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Revista Clínica de Medicina de Familia

On-line version ISSN 2386-8201Print version ISSN 1699-695X

Abstract

FERNANDEZ DELGADO, Darío. Premature ejaculation: topic updates. Rev Clin Med Fam [online]. 2014, vol.7, n.1, pp.45-51. ISSN 2386-8201.  http://dx.doi.org/10.4321/S1699-695X2014000100007.

Premature ejaculation (PE) is a sexual dysfunction present at any age but currently under-diagnosed in Primary Care centers despite its high incidence on sexual health and quality of life. It does not improve or disappear with age or sexual frequency, completely the opposite. Avoiding sexual relations or even erectile dysfunction can make it worse. Pharmacological therapy, although essential, is not sufficient. A psychological and sexological approach, from the couple's point of view, is fundamental. The female partner should become a co-therapist. This article provides a bibliographic review of the definition of the term, diagnosis methods, implications for the couple and therapeutic approach. To achieve this aim, the original articles published in Spanish and English from 2006 to 2013 in Pubmed and Cochrane databases have been consulted. There is no single definition of PE. Current DSM definitions show a low positive predictive value and a high value in false-positive diagnosis. All definitions are centered on the duration of vaginal penetration. There are several standardized questionnaires for diagnosis. Although there is a wide offer of therapies, from local anaesthetics to surgery, in Spain the only drug specifically indicated for PE is dapoxetine and has proven its effectiveness. In conclusion, PE is the most frequent sexual dysfunction in males, above erectile dysfunction. Its diagnosis and therapeutic approach is possible from the primary healthcare centers and requires a pharmacological and sexological approach.

Keywords : Premature ejaculation; sexual dysfunction; diagnostic; primary health care.

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