The Comorbidity Between Premature Ejaculation and Erectile Dysfunction-A Cross-Sectional Internet Survey

Wei-Kung Tsai; Pai-Kai Chiang; Chih-Cheng Lu; Bang-Ping Jiann

doi:10.1016/j.esxm.2019.06.014

The Comorbidity Between Premature Ejaculation and Erectile Dysfunction-A Cross-Sectional Internet Survey

Sex Med. 2019 Dec;7(4):451-458. doi: 10.1016/j.esxm.2019.06.014. Epub 2019 Sep 17.

Authors

Wei-Kung Tsai¹, Pai-Kai Chiang², Chih-Cheng Lu³, Bang-Ping Jiann⁴

Affiliations

¹ Department of Urology, Mackay Memorial Hospital, Taipei, Taiwan and PhD Program in Nutrition and Food Science, Fu Jen Catholic University, New Taipei and Mackay Medical College, Mackay Junior College of Medicine, Nursing, and Management, Taipei, Taiwan.
² Department of Urology, Mackay Memorial Hospital, and Mackay Medical College, Mackay Junior College of Medicine, Nursing, and Management, Taipei, Taiwan.
³ Department of Information Management, National Chung Cheng University, Chiayi and Division of Urology, Department of Surgery, Chi Mei Medical Center, Liouying, Tainan, Taiwan.
⁴ Division of Urology, Department of Surgery, Kaohsiung Veterans General Hospital, Kaohsiung; School of Medicine, National Yang-Ming University, Taipei; and College of Health and Nursing, Meiho University, Pingtung, Taiwan. Electronic address: bpjiann@gmail.com.

Abstract

Introduction: The comorbidity between premature ejaculation (PE) and erectile dysfunction (ED) has not yet been clarified.

Aim: To assess the comorbidity between PE and ED.

Methods: Male members of a shopping club in Taiwan aged 20-60 years with stable sexual relationships were invited to complete an online questionnaire.

Main outcome measures: Self-estimated intravaginal ejaculatory latency time (IELT), Premature Ejaculation Diagnostic Tool, Sexual Health Inventory for Men, Self-Esteem and Relationship, and Hospital Anxiety and Depression Scale results were used.

Results: A total of 937 participants with a mean age of 41.1 ± 10.2 years were enrolled. The prevalence rates of ED (Sexual Health Inventory for Men ≤ 21), PE (Premature Ejaculation Diagnostic Tool ≥11), and IELT ≤1 minute were 24.7%, 6.3%, and 6.4%, respectively. Prevalence of acquired PE and IELT ≤1 minute increased marginally with age. Participants with ED had a greater prevalence of PE than those without ED (19.5% vs 2.0%, P < .001), and participants with PE had a greater prevalence of ED than those without PE (76.3% vs 19.4%, P < .001). Compared with participants without PE, participants with PE had greater adjusted odds of ED (odds ratio [OR] = 12.7, 95% CI = 6.7-24.2). Relative to participants without ED, participants with ED had increased adjusted odds of PE (OR = 7.2, 95% CI = 3.5-14.6 with mild ED and OR = 36.7, 95% CI = 16.2-83.0 with ED severity greater than a mild degree). Poor sexual relationships and self-esteem, depression, and anxiety were reported more frequently in those with PE or ED, especially in those with both problems compared with those without PE and ED.

Conclusions: This study confirmed a high prevalence of PE and ED coexistence, indicating a complicated relationship between the 2 conditions and the importance of screening for their co-occurrence in practice. Tsai W-K, Chiang P-K, Lu C-C, et al. The Comorbidity Between Premature Ejaculation and Erectile Dysfunction-A Cross-Sectional Internet Survey. Sex Med 2019;7:451-458.

Keywords: Co-occurrence; Erectile Dysfunction; Premature Ejaculation; Psychosocial Impact.