Objectives
The Association Inter-disciplinaire Post-Universitaire de Sexologie (AIUS) has brought together a panel of experts to draw up French recommendations for the management of premature ejaculation. This article presents the recommendations for the diagnosis and evaluation of premature ejaculation.
Methods
Systematic review of the literature between 01/1995 and 02/2022. Using the method of recommendations for clinical practice (RPC).
Results
We recommend using the SIAMS definition for everyday clinical practice.PE is defined as: (i) a persistent and recurrent subjective perception of loss of control (management) of the ejaculatory mechanism in the presence of appropriate erotic stimuli; (ii) subjective, PE-related distress induced in the patient and sexual dissatisfaction or PE-related anorgamy in the partner; (iii) a short intravaginal ejaculatory latency time, whether subjectively perceived by the patient and the.partner or objectively measured as less than 180 seconds (generally). We suggest that the same definition be applied to practices other than vaginal penetration, such as masturbation, oral or anal intercourse, as well as to non-heterosexual contexts.We suggest using information reported by the patient, possibly supplemented by assessment tests/questionnaires (IPE, PEP, PEDT).We recommend investigating the presence of other sexual dysfunctions, in particular erectile dysfunction (ED), as well as any sexual dysfunctions of partners. We recommend taking a medical and psycho sexological history, and carrying out a targeted physical examination in patients complaining of PE.
Conclusion
These recommendations should help to improve the management of PE.Key words: premature ejaculation, sexual dysfunction, sexology.
I. Introduction
Epidemiological data indicate that a significant number of men are dissatisfied with their control over ejaculation and its precocity. Nevertheless, compared with other sexual dysfunctions, such as erectile dysfunction, premature ejaculation (PE) appears to be a relatively new topic in sexual medicine. For this reason, Sansone et al. recently remarked that "patients and the media are only partially aware of the solid body of evidence produced in the context of the diagnosis, pathogenesis and treatment of PE"
For this reason, the Association Interdisciplinaire Post Universitaire de Sexologie (AIUS) set up a multidisciplinary working group to produce a clinical practice guide for healthcare professionals in the French-speaking community. The aim of this article is to summarize the main points of the arguments and recommendations concerning the definition, epidemiology and assessment of PE. The Comité d'Andrologie et de Médecine Sexuelle (CAMS) of the Association Française d'Urologie recommends the use of these recommendations for the practice of urologists.
The Association Inter-disciplinaire Post-Universitaire de Sexologie (AIUS) has brought together a panel of experts to draw up French recommendations for the management of premature ejaculation. This article presents the recommendations for the diagnosis and evaluation of premature ejaculation.
Methods
Systematic review of the literature between 01/1995 and 02/2022. Using the method of recommendations for clinical practice (RPC).
Results
We recommend using the SIAMS definition for everyday clinical practice.PE is defined as: (i) a persistent and recurrent subjective perception of loss of control (management) of the ejaculatory mechanism in the presence of appropriate erotic stimuli; (ii) subjective, PE-related distress induced in the patient and sexual dissatisfaction or PE-related anorgamy in the partner; (iii) a short intravaginal ejaculatory latency time, whether subjectively perceived by the patient and the.partner or objectively measured as less than 180 seconds (generally). We suggest that the same definition be applied to practices other than vaginal penetration, such as masturbation, oral or anal intercourse, as well as to non-heterosexual contexts.We suggest using information reported by the patient, possibly supplemented by assessment tests/questionnaires (IPE, PEP, PEDT).We recommend investigating the presence of other sexual dysfunctions, in particular erectile dysfunction (ED), as well as any sexual dysfunctions of partners. We recommend taking a medical and psycho sexological history, and carrying out a targeted physical examination in patients complaining of PE.
Conclusion
These recommendations should help to improve the management of PE.Key words: premature ejaculation, sexual dysfunction, sexology.
I. Introduction
Epidemiological data indicate that a significant number of men are dissatisfied with their control over ejaculation and its precocity. Nevertheless, compared with other sexual dysfunctions, such as erectile dysfunction, premature ejaculation (PE) appears to be a relatively new topic in sexual medicine. For this reason, Sansone et al. recently remarked that "patients and the media are only partially aware of the solid body of evidence produced in the context of the diagnosis, pathogenesis and treatment of PE"
For this reason, the Association Interdisciplinaire Post Universitaire de Sexologie (AIUS) set up a multidisciplinary working group to produce a clinical practice guide for healthcare professionals in the French-speaking community. The aim of this article is to summarize the main points of the arguments and recommendations concerning the definition, epidemiology and assessment of PE. The Comité d'Andrologie et de Médecine Sexuelle (CAMS) of the Association Française d'Urologie recommends the use of these recommendations for the practice of urologists.
