Psychotherapy High Wycombe Psychotherapy High Wycombe - Last updated 07 January 2026

DSM Reference Home

DSM-IV and DSM-IV-TR:

Premature Ejaculation

Men with this sexual dysfunction disorder experience orgasm with ejaculation before, immediately upon, or shortly after penetration and earlier than they expect it.

Diagnostic criteria for 302.75 Premature Ejaculation

A. 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, such as age, 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 (e.g. withdrawal from opioids).

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Lifelong Type
Acquired Type

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Generalized Type
Situational Type

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Due to Psychological Factors
Due to Combined Factors

Based on the Diagnostic & Statistical Manual of Mental Disorders, 4th edition APA

Research sources

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The online Diagnostic & Statistical Manual of Mental Disorders lists most of the major psychological disorders and illnesses and lists the criteria that must be fulfilled in order for a diagnosis to be made. This resource is not a substitute for proper professional psychiatric diagnosis.