Presentation Authors: Jack Andrews*, Kevin Hebert, Mathew Ziegelmann, Ross Avant, David Yang, Tobias Kohler, Landon Trost, Rochester, MN
Introduction: Premature ejaculation is a common complaint among men presenting with sexual dysfunction. However, limited data are available on the correlation between men who report they ejaculate too quickly and subjective intravaginal ejaculatory latency time (IELT). We sought to evaluate whether men who report premature ejaculation actually met criteria for premature ejaculation.
Methods: We prospectively collected data on all men undergoing evaluation in a men's sexual health clinic between March 2014 and October 2016 at our institution. Statistical analysis was performed to evaluate outcomes in patients reporting premature ejaculation.
Results: A total of 317 patients had data available on ejaculation including subjective IELT estimates. Of these men, 199 (63%) reported ejaculating too quickly, with a mean duration of symptoms of 8.2 years. Of patients who reported they ejaculated too quickly, 89% felt bothered by their symptoms, and 47% reported being able to delay ejaculation. Surprisingly, on univariate analysis, patients who reported ejaculating too quickly did not have significantly shorter IELT compared to those not reporting symptoms of rapid ejaculation (mean 8.39 vs 9.14 min, respectively, p=0.549). On subset analysis, men who consumed alcohol were significantly more likely to report rapid ejaculation (p=0.01) despite similar IELT estimates to men who did not consume alcohol. Similar findings were not observed with current or past smokers.
Conclusions: Patients who reported that they ejaculate too quickly had similar IELT times to those who did not report symptoms , with only 20% experiencing IELT < 1 minute. These interesting findings highlight that perceived premature ejaculation is likely a poor surrogate for actual IELT times.