Men With Both Premature Ejaculation (PE) and Erectile Dysfunction (ED) Experience Lower Quality of Life Than Men With Either PE or ED Alone.

Men With Both Premature Ejaculation (PE) and Erectile Dysfunction (ED) Experience Lower Quality of Life Than Men With Either PE or ED Alone, Ridwan Shabsigh, Department of Urology; Michael A. Perelman, Departments of Psychiatry, Reproductive Medicine, and Urology

It has been reported that approximately one third of men with ED also have concomitant PE. We hypothesized that men suffering from both ED and PE would report the greatest negative impact on quality of life and sexual enjoyment. A multi-country internet-based survey of 12,134 men was conducted in 2004. The Premature Ejaculation Prevalence and Attitudes (PEPA) Study enrolled men aged 18-70 in the United States, Germany, and Italy. Respondents answered questions about general quality of life, relationships, sexual experiences and attitudes, health, and demographics. Men in the PEPA Study were categorized as having PE via their survey responses regarding distress, timing of, and control over ejaculation. Men were also asked if they self-described as having erectile dysfunction/impotence. These groups were quantified, described, and contrasted. Approximately one third of men reported that the length of time from penetration to climax was a problem for them or their partner, and approximately one quarter of men additionally reported distress or lack of control over ejaculation; about 15% of men self-reported ED. While almost one quarter of men with PE also had concomitant ED, over half with ED also suffer from comorbid PE. Men who suffered from concomitant PE and ED had lower scores for quality of life and sexual enjoyment compared to those with either PE or ED alone. Further study and analyses are needed to understand the origin of distress, bother, sexual enjoyment, and diminished quality of life among men who suffer from sexual dysfunction.