Sexual Dysfunction
Sexual Dysfunction
Persistent or recurrent pattern of ejaculation occurring during partnered sexual activity within ≈1 minute of vaginal penetration and before the individual wishes it, on ≥75–100% of occasions
≥1 of 3 symptoms on almost all occasions (≥75–100%) of sexual activity: marked difficulty attaining an erection; marked difficulty maintaining an erection until completion of sexual activity; marked decrease in erectile rigidity
B. Symptoms present ≥6 months C. Causes marked distress D. Not better explained by non-sexual mental disorder, substances/medications, relationship factors, or significant stressors; not attributable to another medical condition
B. Symptoms persist ≥6 months C. Causes marked distress D. Not better explained by non-sexual mental disorder, substances/medications, relationship factors, or significant stressors; not attributable to another medical condition
A. Persistent or recurrent pattern of ejaculation occurring during partnered sexual activity within ≈1 minute of vaginal penetration and before the individual wishes it, on ≥75–100% of occasions B. Symptoms present ≥6 months C. Causes marked distress
A. ≥1 of 3 symptoms on almost all occasions (≥75–100%) of sexual activity: marked difficulty attaining an erection; marked difficulty maintaining an erection until completion of sexual activity; marked decrease in erectile rigidity B. Symptoms persist ≥6 months C. Causes marked distress
Lifelong; Acquired; Generalised; Situational
Lifelong; Acquired; Generalised; Situational
Erectile dysfunction with secondary early ejaculation (treat ED first); Normal variation in ejaculatory latency (patient expectation vs clinical threshold); Anxiety disorder contributing to performance anxiety
Vascular cause - atherosclerosis, hypertension (most common physical cause; assess CV risk); Hormonal cause - hypogonadism, hyperprolactinaemia (check testosterone, LH, FSH, prolactin); Neurological cause - DM neuropathy, MS, spinal cord injury