Premature Ejaculation and Quality of Life Among Men Atending Klinik Kesihatan Jaya Gading, Kuantan
Keywords:Premature ejaculation, sexual dysfunction, quality of life
Introduction: Premature ejaculation (PE) is an important sexual problem among men attending health clinic. Impacts of this condition towards quality of life still require further exploration.
Aims: To determine the proportion and determinants for PE and theirs quality of life
Methods: A cross-sectional study involving 290 respondents was conducted at a primary health clinic over the period of five months (Nov 2015-March 2016). A self-administrated questionnaire that consisted of socio-demographic questionnaire, clinical characteristics, premature ejaculation diagnostic tool (PEDT) and WHO quality of life (WHOQOL-BREF) was used
Results: The proportion of PE was 33.9% with PE 18.1% (49/271) and probable PE 15.8% (43/271). Multivariate analysis showed that level of education (p=0.002, OR 3.281/95% CI 1.183, 9.101) and hypertension (p=0.047, OR 1.788/95% CI 1.008, 3.170) were the only predictors for PE after controlling self-reported erectile dysfunction, pulmonary and neurological disorder. PE patients had lower median scores quality of life in all four domain namely physical health, psychological, social relationship, environment (all domains with p<0.001).
Conclusion: The proportion of men diagnosed with premature ejaculation in this study is high. This condition is possibly associated with level of education and hypertension.Â Men with PE had lower quality of life in domains of physical health, psychological, social relationship and environment. Hence, it is recommended for PE screening among male attendees to primary health clinic especially those with hypertension and moderate level of education.
Key Words: Premature ejaculation, Quality of life, Sexual dysfunctionÂ
Brock. G, Nicolosi. A, G. D, OL. E. Help seeking behaviour- the Global study of sexual attitude and behaviour- Moreira__Int_J_Clin_Pract_2005. INTERNATIONAL JOURNAL OF CLINICAL PRACTICE. 2005;59(1):6-16.
Porst H, Montorsi F, Rosen RC, Gaynor L, Grupe S, Alexander J. The Premature Ejaculation Prevalence and Attitudes (PEPA) survey: prevalence, comorbidities, and professional help-seeking. Eur Urol. 2007;51(3):816-23; discussion 24.
Quek KF, Sallam AA, Ng CH, Chua CB. Prevalence of sexual problems and its association with social, psychological and physical factors among men in a Malaysian population: a cross-sectional study. J Sex Med. 2008;5(1):70-6.
Gao J, Zhang X, Su P, Liu J, Xia L, Yang J, et al. Prevalence and factors associated with the complaint of premature ejaculation and the four premature ejaculation syndromes: a large observational study in China. J Sex Med. 2013;10(7):1874-81.
Tang WS, Khoo EM. Prevalence and correlates of premature ejaculation in a primary care setting: a preliminary cross-sectional study. J Sex Med. 2011;8(7):2071-8.
Dilip V. Jeste JAL, David Fassler, Rcxser Peele. DIAGNOSTIC AND STATISTICAL MANUAL OF MENTAL DISORDERS (DSM V). American Psychiatric Association. 2013;5.
Boonjindasup AG, Serefoglu EC, Hellstrom WJG. Risk Factors in Premature Ejaculation: The Urological Risk Factor. 2013:159-66.
McMahon CG, Jannini EA, Serefoglu EC, Hellstrom WJ. The pathophysiology of acquired premature ejaculation. Transl Androl Urol. 2016;5(4):434-49.
K. Hatzimouratidis IE, F. Giuliano, I. Moncada, A. Salonia. Guideline on male sexual dysfunction: Erectile dysfunction and premature ejaculation. European Association of Urology 2015.
Zhang X, Gao J, Liu J, Xia L, Yang J, Hao Z, et al. Distribution and factors associated with four premature ejaculation syndromes in outpatients complaining of ejaculating prematurely. J Sex Med. 2013;10(6):1603-11.
Althof SE. Prevalence, Characteristics and Implications of Premature Ejaculation/Rapid Ejaculation. The Journal of Urology. 2006;175(3):842-8.
Christensen BS, Gronbaek M, Pedersen BV, Graugaard C, Frisch M. Associations of unhealthy lifestyle factors with sexual inactivity and sexual dysfunctions in Denmark. J Sex Med. 2011;8(7):1903-16.
Serefoglu EC, Yaman O, Cayan S, Asci R, Orhan I, Usta MF, et al. Prevalence of the complaint of ejaculating prematurely and the four premature ejaculation syndromes: results from the Turkish Society of Andrology Sexual Health Survey. J Sex Med. 2011;8(2):540-8.
Rowland DL, Patrick DL, Rothman M, Gagnon DD. The psychological burden of premature ejaculation. J Urol. 2007;177(3):1065-70.
Rosen RC, Althof S. Impact of premature ejaculation: the psychological, quality of life, and sexual relationship consequences. J Sex Med. 2008;5(6):1296-307.
Symonds T, Perelman MA, Althof S, Giuliano F, Martin M, May K, et al. Development and validation of a premature ejaculation diagnostic tool. Eur Urol. 2007;52(2):565-73.
C I Hasanah LN, A R A Rahman. World Health Organization Quality of Life Assessment: Brief Version in Bahasa Malaysia. Medical Journal Of Malaysia. 2003;58(1):79-88.
Kang SY, Lee JA, Sunwoo S, Yu BY, Lee JH, Cho CH, et al. Prevalence of Sexual Dysfunction and Associated Risk Factors in Middle-Aged and Elderly Korean Men in Primary Care. J Sex Res. 2016;53(9):1165-78.
Shamini Arasalingama HS, Ng Chong Guanb, Srijit Dasc, Marhani Midina, Ramli Musa. Premature Ejaculation in Urban Malaysian Population: The Associations between Erectile Dysfunction(ED), Anxiety and Depression The Internationa Medical Journal Malaysia. 2016;15(1).
Stein DJ, Aguilar-Gaxiola S, Alonso J, Bruffaerts R, de Jonge P, Liu Z, et al. Associations between mental disorders and subsequent onset of hypertension. Gen Hosp Psychiatry. 2014;36(2):142-9.
Rajkumar RP, Kumaran AK. Depression and anxiety in men with sexual dysfunction: a retrospective study. Compr Psychiatry. 2015;60:114-8.
Rowland DL. Psychological impact of premature ejaculation and barriers to its recognition and treatment. Curr Med Res Opin. 2011;27(8):1509-18.
Silangcruz JM, Chua ME, Morales ML, Jr. Prevalence and factor association of premature ejaculation among adult Asian males with lower urinary tract symptoms. Prostate Int. 2015;3(2):65-9.
T. Symonds DR, K. Hart & S. Althof. How Does Premature Ejaculation Impact a Manâ€™s Life? Journal of Sex & Marital Therapy. 2003;29(5):361-70.
McCabe MP. Intimacy and Quality of Life Among Sexually Dysfunctional Men and Women. Journal of Sex & Marital Therapy. 1997;23(4).
Dennis Revicki KH, Jennifer Hanlon. Characterizing the burden of premature ejaculation from a patient and partner perspective: a multi-country qualitative analysis. Health and Quality of Life Outcomes. 2008;6(33).
Christakis KPSaNA. Social Networks and Health. Annual Review of Sociology. 2008;34:405-29.
Hui Meng Tan SFT, and Christopher C.K. Ho. Men Health Sexual Dysfunction Physical and Psychological Healthâ€”Is There a Link? The Journal of Sexual Medicine. 2012;9:663-71.
Zhang X, Gao J, Liu J, Xia L, Yang J, Hao Z, et al. Prevalence rate and risk factors of depression in outpatients with premature ejaculation. Biomed Res Int. 2013;2013:317468.
Patrick Jern PS, Katarina Witting, Katarina Alanko, Nicole Harlaar, Ada Johansson, Bettina von der Pahlen, Markus Varjonen, Nina VikstrÃ¶m, Monica Ã…lgars, and Kenneth Sandnabba. Premature and Delayed Ejaculation: Genetic and Environmental Effects in a Population-Based Sample of Finnish Twins. The Journal of Sexual Medicine. 2007;4:1739-49.