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The Sexual Dysfunction Problem for Men

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Premature ejaculation (PE) is a frequent and under-treated problem for males and their sexual partners. PE is the most common sexual dysfunction problem for men, with an estimated 14-30% of males ages 18 years and older reporting PE globally. However, the prevalence of PE is difficult to determine because of the ambiguity surrounding the definition of clinically relevant PE as well as the reluctance of sufferers to report their condition . Yet, most previously published clinical trials use the DSM-IV-TR definition of PE, defined as : A. Persistent or recurrent pattern of ejaculation occurring during partnered sexual activity within approximately 1 minute following vaginal penetration and before the individual wishes it (Note: Although the diagnosis of PE may apply to individuals engaged in non-vaginal sexual activities, specific duration criteria have not been established for these activities) B. The symptom in Criterion A must have been present for at least 6 months and must be experienced on almost all or (approximately 75%-100%) all occasions of sexual activity (in identified situational contexts or, if generalized, in all contexts) C. The symptom in Criteria A causes clinically significant distress in the individual. D. The sexual dysfunction is not better explained by a nonsexual mental disorder or as a consequence of severe relationship distress or other significant stressors and is not attributable to the effects of a substance/medication or another medical

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