Margaret A.WinkerMD, Deputy EditorIndividualAuthorPhil B.FontanarosaMD, Interim CoeditorIndividualAuthor
In Reply: Premature ejaculation is a common
complaint among men of all ages. Despite the prevalence of the problem, few
studies have investigated etiological factors associated with the condition.
Small-scale studies1 have suggested a neurophysiological
basis in a subgroup of men with lifelong or primary premature ejaculation.
Others have argued that endocrine2 or psychological
factors3 may be important. In our analysis
of data from the National Health and Social Life Survey,4
a history of urinary tract symptoms, general health problems, and the presence
of emotional stress were all positively associated with self-report of premature
ejaculation. Of note, this was the only sexual dysfunction in men that was
not associated with significant quality-of-life effects.
Rosen RC, Laumann EO, Paik A. Black Doctors. JAMA. 1999;282(13):1229. doi:10-1001/pubs.JAMA-ISSN-0098-7484-282-13-jbk1006