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Gay men with PE reported longer typical ELs (zU\u00a0=\u00a0-3.35, P &amp;lt; .001) and lower distress (zU\u00a0=\u00a03.68, P &amp;lt; .001) relative to straight men, but longer ELs and lower distress were also associated with anal sex.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Clinical Translation<\/jats:title>\n                  <jats:p>Clinicians can feel confident about using existing criteria for the diagnosis of PE in gay men but should be aware of potentially longer ELs and lower PE-related bother\/distress\u2014probably related to the practice of anal sex\u2014compared with straight men.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Strengths and Limitations<\/jats:title>\n                  <jats:p>Although well-powered and international in scope, this study was limited by biases inherent to online surveys, the lack of a sizable sample of bisexual men, and a lack of differentiation between men with acquired vs lifelong PE.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>Irrespective of sexual orientation, gay and straight men with PE reported shorter ELs, lower satisfaction, and greater bother\/distress than functional counterparts. While PE-related diagnostic criteria (ejaculatory control, EL, and bother\/distress) are applicable to gay men, accommodation for longer ELs and lower bother\/distress in gay men should be considered.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1016\/j.esxm.2022.100516","type":"journal-article","created":{"date-parts":[[2022,4,25]],"date-time":"2022-04-25T17:01:11Z","timestamp":1650906071000},"page":"1-13","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":12,"title":["Are the Criteria for the Diagnosis of Premature Ejaculation Applicable to Gay Men or Sexual Activities Other than Penile-Vaginal Intercourse?"],"prefix":"10.1093","volume":"10","author":[{"given":"Sean M.","family":"McNabney","sequence":"first","affiliation":[{"name":"Department of Psychology, Valparaiso University , Valparaiso , USA"},{"name":"Department of Applied Health Science, School of Public Health, Indiana University , Bloomington , 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