Abstract

ABSTRACT Introduction While premature ejaculation (PE) is the most common sexual dysfunction in men under 40, there is currently no government-approved therapy for its treatment. Is a cure possible? Methods Four experts in the area of PE and its treatment were asked to contribute their opinions. Main Outcome Measure To provide food for thought, discussion, and possible further research in a poorly understood area of sexual medicine. Results Differences among the different types of PE, and the ability to cure them are discussed. One expert examines the possible differences in lifelong and acquired PE as an explanation as to why treatment for the former does not carry over after termination of treatment whereas the latter can be treated successfully. The second and third experts break PE into four categories, explaining that those forms that are curable at present are not true PE or are based on anxiety. The last expert discusses the potential of a combined clinical and research platform to better understand the relative contributions of biological, behavioral, and couple factors to the disorder for potential curability. Conclusion Improved understanding of the types of PE and their various etiologies and pathophysiologies would improve the potential for cure.

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