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Correlation between ejaculatory and erectile dysfunction

Authors

  • E. A. JANNINI,

    1. Course of Endocrinology and Medical Sexology, Department of Experimental Medicine, University of L'Aquila, Coppito, Bldg. 2, Room A2/54. Via Vetoio, 67100 L'Aquila, Rome, Italy
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  • F. LOMBARDO,

    1. Chair of Endocrinology, Department of Medical Physiopathology, University of Rome ‘La Sapienza’, Policlinico Umberto I, 00161 Rome, Italy
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  • A. LENZI

    1. Chair of Endocrinology, Department of Medical Physiopathology, University of Rome ‘La Sapienza’, Policlinico Umberto I, 00161 Rome, Italy
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Emmanuele A. Jannini, Course of Endocrinology and Medical Sexology, Department of Experimental Medicine, University of L'Aquila, Coppito, Bldg. 2, Room A2/54, 67100, L'Aquila, Rome, Italy. E-mail: jannini@univaq.it

Summary

Premature ejaculation (PE) and erectile dysfunction (ED) are different sexological issues. However, they have many little-known links. PE is the most common male sexual dysfunction, but ED is undoubtedly the most common reason that medical help is sought. As a consequence, PE is largely under-diagnosed and under-treated, while ED has received great scientific and clinical attention in recent years. There are plenty of reasons for this: (i) PE is classically considered as psychogenic in nature; (ii) it is traditionally treated with behavioural psychotherapies; (iii) clear and accepted clinical definition(s) are lacking; (iv) the aetiologies are largely unknown; (v) the pathogenesis is still obscure – there is a lack of awareness and acknowledgement of PE as a symptom of medical disease; (vi) lacking a medical presence in the field and requests for help from patients are low. Finally, erectile dysfunctions (ED) and ejaculatory dysfunctions frequently overlap. The aim of this review article is to propose a new taxonomy of PE, which considers ED as an important factor of PE and vice versa.

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