgramMcLeod HealthFlorenceUSA
  2. 2.The Family Institute at Northwestern UniversityEvanstonUSA