Table of contents
Delayed ejaculation
Guidelines
Key sources
The following summarized guidelines for the evaluation and management of delayed ejaculation are prepared by our editorial team based on guidelines from the American Urological Association (AUA/SMSNA 2022).
1
Screening and diagnosis
Definitions
As per AUA/SMSNA 2022 guidelines:
Recognize that lifelong DE is defined as lifelong, consistent, bothersome inability to achieve ejaculation, or excessive latency of ejaculation, despite adequate sexual stimulation and the desire to ejaculate.
E
Recognize that acquired DE is defined as an acquired, consistent, bothersome inability to achieve ejaculation, or an increased latency of ejaculation, despite adequate sexual stimulation and the desire to ejaculate.
E
Diagnostic investigations
Medical management
Modification in precipitating medications: as per AUA/SMSNA 2022 guidelines, consider offering replacement, dose adjustment, or staged cessation of medications likely to contribute to DE in patients with DE.
C
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Management of erectile dysfunction
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Specific therapies