Premature Ejaculation (PE) Diagnosis & Treatment Flashcard

Premature Ejaculation (PE)

EAU Guidelines 2025 • MBBS/FMGE/NEET PG

Definition

• Ejaculation ≤1 min of penetration for ≥6 months
• Causes sexual frustration, distress, relationship issues
• No routine labs unless indicated

Clinical Diagnosis

• IELT (time to ejaculation)
• Perceived control
• Degree of stress/bother
• Onset & duration
• Medical & physical exam
• Psychosexual issues

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Treatment

• Counseling & education
• Squeeze technique + Stop-start
• Second attempt coitus may improve control
• If due to ED → treat ED first

Approved On-demand Therapy

• Dapoxetine 30–60 mg 1–2h before sex (once/24h)
• Lidocaine/prilocaine spray (may numb partner)

Daily / Off-label Therapy

• Fluoxetine 20 mg OD
• Escitalopram 10 mg OD
• Topical anesthetics

Course: 4–6 weeks, max 12 weeks
Reference: EAU Guideline 2025

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