TY - JOUR
T1 - Premature ejaculation
T2 - A psycho physiological approach for assessment and management
AU - Metz, Michael E.
AU - Pryor, Jon L
PY - 2000/10
Y1 - 2000/10
N2 - This article distinguishes several subtypes of biogenic and psychogenic premature ejaculation (PE) according to their etiologic features: The physiological PE types of (a) neurologic constitution, (b) acute physical illness, (c) physical injury, and (d) pharmacologic side effect; and the psychological PE types of (a) psychological constitution, (b) acute psychological distress, (c) relationship distress, and (d) psychosexual skills deficit. Attention is given to assessment and differential diagnosis, and to specific treatment of the types of PE, such as the pharmacologic management of difficult neurologic cases. Effective psychosexual treatment combines multiple strategies such as physiological relaxation, pubococcygeal muscle training, cognitive and behavioral pacing strategies, and the involvement of the partner in the therapy. Treatment should determine the specific type of PE and comprehensively address its particular features in order to improve long-term treatment effectiveness.
AB - This article distinguishes several subtypes of biogenic and psychogenic premature ejaculation (PE) according to their etiologic features: The physiological PE types of (a) neurologic constitution, (b) acute physical illness, (c) physical injury, and (d) pharmacologic side effect; and the psychological PE types of (a) psychological constitution, (b) acute psychological distress, (c) relationship distress, and (d) psychosexual skills deficit. Attention is given to assessment and differential diagnosis, and to specific treatment of the types of PE, such as the pharmacologic management of difficult neurologic cases. Effective psychosexual treatment combines multiple strategies such as physiological relaxation, pubococcygeal muscle training, cognitive and behavioral pacing strategies, and the involvement of the partner in the therapy. Treatment should determine the specific type of PE and comprehensively address its particular features in order to improve long-term treatment effectiveness.
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U2 - 10.1080/009262300438715
DO - 10.1080/009262300438715
M3 - Article
C2 - 11056895
AN - SCOPUS:0033810115
SN - 0092-623X
VL - 26
SP - 293
EP - 309
JO - Journal of Sex and Marital Therapy
JF - Journal of Sex and Marital Therapy
IS - 4
ER -