We have experience a paradigm shift in how we conceptualise premature ejaculation. New subclassifications have been developed to include our understandings of the neurobiological/genetic, physiological & psychosocial aspects in addition to the psychological (Waldinger, 2008).
Despite diversity of causation of PE the negative imapacts on men & their partners are remarkably similar across subclassifications, with negative emotion and interpersonal difficulty being the most common reason for presentation (Porst, 2007). Both Sex Therapy and pharmacological treatments offer unique benefits. Combining Sexual Therapy with pharmacological treatment may provide improved outcomes for men with PE and their partners. Further evidence based research on combination therapy is needed in this area.
Conflict of Interest: None disclosed
Financial Support/Funding: Supported by an unrestricted educational grant by Janssen-Cilag.
Recorded: Australian Center for Sexual Health, Sydney, Australia, June 2009