Abstract Purpose of Review Current definitions of premature ejaculation (PE) include three concepts: ejaculation upon minimal stimulation, commonly defined by a short ejaculation latency (EL); a lack of ability to delay or postpone ejaculation; and negative consequences related to distress, bother, or concern. However, consensus regarding the role of ejaculation latency (EL)—and more specifically, an EL threshold—in the definition and diagnosis of PE is lacking. In this paper, we consider four aspects of this diagnostic criterion: (1) the value of, but problems with, the concept of EL as a diagnostic criterion for PE; (2) the challenge of operationally defining a specific EL threshold for diagnosing men with PE; (3) the use of EL criteria in research and intervention studies; and (4) the practice and use of the EL diagnostic criterion by clinicians in their decision to treat men who presumably have PE. Recent Findings We examined measurement validation and highlight that neither EL nor a specific EL threshold has undergone adequate validation using standardized procedures. We then reviewed a number of studies that have used different methods to establish ELs in men with PE, noting not only the substantial variation in average ELs across studies but also how specific methodologies—some of which are more consistent with standard validation procedures than others—account for this variation. We further reviewed the use of EL criteria in research and intervention studies over the past 15 years, and conclude with a short survey that delineates clinicians’ perspectives regarding the use and value of EL in determining both their decision-to-treat men with PE and their corresponding evaluation of successful treatment. Summary This four-pronged analysis concludes that EL is an imprecise measure of “ejaculation in response to minimal stimulation” and should be used with caution; that validating evidence supporting the use of the 1 min criterion for PE has not been adequate; that the majority of studies using accepted procedures for criterion validation supports average ELs for men with PE in the neighborhood of 0–2 min; that research and clinically-based treatment studies generally extend ELs for men with PE well beyond the purported 1-min threshold; and that clinicians tend to use EL as a guideline rather than a rigid diagnostic criterion. The paper ends with an overall conceptualization and contextualization of EL in the diagnosis and treatment of men with PE.

Purpose of ReviewThis paper reviews outcomes for risks and benefits of puberty blockers and gender-affirming hormones for pediatric gender dysphoria or gender-related distress.Recent FindingsStudies conducted over the past 15–20 years have generally reported the effects of these interventions on bone health, metabolic outcomes, and mental health outcomes.SummaryWith respect to mental health outcomes, individual clinical research studies have inconsistently demonstrated benefit. Systematic evidence reviews, which provide high-level, reliable evidence according to evidence-based medicine (EBM) principles, have found the evidence in this field is comprised of studies with significant quality issues; the body of evidence is considered weak/uncertain. Clinical guidelines should be updated to reflect the reality of the limited evidence.

Purpose of ReviewThis review examines sexual aversion, emphasizing its emotional underpinnings, particularly the role of disgust, and explores therapeutic and diagnostic advancements. It addresses the omission of sexual aversion disorder from DSM-5 and its implications for clinical practice and future research.Recent FindingsDisgust, as a primary emotional mechanism in sexual aversion, distinguishes itself from related sexual dysfunctions. Research highlights the effectiveness of hierarchical intensive exposure therapy and cognitive-behavioural interventions in reducing disgust-driven avoidance behaviours. Moreover, tools such as virtual reality therapy are emerging as an innovative tool in this field.SummaryRecognizing disgust’s centrality in sexual aversion underscores the need for tailored interventions and diagnostic refinement. This review/report advocates for the reclassification of sexual aversion as a distinct disorder to enhance clinical attention and outcomes and foster further research.

Purpose of ReviewThe present review summarizes associations reported in research published within the past five years between various forms of pornography consumption (e.g., frequency, problematic use, age at first consumption, consumption with a partner) and different sexual dysfunctions or aspects of sexual functioning, as defined by clinical classification systems, specifically in women.Recent FindingsRecent studies report links between women’s increased pornography consumption and overall improved sexual functioning.SummaryWhen correlations are reported, increased pornography consumption is associated with better overall sexual functioning, increased desire, sexual arousal, and more frequent orgasms in women. Experimental studies use pornographic material to trigger women’s sexual arousal. However, problematic pornography use is linked to reduced sexual functioning, most notably an increase in symptoms of compulsive sexual behavior.