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To the Editor: —In the July 21 issue of The Journal (181:278), there appears, in the "Questions and Answers" section, a problem concerning premature ejaculation. Dr. Cook correctly notes that this disorder is a rather frequent complication of anxiety and tension. However, since prematurity is so rarely a result of organic cause, cystourethroscopic examination should be performed only when other indications for this unpleasant ordeal are present. In the letter, there is no information from the wife as to what she considers a premature ejaculation. This is particularly important, as she never reaches orgasm. Her husband's timing might well be adequate, while her need might call for an ability beyond that of the ordinary male. The chief cause of premature ejaculation is infrequent coitus, something not usually considered. Initially, the male puts off intercourse, whether it be because of fatigue, business worries, difficulty with his spouse, or unconscious conflict.
JAMA – American Medical Association
Published: Feb 2, 1963
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