Editing Disorders of Ejaculation and Orgasm (section)

==== History and Physical Exam ====
* '''History (medical and sexual)'''
** '''Recommended questions (related to definition above):'''
*** '''What is the time between penetration and ejaculation?'''
**** Self-estimation by the patient and partner of IELT should be used; studies have indicated that patient or partner self-report of ejaculatory latency correlate relatively well with objective stopwatch latency and might be useful as a proxy measure of IELT
*** '''Can you delay ejaculation?'''
*** '''Do you feel bothered, annoyed, and/or frustrated by your PE?'''
** '''Optional questions:'''
*** '''Differentiate Lifelong and Acquired PE'''
**** When did you first experience PE? Have you experienced PE since your first sexual experience on every/almost every attempt and with every partner?
*** '''Assess Erectile Function'''
**** Is your erection hard enough to penetrate? Do you have difficulty in maintaining your erection until you ejaculate during intercourse? Do you ever rush intercourse to prevent loss of your erection?
*** '''Assess Relationship Impact'''
**** How upset is your partner with your PE? Does your partner avoid sexual intercourse? Is your PE affecting your overall relationship?
*** '''Previous Treatment of PE'''
*** '''Impact on Quality of Life'''
**** Do you avoid sexual intercourse because of embarrassment? Do you feel anxious, depressed, or embarrassed because of your PE?
* '''Physical exam'''
** Screen for cardiovascular and gender-specific diseases
** In men with acquired PE, a physical examination is mandatory in an effort to identify the cause of the PE and to alleviate its possible cause
** '''Digital rectal examination''', routine in an andrologic setting for all men age ≥ 40 years, '''is useful in identifying possible evidence of prostatic inflammation or infection.'''