Premature Ejaculation ( PE ) and Clinical Practice Implications

In the 61^st volume of the International Journal of Clinical Practice published in January, 2007, DL Rowland and IG Motofei argue that science is “misguided” in its quest to categorize premature ejaculation ( PE ) with either a strictly biological or strictly behavioral viewpoint. There are many facets to premature ejaculation ( PE ), none of which can be completely explained by either viewpoint alone, the authors maintain.

As such, the Rowland and Motofei suggest that the ejaculatory process should be viewed as “a system of integrated and inseparable hardwired and softwired central and peripheral responses.” Using this point of view, the authors maintain that premature ejaculation ( PE )  can be most effectively treated using both a combination of pharmacological and psychological therapies. Since neither one of these treatments have proven effective in treating the condition on their own, the patient is best served by using strategies that address both underlying behavioral impulses that are difficult to change and physiological areas that need medical intervention.

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