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David Rowland

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Arts and Sciences



Document Type

Poster Presentation


Spring 4-28-2022


The criteria for premature ejaculation (PE) have generally been limited to the diagnosis of heterosexual men engaging in penile-vaginal intercourse and therefore the applicability of PE diagnostic criteria to gay men and to activities beyond penile-vaginal intercourse has yet to be explored in depth. Our aim is to compare the prevalence of PE in gay and straight men and to assess whether PE-related diagnostic measures (ejaculatory control, ejaculation latency [EL], and bother/distress) can be applied with confidence to gay men or to men engaging in sexual activities other than penile-vaginal intercourse. Gay and straight participants (n = 3878) were recruited to take an online survey assessing sexual orientation, sexual function/dysfunction (including specific PE-related measures), sexual relationship satisfaction, and various other sexual behaviors during partnered sex or masturbation. A slightly lower PE prevalence among gay men became undetectable when other predictors of prevalence were included in a multivariate analysis (aOR = 0.87 [95% CI: 0.60-1.22]). Gay men with PE reported longer typical ELs (z U = -3.35, P < .001) and lower distress (z U = 3.68, P < .001) relative to straight men, but longer ELs and lower distress were also associated with anal sex. 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.

Biographical Information about Author(s)

Candace B. Roberson is a graduate student in the Clinical Mental Health Counseling Program at Valparaiso University. Their undergraduate studies were in Psychology and Neuroscience at IUPUI. Their main interests include LGBTQ+ issues, cultural differences, and social justice within the field of psychology and counseling. Hobbies include traveling and reading just about anything they can get their hands on.

Claire Weseman is an undergraduate in the Psychology Department at Valparaiso University with minors in German and Neuroscience. She plans on attending graduate school in the field of Clinical Psychology in the future.

Additional Presentation Information

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