Symptoms
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.
The disturbance causes marked distress or interpersonal difficulty.
The premature ejaculation is not due exclusively to
the direct effects of a substance (e.g., withdrawal from opioids).
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