Delayed Ejaculation in Couple and Family Therapy
Name of the Concept
Delayed ejaculation in couple and family therapy
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),...
KeywordsSexual Fantasy Sexual Medicine Partner Experience Partner Attractiveness Delay Ejaculation
- American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). American Psychiatric Association. http://doi.org/10.1176/appi.books.9780890425596
- 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
- Masters, W. H., & Johnson, V. E. (1970). Human sexual inadequacy. Boston: Little, Brown & Co..Google Scholar
- McMahon, C. G., Rowland, D. L., Abdo, C. H. N., Chen, J., Jannini, E. A., & Waldinger, M. D. (2009). Disorders of orgasm and ejaculation in men. In I. S. F. S. Medicine (Ed.), Sexual medicine, sexual dysfunctions in men and women: Report of the 3rd ICSM International Consultation on Sexual Medicine (pp. 823–890). Paris: France. Retrieved from http://www.issm.info/images/book/Committee%2017/
- Metz, M. E., & McCarthy, B. W. (2007). The “Good-Enough Sex” model for couple sexual satisfaction. Sexual & Relationship Therapy, 22(3), 351–362. http://doi.org/10.1080/14681990601013492
- Patrick, D. L., Althof, S. E., Pryor, J. L., Rosen, R., Rowland, D. L., Ho, K. F., et al. (2005). Premature ejaculation: An observational study of men and their partners. The Journal of Sexual Medicine, 2(3), 358–367. http://doi.org/10.1111/j.1743-6109.2005.20353.x
- 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
- 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
- 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