Controversies in Sexual Medicine: Are Premature Ejaculation Symptoms Curable?



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. Vardi Y, McMahon CG, Waldinger MD, Rubio-Aurioles E, and Rabinowitz D. Are premature ejaculation symptoms curable? J Sex Med 2008;5:1546–1551.