Premature ejaculation

· Este artículo necesita ser reescrito para mejorar su relevancia para los psicólogos.. Por favor, ayude a mejorar esta página usted mismo si puede.. Premature ejaculation ICD-10 F524 ICD-9 302.75 OMIM [1] EnfermedadesDB [2] Medline Plus 001524 eMedicine med/643 MeSH {{{Número de malla}}} Premature ejaculation (PE), también conocido como, rapid ejaculation, rapid climax, premature climax or early ejaculation, is the most common sexual problem in men, affecting 25%-40% of men. It is characterized by a lack of voluntary control over ejaculation. Masters and Johnson stated that a man suffers from premature ejaculation if he ejaculates before his sex partner achieves orgasm in more than fifty percent of their sexual encounters. Other sex researchers have defined premature ejaculation as occurring if the man ejaculates within two minutes of sexual penetration; sin embargo, a survey by Alfred Kinsey in the 1950s demonstrated that three quarters of men ejaculate within two minutes of penetration in over half of their sexual encounters. Hoy, most sex therapists understand premature ejaculation as occurring when a lack of ejaculatory control interferes with sexual or emotional well-being in one or both partners. Sexual function disturbances Symptoms Anorgasmia Asexuality Delayed ejaculation Hypoactive sexual disorder Sexual aversion disorder Female sexual arousal disorder Male erectile disorder Frigidity Impotence Inhibited sexual desire Premature ejaculation Dyspareunia Vaginismus Other sexual problems Female genital cutting Gender identity disorder Hypersexuality Male circumcision Paraphilias Persistent sexual arousal syndrome Priapism Post SSRI Sexual Dysfunction Sexual addiction Sexual dissatisfaction Sexually transmitted diseases Treatment Drug treatment Sex therapy Sensate focus This box: view • talk • edit Most men experience premature ejaculation at least once in their lives. Often adolescents and young men experience premature ejaculation during their first sexual encounters, but eventually learn ejaculatory control. Because there is great variability in both how long it takes men to ejaculate and how long both partners want sex to last, researchers have begun to form a quantitative definition of premature ejaculation. Current evidence supports an average intravaginal ejaculation latency time (IELT) of six and a half minutes in 18-30 year olds.[1][2] If the disorder is defined as an IELT percentile below 2.5, then premature ejaculation could be suggested by an IELT of less than about one and a half minutes.[3] No obstante, it is well accepted that men with IELTs below 1.5 minutes could be "happy" with their performance and do not report a lack of control and therefore do not suffer from PE. Por otro lado, a man with 2 minutes IELT could present with perception of poor control over his ejaculation, distressed about his condition, has interpersonal difficulties and therefore be diagnosed with PE. Contenido 1 Possible Psychological and Environmental Factors 2 Possible Physical Factors 3 Science of Mechanism of Ejaculation 4 Tratamiento 4.1 Behavior modification 4.2 medicamentos 4.3 Devices 4.4 Alternative therapies 5 Diagnóstico 5.1 Diagnóstico diferencial 5.2 Ejaculation Disorder Types 5.3 Associated conditions 6 Ver también 7 References Possible Psychological and Environmental Factors Psychological factors commonly contribute to premature ejaculation. While men sometimes underestimate the relationship between sexual performance and emotional well-being, premature ejaculation can be caused by temporary depression, stress over financial matters, unrealistic expectations about performance, a history of sexual repression, or an overall lack of confidence. Interpersonal dynamics strongly contribute to sexual function, and premature ejaculation can be caused by a lack of communication between partners, hurt feelings, or unresolved conflicts that interfere with the ability to achieve emotional intimacy. Neurological premature ejaculation can also lead to other forms of sexual dysfunction, or intensify the existing problem, by creating performance anxiety. In a less pathological context, premature ejaculation could also be simply caused by extreme arousal. Recent research has also investigated the role of factors involving the female partner. One study of young married couples (Tullberg, 1999) reported that the husband's IELT seems to be affected by the phases of the wife's menstrual cycle, the IELT tending to be shortest during the fertile phase. Other studies suggest that young men with older female partners reach the ejaculatory threshold sooner, de media, than those whose partners are their own age or younger [Cómo hacer referencia y vincular a un resumen o texto]. Possible Physical Factors Science of Mechanism of Ejaculation The physical process of ejaculation requires two sequential actions: emission and expulsion. Archivo:Mechanism of Ejaculation.jpg Mechanism of Ejaculation The emission phase is the first one to happen and it involves deposition of seminal fluid from ampullary vasa deferens, seminal vesicles & prostate gland into posterior urethra.[4] Second phase is the expulsion of semen which involves closure of bladder neck followed by the rhythmic contractions of urethra by pelvic-perineal and bulbospongiosus muscle and intermittent relaxation of external Sphincter urethrae.[5] Today it is believed that the neurotransmitor serotonin (5HT) has a central role in modulating ejaculation. Several animal studies have demonstrated its inhibitory effect on ejaculation modulated through the PGI system in the brain. Por lo tanto, it is perceived that low level of serotonin in the synaptic cleft in these specific areas in the brain could cause premature ejaculation. This theory is further supported by the proven effectiveness of SSRIs, which increase serotonin level in the synapse, in treating PE. Sympathetic motor neurons control the emission phase of ejaculation reflex and expulsion phase is executed by somatic and autonomic motor neurons. These motor neurons are located in the thoracolumbar and lumbosacral spinal cord and are activated in a coordinated manner when sufficient sensory input to reach the ejaculatory threshold has entered the central nervous system.[6][7] Several areas in the brain, and especially the nucleus paragigantocellularis, have been identified to be involved in ejaculatory control.[8] Scientists have long suspected a genetic link to certain forms of premature ejaculation. En un estudio, ninety-one percent of men who suffered from lifelong premature ejaculation also had a first-relative with lifelong premature ejaculation. Other researchers have noted that men who suffer from premature ejaculation have a faster neurological response in the pelvic muscles. Simple exercises commonly suggested by sex therapists can significantly improve ejaculatory control for men with premature ejaculation caused by neurological factors[Cómo hacer referencia y vincular a un resumen o texto]. Frecuentemente, these men may benefit from anti-anxiety medication or selective serotonin reuptake inhibitors (SSRIs), such as sertraline or paroxetine, as these slow down ejaculation times[3]. Some men prefer using anaesthetic creams, sin embargo, these creams may also deaden sensations in the man's partner, and are not generally recommended by sex therapists. Treatment This section contains instructions, advice, or how-to content. The purpose of Wikipedia is to present facts, not to teach subject matter. Please help improve this article by removing or rewriting the how-to content, which may qualify for a move to Wikibooks. Depending on severity, premature ejaculation symptoms can be significantly reduced. In mundane cases, treatments are focused on gradually training and improving mental habituation to sex and physical development of stimulation control. In clinical cases, various medications are being tested to help slow down the speed of the arousal response. Behavior modification Most sex therapists and sex educators prescribe a series of exercises to enable the man to gain ejaculatory control. These are considered the first line of treatment, and are usually recommended to be tried before other methods. One of the most common exercises is the “Start-Stop” technique in which during sex when he feels that he is getting too close to orgasm, he stops and does not move, to avoid more stimulation. He may withdraw his penis, or stay inside and request that his partner also not move. He waits seconds or minutes until his arousal lessens, and then resumes sex. He may stop and then re-start as many times as necessary. [9] Another technique is the "Squeeze Technique", in which during sex (or masturbation if he wants to practice it) when he feels the urge to ejaculate, he would withdraw his penis and squeeze at the tip of the shaft below the glans of his penis near the frenulum of his penis, until the feeling subsides. To be more specific, the proper hand position for this technique is for him to place his thumb on the frenulum, and his index and middle fingers above and below the coronal ridge (which is on the other side of the head of his penis), and then squeeze his penis from front to back. He may consult a sex therapist for more directions to this technique. [10] [9] The male's partner plays an essential role in enabling him to overcome premature ejaculation. Without understanding and emotional support, the male is unlikely to obtain the level of relaxation required for sexual satisfaction. Both the male and his partner should communicate their feelings openly and with sensitivity. The partner may also be integrated into the exercises to keep her involved. She can learn to deliver the squeeze technique, and she can encourage the stop-start technique. [9] Both partners should also be aware of the sexual positions that make the male most likely to ejaculate quickly. They should avoid those positions if they want to prolong sex. Some men ejaculate quickly in any position, sin embargo, so the other methods would be more effective. In cases where the chief concern is reaching simultaneous orgasm, it is also possible to simply work around the premature ejaculation problem by changing positions frequently (which studies have shown delays male orgasm by a factor of 2-3), using lubrication to reduce friction (friction stimulates the male but is not as important in female orgasm), or switching to cunnilingus for awhile when close to ejaculation, and then switching back when ejaculation is no longer imminent.[11] Medications SSRI antidepressants have been shown to delay ejaculation in men treated for different psychiatry disorders.[12] SSRIs are considered the most effective treatment currently available for PE. These include paroxetine, fluoxetine, sertraline and more. The use of these drugs, that require chronic therapy, is limited by the neuropsychiatric side effects. New SSRI drugs specifically targeted to treat premature ejaculation (p. ej.. dapoxetine) can be taken on an as needed basis and have been recently shown positive results in large phase III studies.[13] Nevertheless dapoxetine is not yet approved by any regulatory authority around the world. There is speculation that some of the associated effects are caused by lowered libido and blood pressure as well as lowered anxiety levels. Other pharmaceutical products known to delay male orgasm are; opioides, cocaine, and diphenhydramine.[Cómo hacer referencia y vincular a un resumen o texto] Local anesthetic creams (like lidocaine, prilocaine and combinations) have shown to be effective in clinical trials and are being used for the treatment of PE.[14] Their use is limited by its own anesthetic effect that reduce sensation on the penis and vagina. Devices External latex rigid sheathes fastened to the body have been developed that cover all part of the penis during penetration so that the penis is protected from all the stimulation of the vagina. These help to gain control and to provide satisfaction to the partner. Masters and Johnson recommended the use of the Lateral coital position to help alleviate premature ejaculation. Alternative therapies This article seems to be biased or has no references. Puedes ayudar a la Wiki de Psicología citando referencias apropiadas. Por favor vea la discusión relevante en la página de discusión. Many alternative therapies are available for the treatment of PE. Caution should be exercised when researching alternative sources of advice however, most treatments have not actually been shown to be effective. Some web sites even advocate the dangerous and antiquated method of pulling the testes downwards when aroused. This is actually a good way to slightly strain the interior of the testes and is associated with reports of injury and weakened/deteriorated erection. For some reason this advice is still widespread on the Internet. It is very important to remember that the response rates from well conducted placebo controlled trials demonstrate that placebo has the ability to DOUBLE (Pryor et al Lancet Sept 2006) ejaculatory latency times in men with PE. Alternative therapies would need to show a magnitude of effect above and beyond this doubling to be deemed effective. The majority of information presented in the alternative treatments have failed to provide this level of evidence. The prostate gland plays a very important part in regulating arousal. Pressure in between the engorged prostate and the erection causes most of the pleasurable sensations and it may be emptied manually before sex by prostate massage. This causes the erection to be strong but less sensitive, and increases a patient's awareness of his physiology. Regarding the prostate gland playing an important role in regulating arousal. This is no scientific evidence to support this theory. There is a trend toward the use of nutritional supplements when treating men who suffer from PE. Effective supplements must contain 5HTP which is a precursor to serotonin. A highly respected physiologist and author of numerous medical physiology textbooks, Dr. William Ganong, noted that serum serotonin levels could be increased through dietary means. 5-HTP is identified by Dr. Ganong as the supplemental source that can increase the serum level of serotonin thus helping to inhibit the ejaculatory reflex. There are a number of nutritional remedies available primarily on the Internet. Supplements such as Detain X, capitalize on Dr. Ganong's invaluable research and the importance of dietary 5 HTP as an essential factor for raising the all-important serotonin levels. There are various natural remedies that have been reported by many individuals to be helpful for premature ejaculation. The scientific basis for such remedies seems to be that certains herbs and minerals have an effect (dependent on the individual) on factors such as relaxation, circulation, y ansiedad. Another alternative type of treatment is the smoking of cannabis. Cannabis, although illegal in most countries and states, was widely used throughout the ancient world, as a general aphrodisiac and to delay ejaculation [4] and is still considered by many anecdotal reports to be an effective method of treatment for PE. Hypnosis has proven very effective in the treatment of premature ejaculation. It is believed by some that ejaculation is a subconscious habit and by giving the mind hypnotic suggestions to last longer, the problem can be greatly alleviated if not completely cured. Most men report dramatic improvement after only a few sessions of hypnosis. Diagnosis Diagnostic criteria for Premature Ejaculation DSM-IV-TR (Asociación Americana de Psiquiatría) Un. Persistent or recurrent ejaculation with minimal sexual stimulation before, on, or shortly after penetration and before the person wishes it. The clinician must take into account factors that affect duration of the excitement phase, como la edad, novelty of the sexual partner or situation, and recent frequency of sexual activity. B. The disturbance causes marked distress or interpersonal difficulty. C. The premature ejaculation is not due exclusively to the direct effects of a substance (p. ej.., withdrawal from opioids). Differential diagnosis Premature ejaculation should be distinguished from erectile dysfunction related to the development of a general medical condition. Some individuals with erectile dysfunction may omit their usual strategies for delaying orgasm. Others require prolonged noncoital stimulation to develop a degree of erection sufficient for intromission. In such individuals, sexual arousal may be so high that ejaculation occurs immediately. Occasional problems with premature ejaculation that are not persistent or recurrent or are not accompanied by marked distress or interpersonal difficulty do not qualify for the diagnosis of premature ejaculation. The clinician should also take into account the individual's age, overall sexual experience, recent sexual activity, and the novelty of the partner. When problems with premature ejaculation are due exclusively to substance use (p. ej.., opioid withdrawal), a substance-induced sexual dysfunction can be diagnosed. Ejaculation Disorder Types Premature ejaculation -Ejaculation occurs very early Retarded ejaculation -Ejaculation takes a long time Retrograde ejaculation -Semen flows from the prostate gland into the bladder rather than spurting out of the penis Associated conditions Neurological disorders, p. ej.., multiple sclerosis Prostatitis Psychological disorders Inter- and intrapersonal disorders See also Delayed ejaculation Impotence References ↑ Ejaculation delay: what's normal? [Julio 2005; 137-4]. URL a la que se accede en 2007-10-21. ↑ Waldinger MD, Quinn P, Dilleen M, Mundayat R, Schweitzer DH, Boolell M (2005). A multinational population survey of intravaginal ejaculation latency time. The journal of sexual medicine 2 (4): 492-7. ↑ Waldinger MD, Zwinderman AH, Olivier B, Schweitzer DH (2005). Proposal for a definition of lifelong premature ejaculation based on epidemiological stopwatch data. The journal of sexual medicine 2 (4): 498-507. ↑ Böhlen D, Hugonnet CL, Mills RD, Weise ES, Schmid HP (2000). Five meters of H(2)O: the pressure at the urinary bladder neck during human ejaculation. Prostate 44 (4): 339-41. ↑ Master VA, Turek PJ (2001). Ejaculatory physiology and dysfunction. Urol. clin. am del norte. 28 (2): 363-75, x. ↑ deGroat WC, Booth AM (1980). Physiology of male sexual function. Ana. Interno. Con. 92 (2 Pt 2): 329-31. ↑ Truitt WA, Coolen LM (2002). Identification of a potential ejaculation generator in the spinal cord. Ciencia 297 (5586): 1566-9. ↑ Coolen LM, Olivier B, Peters HJ, Veening JG (1997). Demonstration of ejaculation-induced neural activity in the male rat brain using 5-HT1A agonist 8-OH-DPAT. Physiol. Comportamiento. 62 (4): 881-91. ↑ Saltar hasta: 9.0 9.1 9.2 Locker, Sari, (2005) Overcoming Sexual Problems in The Complete Idiot’s Guide to Amazing Sex. Pingüino: Nueva York. ↑ Masters, W.H.; Johnson, V.E. (1966). Human Sexual Response, toronto; Nueva York: Bantam Books. ↑ http://www.menshealthsa.co.za/index.php?cat=1186&art_id=908 ↑ Rosen RC, Lane RM, Menza M (1999). Effects of SSRIs on sexual function: a critical review. Journal of clinical psychopharmacology 19 (1): 67–85. ↑ Safarinejad MR (2007). Safety and Efficacy of Dapoxetine in the Treatment of Premature Ejaculation: A Double-Blind, Placebo-Controlled, Fixed-Dose, Randomized Study. ↑ Morales A, Barada J, Wyllie MG (2007). A review of the current status of topical treatments for premature ejaculation. BJU Int. 100 (3): 493–501. Abdollahian, E., Javanbakht, Un., Javidi, K., Samari, Un. Un., Shakiba, M., & Sargolzaee, M. R. (2006). Study of the Efficacy of Fluoxetine and Clomipramine in the Treatment of Premature Ejaculation after Opioid Detoxification: El diario estadounidense sobre adicciones vol. 15(1) ene-feb 2006, 100-104. adelson, E. R. (1974). Premature ejaculation: Aspectos médicos de la sexualidad humana vol. 8(9) Sep 1974, 83-84. Althof, S. (1995). Pharmacological treatment for rapid ejaculation: Preliminary strategies, preocupaciones, and questions: Sexual & Marital Therapy Vol 10(3) Nov 1995, 247-251. Althof, S. (2006). The Psychology of Premature Ejaculation: Therapies and Consequences: Journal of Sexual Medicine Vol 3(Suppl 4) Sep 2006, 324-331. Althof, S., Rosa, R., Symonds, T., Mundayat, R., Mayo, K., & Abraham, L. (2006). Development and Validation of a New Questionnaire to Assess Sexual Satisfaction, Control, and Distress Associated with Premature Ejaculation: Journal of Sexual Medicine Vol 3(3) Mayo 2006, 465-475. Althof, S. E. (2006). Psychological approaches to the treatment of rapid ejaculation: Journal of Men's Health & Gender Vol 3(2) Jun 2006, 180-186. Althof, S. E. (2007). Treatment of rapid ejaculation: Psicoterapia, pharmacotherapy, and combined therapy. Nueva York, NY: Prensa Guilford. Althof, S. E., Levine, S. B., Corty, E. W., Risen, C. B., & et al. (1995). A double-blind crossover trial of clomipramine for rapid ejaculation in 15 Parejas: Revista de Psiquiatría Clínica Vol 56(9) Sep 1995, 402-407. Arafa, M., & Shamloul, R. (2007). Development and Evaluation of the Arabic Index of Premature Ejaculation (AIPE): Journal of Sexual Medicine Vol 4(6) Nov 2007, 1750-1756. Assalian, P. (1994). Premature ejaculation: Is it really psychogenic? : Journal of Sex Education & Therapy Vol 20(1) Spr 1994, 1-4. Astbury-Ward, E. (2002). From Kama Sutra to dot.com: The history, myths and management of premature ejaculation: Terapia sexual y de relaciones vol. 17(4) Nov 2002, 367-380. Athanasiadis, L. (1998). Premature ejaculation: Is it a biogenic or a psychogenic disorder? : Sexual & Marital Therapy Vol 13(3) Ago 1998, 241-255. Balon, R. (1996). Antidepressants in the treatment of premature ejaculation: Journal of Sex & Marital Therapy Vol 22(2) Suma 1996, 85-96. Bancroft, J., Carnes, L., Janssen, E., Goodrich, D., & Long, J. S. (2005). Erectile and Ejaculatory Problems in Gay and Heterosexual Men: Archivos de Comportamiento Sexual Vol. 34(3) Jun 2005, 285-297. Banon, M. (1983). A case of aseptic urethritis, combined with premature ejaculation, treated without success for 6 years in France and Israel, cured after 27 hypnotherapeutic sessions: Rivista Internazionale di Psicologia e Ipnosi Vol 24(3-4) Jul-Dec 1983, 357-361. Barnes, T., & Eardley, Yo. (2007). Premature Ejaculation: The Scope of the Problem: Journal of Sex & Marital Therapy Vol 33(2) 2007, 151-170. Broderick, G. Un. (2006). Premature Ejaculation: On Defining and Quantifying a Common Male Sexual Dysfunction: Journal of Sexual Medicine Vol 3(Suppl 4) Sep 2006, 295-302. Marrón, J. E. (1982). Intra/interpersonal aspects of premature ejaculation: Resúmenes de disertación internacional. Byers, E. S., & Grenier, G. (2003). Premature or Rapid Ejaculation: Heterosexual Couples' Perceptions of Men's Ejaculatory Behavior: Archivos de Comportamiento Sexual Vol. 32(3) Jun 2003, 261-270. Canton-Dutari, Un. (1981). Premature ejaculation: Therapy of control without the partner: Revista Latinoamericana de Psicologia Vol 13(1) 1981, 111-114. Carver, C. (1998). Premature ejaculation: A common and treatable concern: Revista de la Asociación Estadounidense de Enfermeras Psiquiátricas vol. 4(6) Dic 1998, 199-204. Chue, P. (2004). Gabapentin Treatment for Premature Ejaculation: El Diario Canadiense de Psiquiatría / La Revue canadienne de psychiatrie Vol 49(9) Sep 2004, 644-645. Cirillo-Penn, K., & Modi, N. B. (2007). Dapoxetine and paroxetine for the treatment of premature ejaculation: Clinical Neuropharmacology Vol 30(5) Sep-Oct 2007, 315. Cohen, P. G., & Holbrook, J. M. (1999). Effects of fenfluramine on ejaculatory function, luteinizing hormone and testosterone levels in men with hypogonadotropic hypogonadism and premature ejaculation: International Clinical Psychopharmacology Vol 14(2) Estropear 1999, 91-94. Tonelero, Un. J., Cernovsky, Z. Z., & Colussi, K. (1993). Some clinical and psychometric characteristics of primary and secondary premature ejaculators: Journal of Sex & Marital Therapy Vol 19(4) Victoria 1993, 276-288. Tonelero, Un. J., & Magnus, R. V. (1984). A clinical trial of the beta blocker propranol in premature ejaculation: Revista de Investigación Psicosomática Vol 28(4) 1984, 331-336. Corretti, G., Pierucci, S., De Scisciolo, M., & Nisita, C. (2006). Comorbidity between Social Phobia and Premature Ejaculation: Study on 242 Males Affected by Sexual Disorders: Journal of Sex & Marital Therapy Vol 32(2) Mar-Abr 2006, 183-187. de Carufel, F., & Trudel, G. (2006). Effects of a New Functional-Sexological Treatment for Premature Ejaculation: Journal of Sex & Marital Therapy Vol 32(2) Mar-Abr 2006, 97-114. de Jong, T. R., Veening, J. G., Waldinger, M. D., Cools, Un. R., & Olivier, B. (2006). Serotonin and the neurobiology of the ejaculatory threshold: Neuroscience & Biobehavioral Reviews Vol 30(7) 2006, 893-907. De Sutter, PAGS., Reynaert, C., Van Broeck, N., & De Carufel, F. (2002). Treatment of premature ejaculation by cognitive-behavioral bibliotherapy: Journal de Therapie Comportementale et Cognitive Vol 12(4) 2002, 131-136. Dhikav, V., Karmarkar, G., Gupta, M., & Anand, K. S. (2007). Yoga in premature ejaculation: A comparative trial with fluoxetine: Journal of Sexual Medicine Vol 4(6) Nov 2007, 1726-1732. Evanoff, Un., & Newton, W. P. (1998). Treatment of premature ejaculation: The Journal of Family Practice Vol 46(4) Apr 1998, 280-281. Fasolo, C. B., Mirone, V., Gentile, V., Parazzini, F., & Ricci, E. (2005). Premature Ejaculation: Prevalence and Associated Conditions in a Sample of 12,558 Men Attending the Andrology Prevention Week 2001--A Study of the Italian Society of Andrology (ES): Journal of Sexual Medicine Vol 2(3) Mayo 2005, 376-382. Finkelstein, L. (1975). Awe and premature ejaculation: Un caso de estudio: Psychoanalytic Quarterly Vol 44(2) 1975, 232-252. Forster, PAGS., & King, J. (1994). Fluoxetine for premature ejaculation: Revista Americana de Psiquiatría Vol 151(10) Oct 1994, 1523. Frewen, Un., Rapee, R. M., Bowden, PAGS., & Lagios, K. (2007). Regional differences in men attending a sexual health clinic in Sydney for premature ejaculation: Journal of Sexual Medicine Vol 4(6) Nov 2007, 1733-1738. Gellman, R., & Gellman-Barroux, C. (1987). About premature ejaculation: Psychologie Medicale Vol 19(6) Apr 1987, 867-869. Gentry, D. L. (1978). The treatment of premature ejaculation through brief therapy: Psicoterapia: Teoría, Research & Practice Vol 15(1) Spr 1978, 32-34. Ginsberg, D. L. (2004). Gabapentin Treatment of Premature Ejaculation: Psiquiatría Primaria Vol. 11(12) Dic 2004, 20-24. Godpodinoff, M. L. (1989). Premature ejaculation: Clinical subgroups and etiology: Journal of Sex & Marital Therapy Vol 15(2) Suma 1989, 130-134. Goldmeier, D. (2007). 5-HT1A receptors on oxytonin neurons and premature ejaculation--A comment: Journal of Sexual Medicine Vol 4(5) Sep 2007, 1518. Gournellis, R., & Vaidakis, N. (2000). Psychotherapeutic approach of premature ejaculation: Psychiatriki Vol 11(4) Oct-Dic 2000, 302-306. Grenier, G. (1999). Operationalizing premature or rapid ejaculation: The time has come. Resúmenes de disertación internacional: Sección B: Las Ciencias y la Ingeniería. Grenier, G., & Byers, E. S. (1992). Evaluating models of premature ejaculation: Una reseña: Revista canadiense de sexualidad humana vol. 1(3) Fal 1992, 115-122. Grenier, G., & Byers, E. S. (2001). Operationalizing premature or rapid ejaculation: Revista de investigación sexual vol. 38(4) Nov 2001, 369-378. Gupta, M. (1999). An alternative, combined approach to the treatment of premature ejaculation in Asian men: Sexual & Marital Therapy Vol 14(1) Feb 1999, 71-76. Haensel, S. M., Klem, T. M. Un. L., Hop, W. C. J., & Slob, Un. K. (1998). Fluoxetine and premature ejaculation: A double-blind, crossover, placebo-controlled study: Revista de Psicofarmacología Clínica Vol. 18(1) Feb 1998, 72-77. Sala, P. (2006). Review of You can last longer: Terapia sexual y de relaciones vol. 21(1) Feb 2006, 119. Hastings, D. W. (1971). Common sexual dysfunctions: Yo. Impotence: II. Premature ejaculation: III. Lack of female response: Anales psiquiátricos vol. 1(4) Dic 1971, 10-31. Infierno, W. J. G., Nehra, Un., Shabsigh, R., & Sharlip, Yo. D. (2006). Premature ejaculation: the most common male sexual dysfunction: Journal of Sexual Medicine Vol 3(Supl1) Ene 2006, 1-3. hongo, L. K. (1984). Survival of the fastest: On the origin of premature ejaculation: Revista de investigación sexual vol. 20(2) Mayo 1984, 109-122. Impallari, J., & de Impallari, M. G. (1988). Antecedents of, and correlates between, masturbation techniques and types of associated erotic fantasies in premature and controlled ejaculators: Revista Latinoamericana de Sexologia Vol 3(1) 1988, 13-24. Jern, PAGS., santilla, PAGS., Witting, K., Alanko, K., Harlaar, N., Johansson, Un., et al. (2007). Premature and delayed ejaculation: Genetic and environmental effects in a population-based sample of Finnish twins: Journal of Sexual Medicine Vol 4(6) Nov 2007, 1739-1749. Kaplan, E. Un., Lilien, O. M., Orgel, S. Un., & Ripich, L. J. (1971). Roundtable: Premature ejaculation: Aspectos médicos de la sexualidad humana vol. 5(5) Mayo 1971, 21-40. Kaplan, H. S., & et al. (1974). Group treatment of premature ejaculation: Archivos de Comportamiento Sexual Vol. 3(5) Sep 1974, 443-452. Kaplan, P. M. (1994). The use of serotonergic uptake inhibitors in the treatment of premature ejaculation: Journal of Sex & Marital Therapy Vol 20(4) Victoria 1994, 321-324. Kilmann, P. R., & Auerbach, R. (1979). Treatments of premature ejaculation and psychogenic impotence: A critical review of the literature: Archivos de Comportamiento Sexual Vol. 8(1) Ene 1979, 81-100. Kindler, S., Dolberg, O. T., Cohen, H., Hirschmann, S., & Kotler, M. (1997). The treatment of comorbid premature ejaculation and panic disorder with fluoxetine: Clinical Neuropharmacology Vol 20(5) Oct 1997, 466-471. Knapp-Lackinger, Un. (2006). Premature ejaculation in psychoanalytic discourse: Revista de investigación sexual vol. 19(1) Estropear 2006, 36-62. Kumar, M. (2004). Review of Coping with Premature Ejaculation: Terapia sexual y de relaciones vol. 19(4) Nov 2004, 470-471. La Pera, G., & Nicastro, Un. (1996). A new treatment for premature ejaculation: The rehabilitation of the pelvic floor: Journal of Sex & Marital Therapy Vol 22(1) Spr 1996, 22-26. Sotavento, H. S., Song, D. H., Kim, C.-H., & Choi, H. K. (1996). An open clinical trial of fluoxetine in the treatment of premature ejaculation: Revista de Psicofarmacología Clínica Vol. 16(5) Oct 1996, 379-382. Levin, R. J. (2005). The mechanisms of human ejaculation -- A critical analysis: Terapia sexual y de relaciones vol. 20(1) Feb 2005, 123-131. LoPiccolo, J., & Stock, W. E. (1986). Treatment of sexual dysfunction: Revista de Consultoría y Psicología Clínica Vol. 54(2) Apr 1986, 158-167. Loudon, J. B. (1998). Potential confusion between erectile dysfunction and premature ejaculation: An evaluation of men presenting with erectile difficulty at a sex therapy clinic: Sexual & Marital Therapy Vol 13(4) Nov 1998, 397-403. bajo, J. C., & Mikulas, W. L. (1975). Use of written material in learning self-control of premature ejaculation: Informes psicológicos vol. 37(1) Ago 1975, 295-298. McCarthy, B. W. (1989). Cognitive-behavioral strategies and techniques in the treatment of early ejaculation. Nueva York, NY: Prensa Guilford. McCarthy, B. W. (1994). Etiology and treatment of early ejaculation: Journal of Sex Education & Therapy Vol 20(1) Spr 1994, 5-6. McMahon, C. (2005). Premature Ejaculation: Past, Present, and Future Perspectives: Journal of Sexual Medicine Vol 2(Supl2) Mayo 2005, 94-95. McMahon, C. (2007). Dapoxetine in the treatment of premature ejaculation: Clinical Neuropharmacology Vol 30(5) Sep-Oct 2007, 314-315. McMahon, C. G., McMahon, C. N., & Leow, L. J. (2006). New agents in the treatment of premature ejaculation: Neuropsychiatric Disease And Treatment Vol 2(4) 2006, 489-503. McMahon, C. G., Stuckey, B. G. Un., Andersen, M., Purvis, K., Koppiker, N., Haughie, S., et al. (2005). Efficacy of Sildenafil Citrate (Viagra) in Men with Premature Ejaculation: Journal of Sexual Medicine Vol 2(3) Mayo 2005, 368-375. Meldman, L. W. (1981). The modification of male sexual behavior: Premature ejaculation: Resúmenes de disertación internacional. Mendels, J. (1995). Sertraline for premature ejaculation: Revista de Psiquiatría Clínica Vol 56(12) Dic 1995, 591. Mendels, J., Camera, Un., & Sikes, C. (1995). Sertraline treatment for premature ejaculation: Revista de Psicofarmacología Clínica Vol. 15(5) Oct 1995, 341-346. Metz, M. E., & McCarthy, B. W. (2007). Ejaculatory Problems. Sarasota, FL: Prensa de recursos profesionales/Intercambio de recursos profesionales. Metz, M. E., & Pryor, J. L. (2000). Premature ejaculation: A psychophysiological approach for Vol 25(2) Apr 2005, 192-194. Optale, G., Munari, Un., Nasta, Un., Pianon, C., Verde, J. B., & Viggiano, G. (1998). Virtual environments in the treatment of impotence and premature ejaculation: CyberPsychology & Behavior Vol 1(3) Fal 1998, 213-223. Optale, G., Munari, Un., Nasta, Un., Pianon, C., Verde, J. B., & Viggiano, G. (1998). A VR based therapy for the treatment of impotence and premature ejaculation. Amsterdam, Países Bajos: IOS Press. Patricio, D. L., Althof, S. E., Pryor, J. L., Rosa, R., Rowland, D. L., Ho, K. F., et al. (2005). Premature Ejaculation: An Observational Study of Men and Their Partners: Journal of Sexual Medicine Vol 2(3) Mayo 2005, 358-367. Patricio, D. L., Rowland, D., & Rothman, M. (2007). Interrelationships among measures of premature ejaculation: The central role of perceived control: Journal of Sexual Medicine Vol 4(3) Mayo 2007, 780-788. Perelman, M. Un. (1977). The treatment of premature ejaculation by time-limited, group sex therapy: Resúmenes de disertación internacional. Perelman, M. Un. (2006). A New Combination Treatment for Premature Ejaculation: A Sex Therapist's Perspective: Journal of Sexual Medicine Vol 3(6) Nov 2006, 1004-1012. Pico Costero, J., Abreu de la Torre, C., & Roque Banos, L. (1986). Premature ejaculation: Treatment with thioridazine: Revista del Hospital Psiquiatrico de La Habana Vol 27(2) Abr-Jun 1986, 277-280. Pirke, K. M., & et al. (1979). Pituitary gonadal system function in patients with erectile impotence and premature ejaculation: Archivos de Comportamiento Sexual Vol. 8(1) Ene 1979, 41-48. Polonsky, D. C. (2000). Premature ejaculation. Nueva York, NY: Prensa Guilford. Procacciante, S., Latini, Un., Avión, L. S., Stasi, R., & Paulis, G. (2001). Paroxetine in the treatment of premature ejaculation: Results of a phase II study: New Trends in Experimental & Clinical Psychiatry Vol 17(1-4) Jan-Dec 2001, 79-83. Pryor, J. L., Althof, S. E., Steidle, C., Rosa, R. C., Infierno, W. J. G., Shabsigh, R., et al. (2006). Efficacy and tolerability of dapoxetine in treatment of premature ejaculation: An integrated analysis of two double-blind, randomised controlled trials: vol. de lanceta 368(9539) Ago 2006, 929-937. Ren, P. (2007). Review of Coping with premature ejaculation: How to overcome PE, please your partner & have great sex: Archivos de Comportamiento Sexual Vol. 36(3) Jun 2007, 475-476. Renshaw, D. C. (2005). Premature Ejaculation Revisited--2005: The Family Journal Vol 13(2) Apr 2005, 150-152. richardson, D., & Goldmeier, D. (2005). Pharmacological treatment for premature ejaculation: International Journal of STD & AIDS Vol 16(10) Oct 2005, 709-711. richardson, D., & Goldmeier, D. (2005). Premature Ejaculation--Does Country of Origin Tell Us Anything about Etiology? : Journal of Sexual Medicine Vol 2(4) Jul 2005, 508-512. richardson, D., & Goldmeier, D. (2006). Recommendations for the management of retarded ejaculation: BASHH Special Interest Group for Sexual Dysfunction: International Journal of STD & AIDS Vol 17(1) Ene 2006, 7-13. richardson, D., Goldmeier, D., Verde, J., Lamba, H., & Harris, J. R. W. (2006). Recommendations for the management of premature ejaculation: BASHH Special Interest Group for Sexual Dysfunction: International Journal of STD & AIDS Vol 17(1) Ene 2006, 1-6. richardson, D., Verde, J., Ritcheson, Un., Goldmeier, D., & Harris, J. R. W. (2005). A review of controlled trials in the pharmacological treatment of premature ejaculation: International Journal of STD & AIDS Vol 16(10) Oct 2005, 651-658. richardson, D., Madera, K., & Goldmeier, D. (2006). A Qualitative Pilot Study of Islamic Men with Lifelong Premature (Rapid) Ejaculation: Journal of Sexual Medicine Vol 3(2) Estropear 2006, 337-343. Rosa, K. R. (2001). A validation of the Premature Ejaculation Questionnaire. Resúmenes de disertación internacional: Sección B: Las Ciencias y la Ingeniería. Rosa, R. C. (1995). A case of premature ejaculation: Too little, too late? Nueva York, NY: Prensa Guilford. Rowland, D., & Burek, M. (2007). Trends in research on premature ejaculation over the past 25 años: Journal of Sexual Medicine Vol 4(5) Sep 2007, 1454-1461. Rowland, D., Perelman, M., Althof, S., Barada, J., McCullough, Un., Bull, S., et al. (2004). Self-reported Premature Ejaculation and Aspects of Sexual Functioning and Satisfaction: Journal of Sexual Medicine Vol 1(2) Sep 2004, 225-232. Rowland, D. L. (2007). Sexual Health and Problems: Erectile Dysfunction, Premature Ejaculation, and Male Orgasmic Disorder. Washington, DC: American Psychiatric Publishing, Inc. Rowland, D. L., Tonelero, S. E., & Schneider, M. (2001). Defining premature ejaculation for experimental and clinical investigations: Archivos de Comportamiento Sexual Vol. 30(3) Jun 2001, 235-253. Rowland, D. L., Haensel, S. M., Blom, J. H., & Slob, Un. K. (1993). Penile sensitivity in men with premature ejaculation and erectile dysfunction: Journal of Sex & Marital Therapy Vol 19(3) Fal 1993, 189-197. Rowland, D. L., Strassberg, D. S., de Gouveia Brazao, C. Un., & Slob, Un. K. (2000). Ejaculatory latency and control in men with premature ejaculation: An analysis across sexual activities using multiple sources of information: Revista de Investigación Psicosomática Vol 48(1) Ene 2000, 69-77. Rowland, D. L., Tai, W. L., & Slob, Un. K. (2003). An exploration of emotional response to erotic stimulation in men with premature ejaculation: Effects of treatment with Clomipramine: Archivos de Comportamiento Sexual Vol. 32(2) Apr 2003, 145-153. Ruff, G. Un., & St. Lawrence, J. S. (1985). Premature ejaculation: Past research progress, future directions: Revisión de psicología clínica vol. 5(6) 1985, 627-639. Safarinejad, M. R. (2006). Comparison of Dapoxetine Versus Paroxetine in Patients With Premature Ejaculation: A Double-blind, Placebo-controlled, Fixed-dose, Randomized Study: Clinical Neuropharmacology Vol 29(5) Sep-Oct 2006, 243-252. Safarinejad, M. R. (2007). Safety and efficacy of escitalopram in the treatment of premature ejaculation: A double-blind, placebo-controlled, fixed-dose, randomized study: Revista de Psicofarmacología Clínica Vol. 27(5) Oct 2007, 444-450. Safarinejad, M. R., & Hosseini, S. Y. (2006). Safety and efficacy of tramadol in the treatment of premature ejaculation: A double-blind, placebo-controlled, fixed-dose, randomized study: Revista de Psicofarmacología Clínica Vol. 26(1) Feb 2006, 27-31. Segraves, R. T. (1987). Treatment of premature ejaculation with lorazepam: Revista Americana de Psiquiatría Vol 144(9) Sep 1987, 1240. Segraves, R. T., Saran, Un., Segraves, K., & Maguire, E. (1993). Clomipramine versus placebo in the treatment of premature ejaculation: Un estudio piloto: Journal of Sex & Marital Therapy Vol 19(3) Fal 1993, 198-200. Seidler-Feller, D. H. (1981). A comparison of group and self-directed treatment formats in the management of premature ejaculation in males without steady partners: Resúmenes de disertación internacional. Shabsigh, R. (2006). Diagnosing Premature Ejaculation: A Review: Journal of Sexual Medicine Vol 3(Suppl 4) Sep 2006, 318-323. Shabsigh, R., & Rowland, D. (2007). The Diagnostic and Statistical Manual of Mental Disorders, fourth edition, text revision as an appropriate diagnostic for premature ejaculation: Journal of Sexual Medicine Vol 4(5) Sep 2007, 1468-1478. Shamloul, R., & el Nashaar, Un. (2006). Chronic Prostatitis in Premature Ejaculation: A Cohort Study in 153 Hombres: Journal of Sexual Medicine Vol 3(1) Ene 2006, 150-154. Sharlip, Yo. (2005). Diagnosis and Treatment of Premature Ejaculation: The Physician's Perspective: Journal of Sexual Medicine Vol 2(Supl2) Mayo 2005, 103-109. Sharlip, Yo. D. (2006). Guidelines for the Diagnosis and Management of Premature Ejaculation: Journal of Sexual Medicine Vol 3(Suppl 4) Sep 2006, 309-317. simpson, G., McCann, B., & Lowy, M. (2003). Treatment of premature ejaculation after traumatic brain injury: Lesión cerebral vol. 17(8) Ago 2003, 723-729. Sivrioglu, E. Y., Topaloglu, V. C., Sarandol, Un., Akkaya, C., Eker, S. S., & Kirli, S. (2007). Reboxetine induced erectile dysfunction and spontaneous ejaculation during defecation and micturition: Progress in Neuro-Psychopharmacology & Biological Psychiatry Vol 31(2) Estropear 2007, 548-550. Sotomayor, M. (2005). The Burden of Premature Ejaculation: The Patient's Perspective: Journal of Sexual Medicine Vol 2(Supl2) Mayo 2005, 110-114. Spiess, W. F. (1977). The psycho-physiology of premature ejaculation: Some factors related to ejaculatory latency: Resúmenes de disertación internacional. Spiess, W. F., Geer, J. H., & O'Donohue, W. T. (1984). Premature ejaculation: Investigation of factors in ejaculatory latency: Revista de psicología anormal vol. 93(2) Mayo 1984, 242-245. C. Lawrence, J. S., & Madakasira, S. (1992). Evaluation and treatment of premature ejaculation: A critical review: Revista Internacional de Psiquiatría en Medicina Vol 22(1) 1992, 77-97. Steggall, M. J., & Pryce, Un. (2006). Premature ejaculation: Defining sex in the absence of context: Journal of Men's Health & Gender Vol 3(1) Estropear 2006, 25-32. Steggall, M. J., Pryce, Un., & Fowler, C. G. (2006). Is ethnicity and religion an aetiological factor in men with rapid ejaculation? : Terapia sexual y de relaciones vol. 21(4) Nov 2006, 429-437. Strassberg, D. S. (1994). A physiologically based model of early ejaculation: A solution or a problem? : Journal of Sex Education & Therapy Vol 20(3) Fal 1994, 215-217. Strassberg, D. S., de Gouveia Brazao, C. Un., Rowland, D. L., Tan, PAGS., & Slob, Un. K. (1999). Clomipramine in the treatment of rapid (premature) eyaculación: Journal of Sex & Marital Therapy Vol 25(2) Abr-Jun 1999, 89-101. Strassberg, D. S., Kelly, M. PAGS., Carroll, C., & Kircher, J. C. (1987). The psychophysiological nature of premature ejaculation: Archivos de Comportamiento Sexual Vol. 16(4) Ago 1987, 327-336. Strassberg, D. S., Mahoney, J. M., Schaugaard, M., & Hale, V. E. (1990). The role of anxiety in premature ejaculation: A psychophysiological model: Archivos de Comportamiento Sexual Vol. 19(3) Jun 1990, 251-257. Stratta, PAGS., Mancini, F., Cupillari, M., Rossi, Un., & et al. (1993). Fluoxetine in premature ejaculation: Psicofarmacología Humana: Clinical and Experimental Vol 8(1) ene-feb 1993, 61-62. Stravynski, Un. (1986). Indirect behavioral treatment of erectile failure and premature ejaculation in a man without a partner: Archivos de Comportamiento Sexual Vol. 15(4) Ago 1986, 355-361. Thexton, R. (1992). Ejaculatory difficulties. Boca Ratón, FL: Chapman & Hall/CRC. Tignol, J., Martin-Guehl, C., Aouizerate, B., Grabot, D., & Auriacombe, M. (2006). Social Phobia and Premature Ejaculation: A Case-Control Study: Depression and Anxiety Vol 23(3) 2006, 153-157. Tremblay, R. (1986). Premature ejaculation: A new approach: Psychologie Medicale Vol 18(3) Estropear 1986, 403-404. Trudel, G., & Proulx, S. (1987). Treatment of premature ejaculation by bibliotherapy: An experimental study: Sexual & Marital Therapy Vol 2(2) 1987, 163-167. Van Diest, S. L., Van Lankveld, J. J. D. M., Leusink, P. M., Slob, Un. K., & Gijs, L. (2007). Sex Therapy through the Internet for Men with Sexual Dysfunctions: A Pilot Study: Journal of Sex & Marital Therapy Vol 33(2) 2007, 115-133. Waldinger, M. D. (2003). Rapid ejaculation. Nueva York, NY: Brunner-Routledge. Waldinger, M. D. (2005). Lifelong premature ejaculation: Current debate on definition and treatment: Journal of Men's Health & Gender Vol 2(3) Sep 2005, 333-338. Waldinger, M. D. (2006). The need for a revival of psychoanalytic investigations into premature ejaculation: Journal of Men's Health & Gender Vol 3(4) Dic 2006, 390-396. Waldinger, M. D. (2007). Premature ejaculation: Psiquiatría Primaria Vol. 14(2) Feb 2007, 58-64. Waldinger, M. D., Berendsen, H. H. G., Blok, B. F. M., Olivier, B., & Holstege, G. (1998). Premature ejaculation and serotonergic antidepressants-induced delayed ejaculation: The involvement of the serotonergic system: Investigación del cerebro conductual Vol 92(2) Mayo 1998, 111-118. Waldinger, M. D., Hengeveld, M. W., & Zwinderman, Un. H. (1994). Paroxetine treatment of premature ejaculation: A double-blind, randomized, placebo-controlled study: Revista Americana de Psiquiatría Vol 151(9) Sep 1994, 1377-1379. Waldinger, M. D., Hengeveld, M. W., Zwinderman, Un. H., & Olivier, B. (1998). An empirical operationalization study of DSM-IV diagnostic criteria for premature ejaculation: Revista internacional de psiquiatría en la práctica clínica vol. 2(4) Dic 1998, 287-293. Waldinger, M. D., & Schweitzer, D. H. (2006). Changing Paradigms from a Historical DSM-III and DSM-IV View Toward an Evidence-Based Definition of Premature Ejaculation. Part II--Proposals for DSM-V and ICD-11: Journal of Sexual Medicine Vol 3(4) Jul 2006, 693-705. Waldinger, M. D., & Schweitzer, D. H. (2006). Changing Paradigms from a Historical DSM-III and DSM-IV View Toward an Evidence-Based Definition of Premature Ejaculation. Part I--Validity of DSM-IV-TR: Journal of Sexual Medicine Vol 3(4) Jul 2006, 682-692. Waldinger, M. D., & Schweitzer, D. H. (2006). Premature ejaculation: Defining sex in the absence of context: Journal of Men's Health & Gender Vol 3(2) Jun 2006, 176-177. Waldinger, M. D., Zwinderman, Un. H., Olivier, B., & Schweitzer, D. H. (2005). Proposal for a Definition of Lifelong Premature Ejaculation Based on Epidemiological Stopwatch Data: Journal of Sexual Medicine Vol 2(4) Jul 2005, 498-507. Waldinger, M. D., Zwinderman, Un. H., Olivier, B., & Schweitzer, D. H. (2005). Thyroid-Stimulating Hormone Assessments in a Dutch Cohort of 620 Men with Lifelong Premature Ejaculation without Erectile Dysfunction: Journal of Sexual Medicine Vol 2(6) Nov 2005, 865-870. Waldinger, M. D., Zwinderman, Un. H., Olivier, B., & Schweitzer, D. H. (2007). The majority of men with lifelong premature ejaculation prefer daily drug treatment: An observation study in a consecutive group of Dutch men: Journal of Sexual Medicine Vol 4(4Yo) Jul 2007, 1028-1037. Weiner, D. N. (1996). Premature ejaculation: An evaluation of sensitivity to erotica. Resúmenes de disertación internacional: Sección B: Las Ciencias y la Ingeniería. Wernik, tu. (1992). Gluttons, sentimentalists, and other metaphors of premature ejaculation: Sexual & Marital Therapy Vol 7(1) 1992, 87-96. Williams, W. (1984). Secondary premature ejaculation: Revista de psiquiatría de Australia y Nueva Zelanda, vol. 18(4) Dic 1984, 333-340. Williams, W. O. (1980). Secondary premature ejaculation due to semen sensitivity: Revista de psiquiatría de Australia y Nueva Zelanda, vol. 14(3) Sep 1980, 217-218. Wilmotte, J., & Daubresse, J. C. (1981). Premature ejaculation, new sex therapies and behavior therapy: Revista belga de psiquiatría vol. 81(3) Mayo-Junio 1981, 308-320. Sabio, T. N. (1994). Sertraline as a treatment for premature ejaculation: Revista de Psiquiatría Clínica Vol 55(9) Sep 1994, 417. Yulis, S. (1976). Generalization of therapeutic gain in the treatment of premature ejaculation: Terapia conductual vol. 7(3) Mayo 1976, 355-358. Zeiss, R. Un. (1977). Self-administered treatment for premature ejaculation: A controlled investigation: Resúmenes de disertación internacional. Zeiss, R. Un. (1977). Self-directed treatment for premature ejaculation: Preliminary case reports: Revista de terapia conductual y psiquiatría experimental vol. 8(1) Estropear 1977, 87-91. Zeiss, R. Un. (1978). Self-directed treatment for premature ejaculation: Revista de Consultoría y Psicología Clínica Vol. 46(6) Dic 1978, 1234-1241. Esta página utiliza contenido con licencia Creative Commons de Wikipedia (ver autores).

Si quieres conocer otros artículos parecidos a Premature ejaculation puedes visitar la categoría Articles containing how-to sections.

Deja una respuesta

Tu dirección de correo electrónico no será publicada.

Subir

we use own and third party cookies to improve user experience More information