TMSS Medical College Journal

Premature ejaculation (PE) is a common male sexual disorder in some people. It is also associated with major personal and interpersonal negative psychological consequences. This study was done to find out relation of early life excessive masturbation with premature ejaculation and other systemic diseases. It was carried out in Mohammad Ali Hospital and dermatology department of TMSS Medical College & Rofatullah Community Hospital, Bogura during the period of 1* May 2018 to 31° April 2019. A total of 528 patients with history of premature ejaculation attending in the outpatient department was included in this study. Some of them have history of other disease. The total patients were divided into two groups. In one group patients having diseases like diabetes mellitus, thyroid hormone dysfunction and hypertension. The other group patients have history of excessive masturbation at their early age without other diseases. Serum testosterone, prolactin and thyroid hormones were done in all of them. The result reflected that all the patients with premature ejaculation have strong history of early age excessive masturbation.

Premature ejaculation is one of the most common male sexual disorders and has been estimated to occur in 4 - 39% of men in the community’. The World Health Organization (WHO) 2" International Consultation on Sexual Health defined it as a “persistent or recurrent ejaculation with minimal stimulation before, on or shortly after penetration and before the person wishes it, over which the sufferer has little or no voluntary control which causes the sufferer and / or his partner bother or distress”. This multivariate definition encompasses the main dimensions of premature ejaculation, ejaculatory latency, control and sexual satisfaction’. Community-based epidemiological studies are limited by their reliance on either patients’ self-reports of PE or inconsistent and poorly validated definitions of PE. Recent multinational community-based age-ranging study of an unselected “normal” population of 500 heterosexual couples involving stopwatch timing of the intra vaginal ejaculatory latency time (IELT) during sexual intercourse, has provided previously lacking normative data. This study demonstrated that the distribution of the IELT was positively skewed, with a median [ELT of 5.4 minutes (range, 0.55-44.1 minutes). The median IELT decreased with age and varied between countries. The authors regarded the 0.5 and 2.5 percentiles as acceptable standards of disease definition in this type of skewed distribution. They proposed that men with an IELT of less than one minute (belonging to the 0.5 percentile) have “definite” premature ejaculation, while men with IELTs between 1 and 1.5 minutes (between 0.5 and 2.5 percentiles) have “probable” PE 34%,