Abstract
Approaches to the diagnosis and treatment of premature ejaculation (PE) have evolved over the past 50 years. In this paper, we briefly review significant historical and conceptual changes in the understanding of PE, with the aim of suggesting a contemporary integrative treatment plan. A review of PE diagnostic nosology, risk factors, and classical and contemporary treatment strategies suggests the need for an integrative approach so as to ensure both increased ejaculatory latency and relationship satisfaction. A multi-faceted integrative treatment process is offered, emphasizing brevity and relying on a modified PLISSIT model. This model, summarized in a flow chart, progresses through sequentially deeper levels of engagement and includes attention to physiological, behavioral, cognitive-affective, and relationship factors, addressing each on an as needed basis. Important to any treatment model is consideration of time, cost, and access. The proposed model attempts to remove potential barriers for seeking treatment by addressing all three concerns.
Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
