Summary
Objective: To evaluate the own-perception of premature ejaculation (PE) patients, the impact of PE on sexual performance and couple’s satisfaction, and treatment expectations.
Methods: An instrument to access the study objectives has been developed. Men with PE aged 18 or more years were recruited until the sample was completed. Chi-square and Fisher’s exact tests have checked the associations between PE and categorical variables. Student’s t-test has compared the continue variables means. P values £0.05 have been considered statistically significant.
Results: The sample comprised 32 subjects, 53.1% with Lifelong PE (LPE) and 46.9% with acquired PE (APE) for them, PE is characterized by: lack of control (100.0% of those with LPE 70.6% of those with APE), short intravaginal latency time (66.7% and 52.9%) and concern in satisfying the partner (33.3% and 64.7%). The following issues impact the patient’s quality of life: lack of control over ejaculation for 100.0% of those with LPE and 94.2% of those with APE (p = 0.53) short intravaginal latency time 93.4% and 88.2% (p=0.63) personal distress 86.7% and 94.1% (p= 0.45) dissatisfaction with sexual intercourse 86.7% and 76.5% (p=0.76) partner’s dissatisfaction 86.7% and 88.2% (p=0.99). Medication associated with psychotherapy was the preferred treatment for 40.0% (LPE) and 35.3% (APE). More control over ejaculation, intravaginal latency time and partner’s satisfaction are the main treatment expectations.
Conclusion: For LPE patients, control and intravaginal latency time are the most important PE characteristics, while for those experiencing APE, control and partner’ssatisfaction are more important. Both groups prefer the combined treatment (medication and psychotherapy), although this preference is not a consensus.