A number of psychological health, behavioral, and pharmacotherapy options exist for both PE and DE however, none of these pharmacotherapy options have achieved approval from the United States Food and Drug Administration and their use in the treatment of PE is considered off-label. The understanding of the neurobiological phenomena that comprise ejaculation and orgasm is limited. 3 Disturbances of the timing of ejaculation can pose a substantial impediment to sexual enjoyment for men and their partners. Data on the prevalence of DE are more limited, but a proportion of epidemiological studies report that men have difficulty achieving orgasm. 1, 2 Regardless, the experience of many clinicians suggest that the problem is not rare and can be a source of considerable embarrassment and dissatisfaction for patients.
While up to 30% of men have self-reported PE, few of these men have an ejaculation latency times (the time between penetration and ejaculation) of less than two minutes, making the actual prevalence of clinical PE and DE less than 5%. There also exists a population of men who experience difficulty achieving sexual climax, sometimes to the point that they are unable to climax during sexual activity these men may be diagnosed with Delayed Ejaculation (DE). Men who ejaculate before or shortly after penetration, without a sense of control, and who experience distress related to this condition may be diagnosed with Premature Ejaculation (PE). It is typical for men to have some control over the timing of ejaculation during a sexual encounter. Resources for Coding and Reimbursement ProcessĪmbulatory Surgical Center Quality Reporting ProgramĮjaculation and orgasm are distinct but simultaneous events that occur with peak sexual arousal. National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) O'Brien Urology Centers
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