Diagnosis of Premature Ejaculation
A diagnosis of premature ejaculation involves taking a detailed sexual history and a medical history (including over-the-counter, prescription, and recreational drug use), and performing a physical examination. In men who experience premature ejaculation with erectile dysfunction (impotence), blood tests may be performed to detect abnormal hormone levels (e.g., testosterone deficiency).
A mental health professional or sexual therapist often can help make the diagnosis of premature ejaculation. A sexual history includes information about early sexual experiences, information about past and present sexual relationships, and the circumstances when the condition first started.
Information about religious values and upbringing also may be important. In many cases, it is helpful to include the patient's sexual partner in the diagnostic process.