Premature Ejaculation in the Varicocele Patients

Introduction: Premature ejaculation (PE) is one of the most prevalence men problems. There are a lot of explanations such as psychosomatic and even genetics problem for it. Because the patients suffering varicocele are more complain from this problem, we decided to evaluate it in these patients. Materials and Methods: In a case control study, we evaluated Premature-ejaculation in a 55 patients with varicocele (20 - 35 years old) that they had come to the andrology clinic for treat- ment of infertility and other genital problems and were compared their data with a control group of 60 men who were in the same range of age without varicocele. The data statistically were compared by X2 and T-test. Results: The premature-ejaculation (Intravaginal Ejaculatory Latency Time ((IELT)) < 2 min) was found in 36.3% (n=20) and 8.3% (n=5) of the subjects in study and control groups respectively, (P<0.001). This Study showed that PE has a direct relation with the severity, time length of affec- tion (age group), and varicocle distribution. Discussion: Since premature ejaculation has been found with a high frequency in men with varicocele, we stress the importance of a careful examination of the patients with PE before any pharmacologic or psychosexual therapy.