(469) The High Incidence of Female Orgasmic Disorder Secondary to Premature Ejaculation in South Florida

Abstract

Abstract Introduction Premature ejaculation (PE), according to the ISSM Committee, is defined as ejaculation with vaginal penetration that always or nearly always occurs prior to or within about one minute from the beginning of a sexual encounter, together with the inability to retard ejaculation with vaginal penetration. As a result, the personal life of an affected individual may be negatively impacted, with the consequences of distress, bother, frustrations, and/or avoidance of sexual intimacy. However, there are multiple factors to consider and not all sexologists, psychologists, and therapists agree about a clear and complete definition of PE. This, in turn, makes it more difficult to have clear statistics of the incidence, prevalence, and frequency of this disorder. On the other hand, Female Orgasmic Disorder (FOD) is defined as difficulty, delay, or inability for a woman to reach orgasm in a sexual encounter or the reduced frequency and/or intensity of orgasm. While PE and FOD are usually described separately in the medical literature, we have found in both the sexological literature and in practice that women with FOD are frequently the partners of men with PE. Objective The objective of this review is to address the increased incidence of FOD secondary to PE in the South Florida Latin-American population, its impact in the sexual function of both male and female partners in their relationship, and the possible reasons for the difference between the Latin-American community and the General population of the United States of America. Methods This is a retrospective review of the sexological literature and the statistics we have collected from patients over the last 20 years, in which around 80% of cases of women with FOD are due to PE in their partner. Results Nationally speaking, the frequency of FOD secondary to PE has been reported to generally run between 35-50% in reproductive aged women. Throughout the years we have noticed that this frequency is markedly higher in the Latin-American population of South Florida, reaching 79.6% of cases. Conclusions We do not have a clear explanation for this important difference between the General population of the United States and the Latin-American population of South Florida, but we know that the Latin-American population in this area is exposed to a great number of stressors. One such set of stressors that may be a contributing to the increased incidence is known as the “Immigrant’s Syndrome,” a set of circumstances which includes sexual dysfunction as one of its components. Disclosure No