Department of Psychology, Valparaiso University, Valparaiso, IN 46383, United States.
Institute of Psychology, Eötvös Loránd University, Budapest 1075, Hungary.
Sex Med Rev. 2024 Jun 26;12(3):401-410. doi: 10.1093/sxmrev/qeae036.
The narrative surrounding premature ejaculation (PE) has developed and solidified over the past 25 years. Unfortunately, portions of that narrative are outdated and do not reflect more recent conceptualizations or empirical findings regarding this disorder.
In this review we sought to identify existing narratives about PE in need of updating and to provide revised narratives based on the recent research literature.
Five PE narratives in need of revision were identified, including: the prevalence of PE, age-related differences in PE prevalence, a validated ejaculation latency (EL) for diagnosing PE, differences between lifelong and acquired PE subtypes, and the application of PE definitions beyond penile-vaginal intercourse. Extensive literature searches provided information supporting both the original narrative and the need for a revised narrative based on both consideration of more recent studies and reinterpretation of studies conducted since the establishment of the original narratives.
For each selected topic, the prevailing narrative based on the extant literature was first presented, followed by discussion of accumulating evidence that challenges the existing narrative. Each section ends with a suggested revised PE narrative. In 2 instances, the revised narrative required significant corrections (eg, PE prevalence, validated EL for diagnosing PE); in 2 instances, it expanded on the existing narrative (eg, PE subtype differences, inclusion of partnered sexual activities beyond penile-vaginal intercourse); and in 2 other instances, it backed off prior conclusions that have since required rethinking (eg, age-related changes in PE, PE subtype differences). Finally, a brief review of the 3-pronged criteria for PE (EL, ejaculatory control, and bother/distress) is presented and discussed.
This review reiterates the dynamic state of research on PE and demonstrates the need for and value of ongoing research that not only addresses new issues surrounding this dysfunction but also challenges and revises some of the existing narratives about PE.
早泄（PE）的相关叙述在过去 25 年中已经发展和巩固。不幸的是，其中的一些叙述已经过时，并且不能反映关于这种疾病的最新概念化或实证研究结果。
在本次综述中，我们试图确定需要更新的现有早泄叙述，并根据最近的研究文献提供修订后的叙述。
确定了需要修订的五个早泄叙述，包括：PE 的流行率、PE 流行率的年龄相关差异、用于诊断 PE 的经验证的射精潜伏期（EL）、终身和获得性 PE 亚型之间的差异，以及 PE 定义在阴茎阴道交以外的应用。广泛的文献检索提供了支持原始叙述和基于最近研究的修订叙述的信息，以及对自原始叙述建立以来进行的研究的重新解释。
对于每个选定的主题，首先介绍了基于现有文献的流行叙述，然后讨论了积累的证据，这些证据挑战了现有的叙述。每个部分都以建议的修订后的 PE 叙述结束。在 2 个实例中，修订后的叙述需要进行重大更正（例如，PE 流行率，用于诊断 PE 的经验证的 EL）；在 2 个实例中，它扩展了现有叙述（例如，PE 亚型差异，包括阴茎阴道交以外的伴侣性行为）；在另外 2 个实例中，它放弃了以前的结论，这些结论需要重新思考（例如，PE 与年龄相关的变化，PE 亚型差异）。最后，简要回顾了早泄的三方面标准（EL、射精控制和烦恼/痛苦），并进行了讨论。
本次综述重申了关于早泄的研究的动态状态，并证明了持续研究的必要性和价值，这种研究不仅解决了围绕这种性功能障碍的新问题，而且还挑战和修订了一些关于早泄的现有叙述。
