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The impact of premature ejaculation treatment on a couple’s sexual function

Czech version

Authors: R. Sajdlová 1;  J. Lenz 3,4;  D. Kestlerová 1;  Š. Papadaki 5;  V. Větvička 6;  L. Fiala 1,2
Authors‘ workplace: Univerzita Karlova Lékařská fakulta Plzeň, Psychiatrická klinika Přednosta: prof. MUDr. Jan Vevera, Ph. D. 1;  Univerzita Karlova Sexuologický ústav 1. LF UK a VFN, Praha Primář: MUDr. Libor Zámečník, Ph. D. 2;  Nemocnice Znojmo Patologicko-anatomické oddělení Primář: doc. MUDr. Jiří Lenz, Ph. D. 3;  Veterinární univerzita Brno, Veterinární a farmaceutická univerzita Fakulta veterinárního lékařství, Ústav anatomie, histologie a embryologie, Oddělení histologie Vedoucí: prof. MVDr. František Tichý, CSc. 4;  Univerzita Tomáše Bati, Zlín Fakulta managementu a ekonomiky Děkan: doc. Ing. Michal Pilík, Ph. D. 5;  University of Louisville, KY, USA Department of Pathology and Laboratory Medicine Vedoucí: Eyas M. Hattab, MD, MBA 6
Published in: Prakt. Lék. 2025; 105(1): 27-32
Category: Of different specialties

Overview

Premature ejaculation is one of the common sexual disorders of men. In our study we focused on premature ejaculation as a possible problem for the entire sexual couple. We evaluated the possible effect of men premature ejaculation on the development of sexual dysfunction in their wives and the subsequent elimination of this female dysfunction if only men are treated. Out of 95 couples, 50 couples who met the given criteria based on the diagnostic tools were included in the pilot study. In men, premature ejaculation was confirmed, in women, sexual dysfunction, the source of which was only premature ejaculation. Results of the Arizona Sexual Experience Scale-Male and Female relationship are characterized by Spearman’s correlation before treatment (R = 0.68), after 6 months of treatment (R = 0.90). Furthermore, we confirmed the relationship between Arizona Sexual Experience Scale-Female and Female Sexual Function Index before treatment (R = 0.42) and after treatment (R = 0.59). All data were confirmed by the Mann-Whitney test.

The results of our pilot study point to the little-explored fact that premature ejaculation is not only a problem for men, but can also form a subsequent sexual problem for the couple as a whole. The results of this pilot study represent important findings regarding the positive effect of treatment of men with premature ejaculation on the resulting sexual dysfunction in their sexual partners.

Keywords:

premature ejaculation – premature ejaculation diagnostic tool score – Arizona Sexual Experience Scale

Sources
  1. Anderson D, Laforge J, Ross MM, et al. Male sexual dysfunction. Health Psychol Res. 2022; 10(3): 37533.
  2. Basson R, Althof S, Davis S, et al. Summary of the recommendations on sexual dysfunctions in women. J Sex Med. 2004; 1(1): 24–34.
  3. Bronner G, Kitrey ND, Uziel N, et al. Correlation between premature ejaculation and female vaginal penetration difficulties. Int J Impot Res. 2015; 27(4): 152–156.
  4. Burri A, Graziottin A. Cross-cultural differences in women’s sexuality and their perception and impact of premature ejaculation. Urology 2015; 85(1): 118–124.
  5. Burri A, Giuliano F, McMahon C, et al. Female partner’s perception of premature ejaculation and its impact on relationship breakups, relationship quality, and sexual satisfaction. J Sex Med. 2014; 11(9): 2243–2255.
  6. Ciocca G, Limoncin E, Di Tommaso S, et al. Attachment styles and sexual dysfunctions: a case-control study of female and male sexuality. Int J Impot Res. 2015; 27(3): 81–85.
  7. Clayton AH, Valladares Juarez EM. Female sexual dysfunction. Med Clin North Am. 2019; 103(4): 681–698.
  8. Cooper K, Martyn-St James M, Kaltenthaler E, et al. Interventions to treat premature ejaculation: a systematic review short report. Health Technol Assess. 2015; 19(21): 1–180, v–vi.
  9. Crowdis M, Leslie SW, Nazir S. Premature ejaculation. StatPearls 2023 [online]. Dostupné z: http://www.ncbi.nlm.nih.gov/ books/NBK546701/ [cit. 2025-02-23].
  10. Fiala L, Lenz J, Konecna P, et al. Premature ejaculation and stress. Andrologia 2021; 53(7): e14093.
  11. Fiala L, Lenz J. Psychosocial stress, somatoform dissociative symptoms and free testosterone in premature ejaculation. Andrologia 2020; 52(11): e13828.
  12. Graziottin A, Althof S. What does premature ejaculation mean to the man, the woman, and the couple? J Sex Med. 2011; 8(Suppl 4): 304–309.
  13. Hendriks PM, Staal DP, Pastoor H, et al. Sexual function is impaired in women and men with pulmonary hypertension. Clin Res Cardiol. 2023; 112(7): 981–990.
  14. Kowalska M, Nowaczyk J, Fijałkowski Ł, et al. Paroxetine-Overview of the molecular mechanisms of action. Int J Mol Sci. 2021; 22(4): 1662.
  15. Limoncin E, Tomassetti M, Gravina GL, et al. Premature ejaculation results in female sexual distress: standardization and validation of a new diagnostic tool for sexual distress. J Urol. 2013; 189(5): 1830–1835.
  16. Maseroli E, Fanni E, Mannucci E. et al. Which are the male factors associated with female sexual dysfunction (FSD)? Andrology 2016; 4(5): 911–920.
  17. McCabe MP, Sharlip ID, Lewis R, et al. Risk factors for sexual dysfunction among women and men: A Consensus statement from the Fourth International Consultation on Sexual Medicine 2015. J Sex Med. 2015; 13(2): 153–167.
  18. McGahuey CA, Gelenberg J, Lauke CA, et al. The Arizona Sexual Experience Scale (ASEX): reliability and validity. J Sex Marital Ther. 2000; 26(1): 25–40.
  19. McMahon CG, Touma K. Treatment of premature ejaculation with paroxetine hydrochloride as needed: 2 single-blind placebo controlled crossover studies. J Urol. 1999; 161(6): 1826–1830.
  20. Piontek A, Szeja J, Błachut M, et al. Sexual problems in the patients with psychiatric disorders. Wiadomosci Lek Wars Pol. 1960 2019; 72(10): 1984–1988.
  21. Rosen RC, Althof S. Impact of premature ejaculation: the psychological, quality of life, and sexual relationship consequences. J Sex Med. 2008; 5(6): 1296–1307.
  22. Rosen R, Brown C, Heiman J, et al. The Female Sexual Function Index (FSFI): a multidimensional self-report instrument for the assessment of female sexual function. J Sex Marital Ther. 2000; 26(2): 191–208.
  23. Sansone A, Mollaioli D, Ciocca G, et al. Sexual dysfunction in men and women with diabetes: A Reflection of their complications? Curr Diabetes Rev. 2022; 18(1): e030821192147.
  24. Spatz ES, Canavan ME, Desai MM, et al. Sexual activity and function among middle-aged and older men and women with hypertension. J Hypertens. 2013; 31(6): 1096–1105.
  25. Symonds T, Perelman MA, Althof S, et al. Development and validation of a premature ejaculation diagnostic tool. Eur Urol. 2007; 52(2): 565–573.
  26. Štulhofer A, Hinchliff S, Træen B. Relationship intimacy, sexual distress, and help-seeking for sexual problems among older European couples: a hybrid dyadic approach. Int J Impot Res. 2020; 32(5): 525–534.
  27. van Overveld M, de Jong PJ, Peters M, et al. The Sexual Disgust Questionnaire; a psychometric study and a first exploration in patients with sexual dysfunctions. J Sex Med. 2013; 10(2): 396–407.
  1. Waldinger MD, Schweitzer DH. Differences between ICD-11 MMS and DSM-5 definition of premature ejaculation: a continuation of historical inadequacies and a source of serious misinterpretation by some European Regulatory Agencies (PART 2). Int J Impot Res. 2018; 31(5): 310–318.
  2. Wiegel M, Meston C, Rosen R. The female sexual function index (FSFI): cross-validation and development of clinical cutoff scores. J Sex Marital Ther. 2005; 31(1): 1–20.
  3. Zhang D, Cheng Y, Wu K, et al. Paroxetine in the treatment of premature ejaculation: a systematic review and meta-analysis. BMC Urol. 2019; 19(1): 2.

adresa pro korespondenci:
prof. RNDr. Václav Větvička, PhD.
Vršovická 1525/1b, 101 Praha 10
e-mail: vaclav.vetvicka@gmail.com

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