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Sexual Dysfunction in the United States
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To the Editor: Dr Laumann and colleagues1 indicate that sexual dysfunction, in both men and women, is a major health problem. In men they reported a 21% prevalence of premature ejaculation, whereas others2 have noted that the incidence may be as high as 36%.
A small study3 found premature ejaculation to be associated with hypogonadotropic hypogonadism. Extrapolating the finding of a 21% prevalence of premature ejaculation with the occurrence of hypogonadotropic hypogonadism leads to the possibility that a large number of men may have chronic hormonal inadequacy. More study is needed to determine the magnitude and the nature of the risks involved. Prompt confirmation of these possible relationships is necessary as hypogonadism may be common in the US male population.
Paul G. Cohen, MD
Atlanta, Ga
1. Laumann EO, Paik A, Rosen RC. Sexual dysfunction in the United States: prevalence and predictors. JAMA. 1999;281:537-544. [published correction appears in JAMA. 1999;281:1174].
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2. Frank E, Anderson C, Rubenstein D. Frequency of sexual dysfunction in "normal couples." N Engl J Med. 1978;299:111-115.
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3. Cohen PG. The association of premature ejaculation and hypogonadotropic hypo-gonadism. J Sex Marital Ther. 1997;23:208-211.
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In Reply: Premature ejaculation is a common complaint among men of all ages. Despite the prevalence of the problem, few studies have investigated etiological . . . [Full Text of this Article]
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