Premature ejaculation from etiology to diagnosis and treatment pdf
File Name: premature ejaculation from etiology to diagnosis and treatment .zip
- Psychosexual therapy for premature ejaculation
- Premature Ejaculation
- Diagnosis and Treatment of Premature Ejaculation by Urologists in South Korea
- How to treat premature ejaculation
Psychosexual therapy for premature ejaculation
Sexual dysfunction is a problem that can happen during any phase of the sexual response cycle. It prevents you from experiencing satisfaction from sexual activity. The sexual response cycle traditionally includes excitement, plateau, orgasm and resolution. Desire and arousal are both part of the excitement phase of the sexual response. Because treatment options are available, though, you should share your concerns with your partner and healthcare provider. These conditions include diabetes , heart and vascular blood vessel disease , neurological disorders, hormonal imbalances, chronic diseases such as kidney or liver failure, and alcoholism and drug abuse. In addition, the side effects of some medications, including some antidepressant drugs , can affect sexual function.
Epidemiological studies suggest that premature ejaculation PE may be the most common male sexual disorder. This clinical guideline discusses the evaluation and treatment of this condition. Unabridged version of this Guideline [pdf]. Drogo K. Broderick, MD; Roger R.
Premature ejaculation PE is a male sexual dysfunction that creates considerable anguish for the man, his partner and their relationship 1. The precise etiology of PE is unknown although it is likely to include both biological genetic, somatic and neurobiological and psychological interpersonal issues, performance anxiety, cognitive distortions components 2. This article focuses on psychotherapy and combined pharmacological and psychological interventions for men with lifelong, acquired, natural VPE and SPE. The reader is referred to Drs. The definition of PE has gone through several iterations beginning with expert based definitions that were vague, imprecise, and subjective as well as being unreliable from one clinician to the next 3. There are several strengths and weaknesses of the DSM-5 definition.
Premature ejaculation occurs when a man ejaculates sooner during sexual intercourse than he or his partner would like. Premature ejaculation is a common sexual complaint. Estimates vary, but as many as 1 out of 3 men say they experience this problem at some time. As long as it happens infrequently, it's not cause for concern. However, you might be diagnosed with premature ejaculation if you:. Both psychological and biological factors can play a role in premature ejaculation.
This study discusses the treatment of premature ejaculation PE using various approaches with the goal of evaluating the methods of diagnosis and treatment of PE in clinical practice in in South Korea. We surveyed urologists and andrologists who treated patients with PE from July 1, to July 29, using an online questionnaire. The questionnaire was composed of 4 parts: disease, comorbidities, diagnosis, and treatment. Using the answers to this survey, current trends in the diagnosis and treatment of PE were investigated using weighted averages. In in South Korea, various methods were used to diagnose and treat PE.
Diagnosis and Treatment of Premature Ejaculation by Urologists in South Korea
There may occasionally be complication with reproduction, but premature ejaculation PE can also adversely affect sexual satisfaction, both for men and their partners. In recent years, the recognition and understanding of male sexual dysfunction has improved, and there is a better understanding of the problems that can result from it. If the problem occurs at the beginning of a new sexual partnership, the difficulties often resolve as the relationship goes on.
PE refers to an inability to delay ejaculation or having less perceived control over ejaculation, based on the guidelines for PE of the International Society for Sexual Medicine published in [ 2 ]. To some extent, the quality of life QOL for patients and their partners, including the sexual satisfaction of both partners, sexual confidence, and interpersonal relationships, are influenced by PE. The metabolic syndrome MetS is a common metabolic disorder that results from changing life style and increasing obesity [ 3 ]. Various metabolic factors involve in development of cardiovascular disease, such as glucose intolerance, insulin resistance, central obesity, dyslipidemia, and hypertension [ 3 ].
Ellis, Sao Paulo, Brazil. In , the International Society for Sexual Medicine ISSM convened a select panel of experts to develop an evidence-based set of guidelines for patients suffering from lifelong premature ejaculation PE.
How to treat premature ejaculation
Он почувствовал, как вокруг него выросла стена, и понял, что ему не удастся выпутаться из этой ситуации, по крайней мере своевременно. И он в отчаянии прошептал ей на ухо: - Сьюзан… Стратмор убил Чатрукьяна. - Отпусти ее, - спокойно сказал Стратмор. - Она тебе все равно не поверит. - Да уж конечно, - огрызнулся Хейл. - Лживый негодяй. Вы промыли ей мозги.
- А теперь прошу меня извинить. Мне нужно поработать. У Мидж отвисла челюсть. - Извините, сэр… Бринкерхофф уже шел к двери, но Мидж точно прилипла к месту.