Premature ejaculation (PE) is one of the most prevalent male sexual dysfunctions. It involves a complex interplay between neurobiological factors, serotonergic pathways, and psychological influences such as performance anxiety.
Treatment approaches include selective serotonin reuptake inhibitors (SSRIs), topical anesthetics, behavioral therapy, and couples counseling. Multidisciplinary management is often necessary to achieve sustained improvement.
Recognition of both biological and psychological erotic components enhances therapeutic outcomes.
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