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A comprehensive medical textbook that details the etiology, classification, diagnosis, and treatment of premature ejaculation, aiming to medicalize the symptom and provide a state-of-the-art overview for clinicians.

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What it’s about

Premature Ejaculation, edited by the foremost experts in sexual medicine—Emmanuele A. Jannini, Chris G. McMahon, and Marcel D. Waldinger—is the landmark publication dedicated to demystifying the most common male sexual complaint. This book moves beyond outdated psychological theories to present premature ejaculation as a true medical condition with a complex, multifactorial etiology. Bringing together a global team of leading researchers and clinicians, it provides a thorough exploration of the history, anatomy, physiology, and neurobiology of ejaculation, alongside a detailed classification of PE subtypes like lifelong and acquired. Readers will gain an evidence-based understanding of the diverse risk factors—from genetics and endocrinology to urological and psychological conditions—and learn to implement a comprehensive diagnostic and management strategy using the latest patient-reported outcomes and pharmacological treatments, including SSRIs and dapoxetine. This is the definitive reference for any specialist aiming to effectively treat PE and improve the sexual health and quality of life for countless men and their partners.

The through-line

Who it’s for
A clinician (urologist, psychiatrist, sexologist, primary care physician) or researcher in sexual medicine who wants to effectively diagnose and treat patients suffering from premature ejaculation, a common but historically misunderstood and undertreated condition.
The problem
Patients present with the distressing symptoms of premature ejaculation, but clinicians often lack a clear, evidence-based framework for diagnosis, classification, and treatment, leading to ineffective or off-label management. Clinicians feel uncertain, ill-equipped, and frustrated when faced with patients with premature ejaculation, hampered by outdated psychological models and a lack of authoritative medical guidance.
The plan
  1. Master the modern, evidence-based classification and definition of premature ejaculation subtypes.
  2. Learn to conduct a thorough diagnostic workup to identify underlying organic and non-organic risk factors.
  3. Gain expertise in the full spectrum of treatment options, from behavioral therapies to first-line pharmacotherapies like SSRIs and dapoxetine.
  4. Develop an integrated, office-based management plan that addresses the patient, the partner, and the relationship.
The payoff
Becoming a confident and effective expert in the management of premature ejaculation. · Dramatically improving the sexual health, quality of life, and relationship satisfaction for patients and their partners. · Positioning oneself at the forefront of a rapidly evolving and important area of sexual medicine.

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