International Urology and Nephrology

, Volume 50, Issue 4, pp 633–637 | Cite as

The relationship between female sexual function index domains and premature ejaculation

  • Lütfi Canat
  • Recep Burak Değirmentepe
  • Hasan Anıl Atalay
  • İlter Alkan
  • Sait Özbir
  • Mehmet Gökhan Çulha
  • Alper Ötünçtemur
Urology - Original Paper



The aim of this prospective, observational study was to investigate the relationship between premature ejaculation (PE) and female sexual response cycle, using the female sexual function index (FSFI). The FSFI evaluates female sexual function in six domains: desire, arousal, lubrication, orgasm, satisfaction, and pain.


All men were considered to have PE if they fulfilled the criteria of the second Ad Hoc International Society for Sexual Medicine (ISSM) Committee. All men were also assessed by the Premature Ejaculation Diagnostic Tool (PEDT) and intravaginal ejaculatory latency time (IELT) using stopwatch which was held by the partner. All women completed the FSFI.


A total of 181 couples who had regular sexual intercourse with one partner for the past 6 months were enrolled the study. By the definition of ISSM Committee, there were 117 men with PE and 64 men without PE. Partners of men with PE had significantly lower total FSFI scores than did partners of men without PE (21.8 ± 3.5 for PE and 26.4 ± 3.1 for non-PE, p < 0.001). Moreover, all the domains of the FSFI scoring system were separately associated with PE. According to the mean FSFI scores, the 48.43% of women had sexual dysfunction in the non-PE group, and all women had sexual dysfunction in PE group.


PE is associated with female sexual dysfunction and all of the female sexual dysfunction domains, as determined by FSFI scores.


Female sexual dysfunction Female sexual function index Premature ejaculation 



This research received no specific grant from any funding agency in the public, commercial, or not-for-profit sectors.

Compliance with ethical standards

Conflict of interest

The authors declare no conflict of interest.

Ethical approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Declaration of Helsinki and its later amendments or comparable ethical standards. The study was approved by the local committee of ethics.

Informed consent

Informed consent was obtained from all individual participants included in the study.


  1. 1.
    Laumann EO, Paik A, Rosen RC (1999) Sexual dysfunction in the United States: prevalence and predictors. JAMA 281(6):537–544CrossRefPubMedGoogle Scholar
  2. 2.
    Porst H, Montorsi F, Rosen RC, Gaynor L, Grupe S, Alexander J (2007) The premature ejaculation prevalence and attitudes (PEPA) survey: prevalence, comorbidities, and professional help-seeking. Eur Urol 51(3):816–823CrossRefPubMedGoogle Scholar
  3. 3.
    Rowland DL, Patrick DL, Rothman M, Gagnon DD (2007) The psychological burden of premature ejaculation. J Urol 177(3):1065–1070CrossRefPubMedGoogle Scholar
  4. 4.
    Symonds T, Roblin D, Hart K, Althof S (2003) How does premature ejaculation impact a man s life? J Sex Marital Ther 29(5):361–370CrossRefPubMedGoogle Scholar
  5. 5.
    Limoncin E, Tomassetti M, Gravina GL, Ciocca G, Carosa E, Di Sante S, Gentile V, Mirone V, Montorsi F, Lenzi A, Jannini EA (2013) Premature ejaculation results in female sexual distress: standardization and validation of a new diagnostic tool for sexual distress. J Urol 189(5):1830–1835CrossRefPubMedGoogle Scholar
  6. 6.
    Hisasue S, Kumamoto Y, Sato Y, Masumori N, Horita H, Kato R, Kobayashi K, Hashimoto K, Yamashita N, Itoh N (2005) Prevalence of female sexual dysfunction symptoms and its relationship to quality of life: a Japanese female cohort study. Urology 65(1):143–148CrossRefPubMedGoogle Scholar
  7. 7.
    Nicolosi A, Glasser DB, Kim SC, Marumo K, Laumann EO (2005) Sexual behaviour and dysfunction and help-seeking patterns in adults aged 40–80 years in the urban population of Asian countries. BJU Int 95(4):609–614CrossRefPubMedGoogle Scholar
  8. 8.
    McCabe MP, Sharlip ID, Lewis R, Atalla E, Balon R, Fisher AD, Laumann E, Lee SW, Segraves RT (2016) Incidence and prevalence of sexual dysfunction in women and men: a consensus statement from the fourth international consultation on sexual medicine 2015. J Sex Med 13(2):144–152CrossRefPubMedGoogle Scholar
  9. 9.
    McCabe MP, Sharlip ID, Atalla E, Balon R, Fisher AD, Laumann E, Lee SW, Lewis R, Segraves RT (2016) Definitions of sexual dysfunctions in women and men: a consensus statement from the fourth international consultation on sexual medicine 2015. J Sex Med 13(2):135–143CrossRefPubMedGoogle Scholar
  10. 10.
    Fisher WA, Eardley I, McCabe M, Sand M (2009) Erectile dysfunction (ED) is a shared sexual concern of couples I: couple conceptions of ED. J Sex Med 6(10):2746–2760CrossRefPubMedGoogle Scholar
  11. 11.
    Hobbs K, Symonds T, Abraham L, May K, Morris MF (2008) Sexual dysfunction in partners of men with premature ejaculation. Int J Impot Res 20(5):512–517CrossRefPubMedGoogle Scholar
  12. 12.
    Hayes RD, Bennett CM, Fairley CK, Dennerstein L (2006) What can prevalence studies tell us about female sexual difficulty and dysfunction? J Sex Med 3(4):589–595CrossRefPubMedGoogle Scholar
  13. 13.
    Riley A, Riley E (2005) Premature ejaculation: presentation and associations. An audit of patients attending a sexual problems clinic. Int J Clin Pract 59(12):1482–1487CrossRefPubMedGoogle Scholar
  14. 14.
    Jiann BP, Su CC, Yu CC, Wu TT, Huang JK (2009) Risk factors for individual domains of female sexual function. J Sex Med 6(12):3364–3375CrossRefPubMedGoogle Scholar
  15. 15.
    Serefoglu EC, McMahon CG, Waldinger MD, Althof SE, Shindel A, Adaikan G, Becher EF, Dean J, Giuliano F, Hellstrom WJ, Giraldi A, Glina S, Incrocci L, Jannini E, McCabe M, Parish S, Rowland D, Segraves RT, Sharlip I, Torres LO (2014) An evidence-based unified definition of lifelong and acquired premature ejaculation: report of the second international society for sexual medicine ad hoc committee for the definition of premature ejaculation. Sex Med 2:41–59CrossRefPubMedCentralPubMedGoogle Scholar
  16. 16.
    Serefoglu EC, Cimen HI, Ozdemir AT, Symonds T, Berktas M, Balbay MD (2009) Turkish validation of the premature ejaculation diagnostic tool and its association with intravaginal ejaculatory latency time. Int J Impot Res 21:139–144CrossRefPubMedGoogle Scholar
  17. 17.
    Rosen RC, Cappelleri JC, Smith MD, Lipsky J, Peña BM (1999) Development and evaluation of an abridged, 5- item version of the International Index of Erectile Function (IIEF-5) as a diagnostic tool for erectile dysfunction. Int J Impot Res 11:319–326CrossRefPubMedGoogle Scholar
  18. 18.
    Beck AT, Ward CH, Mendelson M, Mock J, Erbaugh J (1962) An inventory for measuring depression. Arch Gen Psychiatry 4:561–571CrossRefGoogle Scholar
  19. 19.
    Rosen R, Brown C, Heiman J, Leiblum S, Meston C, Shabsigh R, Ferguson D, D’Agostino R (2000) The female sexual function index (FSFI): a multidimensional self-report instrument for the assessment of female sexual function. J Sex Marital Ther 26:191–208CrossRefPubMedGoogle Scholar
  20. 20.
    Cayan F, Dilek S, Akbay E, Cayan S (2008) Sexual function after surgery for stress urinary incontinence: vaginal sling versus Burch colposuspension. Arch Gynecol Obstet 277:31–36CrossRefPubMedGoogle Scholar
  21. 21.
    Byers ES, Rehman U (2013) Sexual well-being. In: Tolman D, Diamond L (eds) APA handbook of sexuality and psychology. American Psychological Association, Washington, pp 317–337Google Scholar
  22. 22.
    Conaglen HM, O’Connor EJ, McCabe MP, Conaglen JV (2010) An investigation of sexual dysfunction in female partners of men with erectile dysfunction: how interviews expand on questionnaire responses. Int J Impot Res 22(6):355–362CrossRefPubMedGoogle Scholar
  23. 23.
    Hartmann U, Schedlowski M, Krüger TH (2005) Cognitive and partner-related factors in rapid ejaculation: differences between dysfunctional and functional men. World J Urol 23(2):93–101CrossRefPubMedGoogle Scholar
  24. 24.
    Burri A, Giuliano F, McMahon C, Porst H (2014) Female partner’s perception of premature ejaculation and its impact on relationship breakups, relationship quality, and sexual satisfaction. J Sex Med 11(9):2243–2255CrossRefPubMedGoogle Scholar
  25. 25.
    McCabe MP, Sharlip ID, Lewis R, Atalla E, Balon R, Fisher AD, Laumann E, Lee SW, Segraves RT (2016) Risk factors for sexual dysfunction among women and men: a consensus statement from the Fourth International Consultation On Sexual Medicine 2015. J Sex Med 13(2):153–167CrossRefPubMedGoogle Scholar
  26. 26.
    Burri A, Spector T (2011) Recent and lifelong sexual dysfunction in a female UK population sample: prevalence and risk factors. J Sex Med 8(9):2420–2430CrossRefPubMedGoogle Scholar
  27. 27.
    Basson R, Berman J, Burnett A, Derogatis L, Ferguson D, Fourcroy J, Goldstein I, Graziottin A, Heiman J, Laan E, Leiblum S, Padma-Nathan H, Rosen R, Segraves K, Segraves RT, Shabsigh R, Sipski M, Wagner G, Whipple B (2000) Report of the international consensus development conference on female sexual dysfunction: definitions and classifications. J Urol 163(3):888–893CrossRefPubMedGoogle Scholar
  28. 28.
    Dogan S, Dogan M (2008) The frequency of sexual dysfunctions in male partners of women with vaginismus in a Turkish sample. Int J Impot Res 20(2):218–221CrossRefPubMedGoogle Scholar
  29. 29.
    Bronner G, Kitrey ND, Uziel N, Eli I, Raviv G, Ramon J, Elran E (2015) Correlation between premature ejaculation and female vaginal penetration difficulties. Int J Impot Res 27(4):152–156CrossRefPubMedGoogle Scholar
  30. 30.
    Cayan S, Akbay E, Bozlu M, Canpolat B, Acar D, Ulusoy E (2004) The prevalance of female sexual dysfunction and potential risk factors that may impair sexual dysfunction in Turkish woman. Urol Int 72:52–57CrossRefPubMedGoogle Scholar

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© Springer Science+Business Media B.V., part of Springer Nature 2018

Authors and Affiliations

  1. 1.Urology DepartmentOkmeydanı Training and Research HospitalŞişli, IstanbulTurkey

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