Based on the DSM 5 Criteria, what do you think? Do you need additional information?

Question

1. David has a high sex drive and has always reached orgasm extremely quickly. He has a short refractory (recovery) after climax and is able to go for much longer the second time around. His girlfriend truly appreciates this! When learning about premature ejaculation in his Human Sexuality class, David is curious if he may have a disorder.  Based on the DSM 5 Criteria, what do you think? Do you need additional information?

Answer 1

The short answer is: More information is required to make a diagnosis of F52.4 Premature Ejaculation. This diagnosis includes a pattern of ejaculation before the individual desires. However, in order to diagnose David, a clinician would need to know how long this has been occurring, if it is generalized or situational, and specifically when his ejaculation occurs (30 seconds to one minute, 15-30 seconds, or at the onset of sexual activity). Once these are discussed, a diagnosis can be made.