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October 6, 1999

Black Doctors

Author Affiliations

Margaret A.WinkerMD, Deputy EditorIndividualAuthorPhil B.FontanarosaMD, Interim CoeditorIndividualAuthor

JAMA. 1999;282(13):1229. doi:10-1001/pubs.JAMA-ISSN-0098-7484-282-13-jbk1006

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.