Premature Ejaculation and Male Orgasmic Disorder Introduction

In this chapter, we review current treatment strategies for the male orgasmic disorders, which are classified in DSM-IV (American Psychiatric Association 1994) as premature ejaculation and male orgasmic disorder. The focus of this chapter is on clinical treatment strategies and tactics rather than on a scholarly review of the existing literature. However, the clinician’s approach to treatment of a patient should be guided by a coherent conceptualization of the patient’s problem. Therefore, an overview of male orgasmic problems and attendant diagnostic issues is presented. In addition, we discuss the prevalence of these two disorders and briefly survey theories and research on the causes of male orgasmic disorders.