{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,10]],"date-time":"2026-10-10T14:54:36Z","timestamp":1791644076676,"version":"4.3.4"},"reference-count":55,"publisher":"Elsevier BV","issue":"4","license":[{"start":{"date-parts":[[2021,11,1]],"date-time":"2021-11-01T00:00:00Z","timestamp":1635724800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2021,11,1]],"date-time":"2021-11-01T00:00:00Z","timestamp":1635724800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2021,11,1]],"date-time":"2021-11-01T00:00:00Z","timestamp":1635724800000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-017"},{"start":{"date-parts":[[2021,11,1]],"date-time":"2021-11-01T00:00:00Z","timestamp":1635724800000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-037"},{"start":{"date-parts":[[2021,11,1]],"date-time":"2021-11-01T00:00:00Z","timestamp":1635724800000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-012"},{"start":{"date-parts":[[2021,11,1]],"date-time":"2021-11-01T00:00:00Z","timestamp":1635724800000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-029"},{"start":{"date-parts":[[2021,11,1]],"date-time":"2021-11-01T00:00:00Z","timestamp":1635724800000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-004"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","theclinics.com","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Urologic Clinics of North America"],"published-print":{"date-parts":[[2021,11]]},"DOI":"10.1016\/j.ucl.2021.06.012","type":"journal-article","created":{"date-parts":[[2021,8,24]],"date-time":"2021-08-24T23:17:50Z","timestamp":1629847070000},"page":"577-590","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":17,"title":["A Conceptual Approach to Understanding and Managing Men\u2019s Orgasmic Difficulties"],"prefix":"10.1016","volume":"48","author":[{"given":"David L.","family":"Rowland","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"issue":"1","key":"10.1016\/j.ucl.2021.06.012_bib1","doi-asserted-by":"crossref","first-page":"77","DOI":"10.1111\/j.1742-1241.2006.01035.x","article-title":"The aetiology of premature ejaculation and the mind-body problem: implications for practice","volume":"61","author":"Rowland","year":"2007","journal-title":"Int J Clin Pract"},{"key":"10.1016\/j.ucl.2021.06.012_bib2","series-title":"Diagnostic and statistical manual of mental disorders","year":"2013"},{"issue":"2","key":"10.1016\/j.ucl.2021.06.012_bib3","doi-asserted-by":"crossref","first-page":"41","DOI":"10.1002\/sm2.27","article-title":"An evidence-based unified definition of lifelong and acquired premature ejaculation: report of the second international society for sexual medicine ad hoc committee for the definition of premature ejaculation","volume":"2","author":"Serefoglu","year":"2014","journal-title":"Sex Med"},{"key":"10.1016\/j.ucl.2021.06.012_bib4","series-title":"ICD-11 for mortality and morbidity statistics","author":"World Health Organization","year":"2020"},{"issue":"5","key":"10.1016\/j.ucl.2021.06.012_bib6","doi-asserted-by":"crossref","first-page":"341","DOI":"10.1038\/s41443-019-0172-5","article-title":"Men with subjective premature ejaculation have a similar lognormal IELT distribution as men in the general male population and differ mathematically from males with lifelong premature ejaculation after an IELT of 1.5 minutes (Part 2)","volume":"31","author":"Janssen","year":"2019","journal-title":"Int J Impot Res"},{"issue":"5","key":"10.1016\/j.ucl.2021.06.012_bib7","first-page":"1175","article-title":"Understanding the effects of establishing various cutoff criteria in the definition of men with premature ejaculation","volume":"12","author":"Rowland","year":"2015","journal-title":"J\u00a0Sex Med"},{"issue":"8","key":"10.1016\/j.ucl.2021.06.012_bib8","first-page":"1448","article-title":"Estimations of typical, ideal, premature ejaculation, and actual latencies by men and female sexual partners of men during partnered sex","volume":"17","author":"C\u00f4t\u00e9-L\u00e9ger","year":"2020","journal-title":"J\u00a0Sex Med"},{"issue":"3","key":"10.1016\/j.ucl.2021.06.012_bib9","first-page":"1065","article-title":"The psychological burden of premature ejaculation","volume":"177","author":"Rowland","year":"2007","journal-title":"J\u00a0Urol"},{"issue":"3","key":"10.1016\/j.ucl.2021.06.012_bib10","first-page":"780","article-title":"Interrelationship among measures of premature ejaculation: the central role of perceived control over ejaculation","volume":"4","author":"Patrick","year":"2007","journal-title":"J\u00a0Sex Med"},{"issue":"4","key":"10.1016\/j.ucl.2021.06.012_bib11","first-page":"316","article-title":"Using ecological momentary assessment to investigate associations between ejaculatory latency and control in partnered and non-partnered sexual activities","volume":"48","author":"Jern","year":"2011","journal-title":"J\u00a0Sex Res"},{"issue":"4","key":"10.1016\/j.ucl.2021.06.012_bib12","doi-asserted-by":"crossref","first-page":"319","DOI":"10.1080\/0092623X.2017.1405299","article-title":"Sexual cognitions, trait anxiety, sexual anxiety, and distress in men with different subtypes of premature ejaculation and in their partners","volume":"44","author":"Kempeneers","year":"2017","journal-title":"Sex Marital Ther"},{"issue":"4 Pt 2","key":"10.1016\/j.ucl.2021.06.012_bib13","first-page":"1598","article-title":"Definitions\/epidemiology\/risk factors for sexual dysfunction","volume":"7","author":"Lewis","year":"2010","journal-title":"J\u00a0Sex Med"},{"issue":"2","key":"10.1016\/j.ucl.2021.06.012_bib14","doi-asserted-by":"crossref","first-page":"60","DOI":"10.1002\/sm2.28","article-title":"An update of the international society of sexual medicine\u2019s guidelines for the diagnosis and treatment of premature ejaculation (PE)","volume":"2","author":"Althof","year":"2014","journal-title":"Sex Med"},{"issue":"4","key":"10.1016\/j.ucl.2021.06.012_bib15","doi-asserted-by":"crossref","first-page":"424","DOI":"10.21037\/tau.2016.06.04","article-title":"The pathophysiology of lifelong premature ejaculation","volume":"5","author":"Waldinger","year":"2016","journal-title":"Trans Androl Urol"},{"key":"10.1016\/j.ucl.2021.06.012_bib16","doi-asserted-by":"crossref","first-page":"9","DOI":"10.1016\/j.urology.2016.02.018","article-title":"Contemporary Management of Disorders of Male Orgasm and Ejaculation","volume":"93","author":"Althof","year":"2016","journal-title":"Urology"},{"issue":"3","key":"10.1016\/j.ucl.2021.06.012_bib17","first-page":"1059","article-title":"Correlates to the clinical diagnosis of premature ejaculation: results from a large observational study of men and their partners","volume":"177","author":"Rosen","year":"2007","journal-title":"J\u00a0Urol"},{"issue":"4","key":"10.1016\/j.ucl.2021.06.012_bib18","doi-asserted-by":"crossref","first-page":"475","DOI":"10.21037\/tau.2016.05.15","article-title":"Psychosexual therapy for premature ejaculation","volume":"5","author":"Althof","year":"2016","journal-title":"Trans Androl Urol"},{"key":"10.1016\/j.ucl.2021.06.012_bib19","series-title":"Atlas of male sexual dysfunction","first-page":"127","article-title":"Evaluation and treatment of ejaculatory disorders","author":"Perelman","year":"2004"},{"issue":"1","key":"10.1016\/j.ucl.2021.06.012_bib20","doi-asserted-by":"crossref","first-page":"60","DOI":"10.1080\/0092623X.2013.811453","article-title":"Self-efficacy as a relevant construct in understanding sexual response and dysfunction","volume":"41","author":"Rowland","year":"2015","journal-title":"J\u00a0Sex Marital Ther"},{"issue":"4","key":"10.1016\/j.ucl.2021.06.012_bib21","first-page":"342","article-title":"Practical tips for sexual counseling and psychotherapy in premature ejaculation","volume":"8","author":"Rowland","year":"2011","journal-title":"J\u00a0Sex Med"},{"issue":"5","key":"10.1016\/j.ucl.2021.06.012_bib22","doi-asserted-by":"crossref","first-page":"361","DOI":"10.1080\/00926230390224738","article-title":"How does premature ejaculation impact a man s life?","volume":"29","author":"Symonds","year":"2003","journal-title":"J\u00a0Sex Marital Ther"},{"issue":"10","key":"10.1016\/j.ucl.2021.06.012_bib23","first-page":"2888","article-title":"A\u00a0five-nation survey to assess the distribution of the intravaginal ejaculation time among the general male population","volume":"6","author":"Waldinger","year":"2009","journal-title":"J\u00a0Sex Med"},{"issue":"2","key":"10.1016\/j.ucl.2021.06.012_bib24","doi-asserted-by":"crossref","first-page":"369","DOI":"10.1111\/j.1464-410X.2006.06583.x","article-title":"Topical eutectic mixture for premature ejaculation (TEMPE): a novel aerosol-delivery form of lidocaine-prilocaine for treating premature ejaculation","volume":"99","author":"Dinsmore","year":"2007","journal-title":"BJU Int"},{"key":"10.1016\/j.ucl.2021.06.012_bib25","doi-asserted-by":"crossref","first-page":"55","DOI":"10.12703\/P6-55","article-title":"Advances in treating premature ejaculation","volume":"6","author":"Cayan","year":"2014","journal-title":"F1000 Prime Rep"},{"issue":"1","key":"10.1016\/j.ucl.2021.06.012_bib26","first-page":"204","article-title":"Standard operating procedures in the disorders of orgasm and ejaculation","volume":"10","author":"McMahon","year":"2013","journal-title":"J\u00a0Sex Med"},{"issue":"9539","key":"10.1016\/j.ucl.2021.06.012_bib27","doi-asserted-by":"crossref","first-page":"929","DOI":"10.1016\/S0140-6736(06)69373-2","article-title":"Efficacy and tolerability of dapoxetine in treatment of premature ejaculation: an integrated analysis of two double-blind, randomised controlled trials","volume":"368","author":"Pryor","year":"2006","journal-title":"Lancet"},{"issue":"1","key":"10.1016\/j.ucl.2021.06.012_bib28","first-page":"188","article-title":"Tramadol HCL has promise in on-demand use to treat premature ejaculation","volume":"5","author":"Salem","year":"2008","journal-title":"J\u00a0Sex Med"},{"issue":"4","key":"10.1016\/j.ucl.2021.06.012_bib29","doi-asserted-by":"crossref","first-page":"773","DOI":"10.1007\/s11255-005-3616-4","article-title":"Terazosin in the treatment of premature ejaculation: a short-term follow-up","volume":"37","author":"Basar","year":"2005","journal-title":"Int Urol Nephrol"},{"issue":"1","key":"10.1016\/j.ucl.2021.06.012_bib30","doi-asserted-by":"crossref","first-page":"197","DOI":"10.1016\/S0090-4295(02)02075-7","article-title":"Efficacy of sildenafil as adjuvant therapy to selective serotonin reuptake inhibitor in alleviating premature ejaculation","volume":"61","author":"Chen","year":"2003","journal-title":"Urology"},{"issue":"4","key":"10.1016\/j.ucl.2021.06.012_bib31","doi-asserted-by":"crossref","first-page":"502","DOI":"10.21037\/tau.2016.05.06","article-title":"Is there a place for surgical treatment of premature ejaculation?","volume":"5","author":"Moon","year":"2016","journal-title":"Transl Androl Urol"},{"issue":"3","key":"10.1016\/j.ucl.2021.06.012_bib32","doi-asserted-by":"crossref","first-page":"174","DOI":"10.1002\/sm2.65","article-title":"Behavioral Therapies for Management of Premature Ejaculation: A Systematic Review","volume":"3","author":"Cooper","year":"2015","journal-title":"Sex Med"},{"key":"10.1016\/j.ucl.2021.06.012_bib33","series-title":"Coping with premature ejaculation: how to overcome PE, please your partner, and have great sex","author":"Metz","year":"2003"},{"issue":"6","key":"10.1016\/j.ucl.2021.06.012_bib34","first-page":"1296","article-title":"Impact of premature ejaculation: The psychological, quality of life, and sexual relationship consequences","volume":"5","author":"Rosen","year":"2008","journal-title":"J\u00a0Sex Med"},{"key":"10.1016\/j.ucl.2021.06.012_bib35","series-title":"Principles and practice of sex therapy","first-page":"212","article-title":"Treatment of premature ejaculation: psychotherapy, pharmacotherapy, and combined therapy","author":"Althof","year":"2007"},{"issue":"9","key":"10.1016\/j.ucl.2021.06.012_bib36","doi-asserted-by":"crossref","first-page":"501","DOI":"10.1038\/nrurol.2009.147","article-title":"Psychological intervention for premature ejaculation","volume":"6","author":"Melnik","year":"2009","journal-title":"Nat Rev Urol"},{"issue":"10","key":"10.1016\/j.ucl.2021.06.012_bib37","first-page":"1896","article-title":"Moving Toward Empirically Based Standardization in the Diagnosis of Delayed Ejaculation","volume":"17","author":"Rowland","year":"2020","journal-title":"J\u00a0Sex Med"},{"key":"10.1016\/j.ucl.2021.06.012_bib38","series-title":"The Textbook of clinical sexual medicine","first-page":"241","article-title":"Evaluation of Delayed Ejaculation","author":"Rowland","year":"2017"},{"key":"10.1016\/j.ucl.2021.06.012_bib39","series-title":"The Textbook of clinical sexual medicine","first-page":"255","article-title":"Treatment of Delayed Ejaculation","author":"Butcher","year":"2017"},{"issue":"6","key":"10.1016\/j.ucl.2021.06.012_bib40","doi-asserted-by":"crossref","first-page":"537","DOI":"10.1001\/jama.281.6.537","article-title":"Sexual dysfunction in the United States: prevalence and predictors","volume":"281","author":"Laumann","year":"1999","journal-title":"JAMA"},{"key":"10.1016\/j.ucl.2021.06.012_bib41","series-title":"Handbook of sexual and gender identity disorders","first-page":"100","article-title":"Retarded or inhibited ejaculation (male orgasmic disorder)","author":"Perelman","year":"2008"},{"key":"10.1016\/j.ucl.2021.06.012_bib42","series-title":"Principles and practice of sex therapy","first-page":"138","article-title":"Delayed ejaculation","author":"Perelman","year":"2014"},{"key":"10.1016\/j.ucl.2021.06.012_bib43","doi-asserted-by":"crossref","first-page":"251","DOI":"10.1007\/s11930-020-00287-z","article-title":"Treatment of Delayed Ejaculation","volume":"12","author":"Piche","year":"2020","journal-title":"Curr Sex Health Rep"},{"key":"10.1016\/j.ucl.2021.06.012_bib44","series-title":"Human sexual inadequacy","author":"Masters","year":"1970"},{"key":"10.1016\/j.ucl.2021.06.012_bib45","series-title":"Principles and practice of sex therapy","first-page":"205","article-title":"Retarded ejaculation, a much-misunderstood syndrome","author":"Apfelbaum","year":"2000"},{"issue":"3","key":"10.1016\/j.ucl.2021.06.012_bib46","first-page":"383","article-title":"Psychosexual factors that differentiate men with inhibited ejaculation from men with no dysfunction or another sexual dysfunction","volume":"2","author":"Rowland","year":"2005","journal-title":"J\u00a0Sex Med"},{"key":"10.1016\/j.ucl.2021.06.012_bib47","series-title":"The Wiley Handbook of sex therapy","first-page":"72","article-title":"Treating men\u2019s orgasmic difficulties","author":"Rowland","year":"2017"},{"issue":"1","key":"10.1016\/j.ucl.2021.06.012_bib48","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1080\/01614576.1976.11074483","article-title":"The PLISSIT model: A proposed conceptual scheme for the behavioral treatment of sexual problems","volume":"2","author":"Annon","year":"1976","journal-title":"J\u00a0Sex Educ Ther"},{"issue":"2","key":"10.1016\/j.ucl.2021.06.012_bib49","first-page":"117","article-title":"Influences of verbal interactions during behavioral consultations on treatment outcomes","volume":"37","author":"Busse","year":"1999","journal-title":"J\u00a0Sch Psychol"},{"issue":"3","key":"10.1016\/j.ucl.2021.06.012_bib50","first-page":"465","article-title":"Development and validation of a new questionnaire to assess sexual satisfaction, control and distress associated with premature ejaculation","volume":"3","author":"Althof","year":"2006","journal-title":"J\u00a0Sex Med"},{"key":"10.1016\/j.ucl.2021.06.012_bib51","series-title":"Premature Ejaculation: from etiology to diagnosis and treatment","first-page":"383","year":"2013"},{"issue":"3","key":"10.1016\/j.ucl.2021.06.012_bib52","first-page":"358","article-title":"Premature ejaculation: An observational study of men and their partners","volume":"2","author":"Patrick","year":"2005","journal-title":"J\u00a0Sex Med"},{"issue":"5","key":"10.1016\/j.ucl.2021.06.012_bib53","doi-asserted-by":"crossref","first-page":"805","DOI":"10.1016\/j.urology.2007.02.036","article-title":"Development and validation of four-item version of Male Sexual Health Questionnaire to assess ejaculatory dysfunction","volume":"69","author":"Rosen","year":"2007","journal-title":"Urology"},{"key":"10.1016\/j.ucl.2021.06.012_bib54","series-title":"Dyadic adjustment scale manual","author":"Spanier","year":"1989"},{"issue":"1","key":"10.1016\/j.ucl.2021.06.012_bib55","doi-asserted-by":"crossref","first-page":"63","DOI":"10.1111\/j.2044-8260.1985.tb01314.x","article-title":"The golombok-rust inventory of sexual satisfaction (GRISS)","volume":"24","author":"Rust","year":"1985","journal-title":"Br J Clin Psychol"},{"issue":"1","key":"10.1016\/j.ucl.2021.06.012_bib56","doi-asserted-by":"crossref","first-page":"30","DOI":"10.1038\/sj.ijir.3901095","article-title":"Development and validation of the self-esteem and relationship (SEAR) questionnaire in erectile dysfunction","volume":"16","author":"Cappelleri","year":"2004","journal-title":"Int J Impot Res"}],"container-title":["Urologic Clinics of North America"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0094014321018620?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0094014321018620?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,9,25]],"date-time":"2025-09-25T13:41:31Z","timestamp":1758807691000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0094014321018620"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,11]]},"references-count":55,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2021,11]]}},"alternative-id":["S0094014321018620"],"URL":"https:\/\/doi.org\/10.1016\/j.ucl.2021.06.012","relation":{},"ISSN":["0094-0143"],"issn-type":[{"value":"0094-0143","type":"print"}],"subject":[],"published":{"date-parts":[[2021,11]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"A Conceptual Approach to Understanding and Managing Men\u2019s Orgasmic Difficulties","name":"articletitle","label":"Article Title"},{"value":"Urologic Clinics of North America","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.ucl.2021.06.012","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2021 Elsevier Inc. All rights reserved.","name":"copyright","label":"Copyright"}]}}