Although premature ejaculation is an ancient, not uncommon sexual problem, an acceptable definition remains controversial. Although highly treatable, the symptom has been clinically neglected; the patient is usually medically checked, has a rectal examination, and is told he is normal without further direction. Education, guidance, and support can significantly lessen the patient’s performance anxiety and prevent erectile dysfunction and loss of desire, which are known to follow the symptom. In resistant cases, there are now effective medications, as discussed.
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