British Society for Sexual Medicine (BSSM) Position Statement on Premature Ejaculation
To provide an evidence based consensus on the diagnosis and management of premature ejaculation (PE). The British Society for Sexual Medicine (BSSM) takes issue with the advice to use off label treatments, such as daily selective serotonin reuptake inhibitors treatment, favoring on-demand dapoxeti...
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| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Korean Society for Sexual Medicine and Andrology
2025-07-01
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| Series: | The World Journal of Men's Health |
| Subjects: | |
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| Summary: | To provide an evidence based consensus on the diagnosis and management of premature ejaculation (PE). The British Society
for Sexual Medicine (BSSM) takes issue with the advice to use off label treatments, such as daily selective serotonin reuptake
inhibitors treatment, favoring on-demand dapoxetine. There is increasing evidence for the use of PDE5 inhibitors which are
superior to a placebo for the treatment of PE. A recent meta-analysis of international PE guidelines supports the need for research
to investigate the association of PE with erectile dysfunction (ED), prostatitis and thyroid disease, and supports the early
use of PDE5 inhibitors either alone or in combination with dapoxetine or psychosexual interventions. Topical agents and
non-pharmacological treatments also have a place, with new agents in the pipeline. The United Kingdom (UK) lacks formal
guidance from the National Institute of Clinical Excellence (NICE) on any of the common male sexual dysfunctions, namely
ED, PE, ejaculatory disorders, and male hypogonadism. As a result, general practitioners in the UK have relied on local guidance,
and international guidelines which are heterogeneous, indicating diagnostic and therapeutic approaches that are often
inconsistent. The aim of this position statement is to improve the management of PE in the UK. |
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| ISSN: | 2287-4208 2287-4690 |