Purpose: Even though there are many studies exploring
attitudes and behaviors about premature ejaculation (PE),
most of them did not focus on the relationship with partner. In
addition, it is required to examine PE perceptions and attitudes
as a study organized systemically in Korea. So we investigated
the relationship with woman partners associated with PE and
compared the prevalence between PE and erectile dysfunction
(ED), including the perceptions and attitudes of PE and
Materials and Methods: This study is a cross-sectional survey
and self-measured questionnaires will be used. A total of 1204
(Male: 926, mean age: 43.86±11.70, Female: 278, mean age:
39.77±9.52) from 12 urology centers in Korea were enrolled.
All study subjects met the following criteria: Male outpatients
over 18-year and under 65-year visiting to urology clinics due to
sexual dysfunction, Men who had been sexually active for last 6
months, Men who are married or in stable relationship practicing
heterosexual sex, and women who are partners of the former.
Responder will be divided into 4 groups according to gender
and the considered ratio: PE and their partners (80%) and non-
PE and their partners (20%). Questionnaire consists of 4 forms.
Part 1 is to ask general sexual activities and satisfaction and Part
2 is about Premature Ejaculation Diagnostic Tool (PEDT),
self-reported Intravaginal Ejaculatory Latency Time (IELT)
and International Index of Erectile Function-5 (IIEF-5). The
relationship with woman partners associated with PE is in Part 3
and demographics for Part 4.
Results: In this study, 67.00% of male respondents reported
having PE, but prevalence of PE diagnosed by urologist was
found to be 38.56%. The complaints of PE-related stress were
3.35±1.21 out of 5 points in PE group and 2.47±1.20 in non-
PE group (P<0.001). Also, the sexual satisfaction of sexual
partners were significantly decreased in PE group compared to
non-PE group (P=0.021). The total IIEF-5 score was decreased
significantly in PE group compared to non-PE group (20.24±5.61
vs. 21.35±5.49, respectively, P=0.003). And total SEAR score
was significantly decreased in PE group compared to non-PE
group (P<0.001). However, there was no significantly difference
in inclination to seek treatment for PE between PE and non-PE
Conclusions: PE-related stress had a significant effect on the
stress and sexual activity of respondents and their sexual partner.
Also, PE had a significant effect on the ED. The finding that
PE patients had poor knowledge and a negative view toward
PE treatments suggest a continuous need for comprehensive
education programs focused on the accurate perceptions and
treatments for PE.