. 2014 May 22;2(2):60–90. doi: 10.1002/sm2.28

Table 1.

Definitions of premature ejaculation established through consensus committees and/or professional organizations

Definition	Source
A male sexual dysfunction characterized by ejaculation that always or nearly always occurs prior to or within 1 minute of vaginal penetration, either present from the first sexual experience or following a new bothersome change in ejaculatory latency, and the inability to delay ejaculation on all or nearly all vaginal penetrations, and negative personal consequences, such as distress, bother, frustration, and/or the avoidance of sexual intimacy.	International Society of Sexual Medicine, 2013
A. Persistent or recurrent pattern of ejaculation occurring during partnered sexual activity within approximately 1 minute following vaginal penetration and before the individual wishes it (Note: Although the diagnosis of premature [early] ejaculation may be applied to individuals engaged in non-vaginal sexual activities, specific duration criteria have not been established for these activities).	DSM-5, 2013
B. The symptom in Criterion A must have been present for at least 6 months and must be experienced on almost all or all ( approximately 75%–100%) occasions of sexual activity (in identified situational contexts or, if generalized, in all contexts).
C. The symptom in Criteria A causes clinically significant distress in the individual.
D. The sexual dysfunction is not better explained by a nonsexual mental disorder or as a consequence of severe relationship distress or other significant stressors and is not attributable to the effects of a substance/medication or another medical disorder.
Persistent or recurrent ejaculation with minimal sexual stimulation, before, on or shortly after penetration and before the person wishes it. The condition must also cause marked distress or interpersonal difficulty and cannot be due exclusively to the direct effects of a substance.	DSM-IV-TR, 2000
For individuals who meet the general criteria for sexual dysfunction, the inability to control ejaculation sufficiently for both partners to enjoy sexual interaction, manifest as either the occurrence of ejaculation before or very soon after the beginning of intercourse (if a time limit is required, before or within 15 seconds) or the occurrence of ejaculation in the absence of sufficient erection to make intercourse possible. The problem is not the result of prolonged absence from sexual activity.	International Statistical Classification of Disease, 10th Edition, 1994
The inability to control ejaculation for a “sufficient” length of time before vaginal penetration. It does not involve any impairment of fertility, when intravaginal ejaculation occurs.	European Association of Urology. Guidelines on Disorders of Ejaculation, 2001
Persistent or recurrent ejaculation with minimal stimulation before, on, or shortly after penetration, and before the person wishes it, over which the sufferer has little or no voluntary control, which causes the sufferer and/or his partner bother or distress.	International Consultation on Urological Diseases, 2004
Ejaculation that occurs sooner than desired, either before or shortly after penetration, causing distress to either one or both partners.	American Urological Association Guideline on the Pharmacologic Management of Premature Ejaculation, 2004