To effectively assess the psychological factors contributing to a patient's premature ejaculation, begin with a comprehensive clinical interview that explores the patient's sexual history, emotional state, relationship dynamics, and any history of anxiety or depressive symptoms, as these are commonly associated psychological contributors NICE CKS. Use validated psychometric tools where appropriate to quantify anxiety, depression, or stress levels, which can influence ejaculatory control Wincze 2015. It is important to assess for performance anxiety, guilt, or negative sexual experiences, as these psychosocial factors often exacerbate premature ejaculation Wincze 2015. Additionally, evaluate the patient's cognitive and emotional responses to sexual activity, including any maladaptive beliefs or fears, which can perpetuate dysfunction NICE CKS. Consider the impact of relationship quality and partner factors, as interpersonal issues may contribute to or result from premature ejaculation NICE CKS. A multidisciplinary approach involving psychological assessment alongside urological evaluation is recommended to identify and address these factors holistically Wincze 2015. This integrated assessment facilitates targeted interventions such as cognitive-behavioral therapy or psychosexual counselling, which have demonstrated efficacy in managing psychologically mediated premature ejaculation NICE CKS.
Key References
- CKS - Erectile dysfunction
- NG54 - Mental health problems in people with learning disabilities: prevention, assessment and management
- CG83 - Rehabilitation after critical illness in adults
- NG210 - Pelvic floor dysfunction: prevention and non-surgical management
- NG66 - Mental health of adults in contact with the criminal justice system
- (Wincze, 2015): Psychosocial aspects of ejaculatory dysfunction and male reproduction.