A 30-year-old man reports that he consistently ejaculates within approximately 1 minute of vaginal penetration during every sexual encounter for the past 2 years. This causes him marked distress and avoidance of sexual intimacy. He has no medical conditions and takes no medications. According to DSM-5, what is the most appropriate diagnosis?

• A Male Hypoactive Sexual Desire Disorder
• B Erectile Disorder
• C Delayed Ejaculation
• D Premature (Early) Ejaculation ✓

Explanation

DSM-5 defines Premature (Early) Ejaculation as a persistent pattern of ejaculation occurring during partnered sexual activity within approximately 1 minute before or shortly after penetration, before the person wishes it, lasting at least 6 months, and causing clinically significant distress. The DSM-5 criterion specifies ejaculation occurring prior to or within about 1 minute of vaginal penetration, with the specifier lifelong versus acquired and generalized versus situational.

Reference: Diagnostic and Statistical Manual of Mental Disorders, 5th ed.

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

Written and medically reviewed by the StethoPrep medical team.