https://doi.org/10.4081/aiua.2025.13445
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Discrepancy between male and female perceptions of ejaculation latency and sexual satisfaction: results from an online open survey

Authors

Andrea Cocci
cocci.andrea@gmail.com
https://orcid.org/0000-0003-0138-6294
Unit of Oncologic Minimally Invasive Urology and Andrology, University of Florence, Careggi Hospital, Florence, Italy.
Marta Pezzoli
https://orcid.org/0009-0007-7168-5499
Unit of Oncologic Minimally Invasive Urology and Andrology, University of Florence, Careggi Hospital, Florence; Department of Experimental and Clinical Medicine, University of Florence, Italy.
Arturo Lo Giudice
https://orcid.org/0000-0003-1987-929X
Urology Section, Department of Surgery, University of Catania, Italy.
Gaia Polloni
Centre of Psychology, Como, Italy.
Giorgio Ivan Russo
https://orcid.org/0000-0003-4687-7353
Urology Section, Department of Surgery, University of Catania, Italy.
Leonardo Gajo
https://orcid.org/0009-0001-0060-8089
Unit of Oncologic Minimally Invasive Urology and Andrology, University of Florence, Careggi Hospital, Florence; Department of Experimental and Clinical Medicine, University of Florence, Italy.
Daniel Giunti
Centro Integrato di Sessuologia Il Ponte, Florence, Italy.
Michele Di Dio
Department of Surgery, Division of Urology, SS Annunziata Hospital, Cosenza, Italy.
Borja Garcia Gòmez
Hospital Universitario 12 Octubre, Instituto de Investigación Sanitaria Hospital 12 de Octubre, Madrid, Spain.
Manuel Alonso Isa
Department of Urology, Hospital Universitario HM Puerta del Sur, Instituto Investigación Sanitaria HM Hospitales and ROC Clinic, Madrid, Spain.
Agustin Fraile Poblador
https://orcid.org/0000-0002-3227-866X
Department of Urology, Hospital Universitario HM Rivas, Instituto Investigación Sanitaria HM Hospitales and ROC Clinic, Madrid, Spain.
Javier Romero Otero
Department of Urology, Hospital Universitario HM Sanchinarro, Instituto Investigación Sanitaria HM Hospitales and ROC Clinic, Madrid, Spain.
Andrea Minervini
Unit of Oncologic Minimally Invasive Urology and Andrology, University of Florence, Careggi Hospital, Florence, Italy.
Mattia Lo Re
https://orcid.org/0009-0006-4589-8936
Unit of Oncologic Minimally Invasive Urology and Andrology, University of Florence, Careggi Hospital, Florence; Department of Experimental and Clinical Medicine, University of Florence, Italy.

Background: Premature ejaculation is a sexual dysfunction that can impact both men and women. This study aimed to shed light on this condition within a cohort as extensive as possible.
Materials and methods: We conducted an online open survey, distributed via social media, proposing a questionnaire regarding various aspects including the duration of ejaculatory latency, perceptions of premature or delayed ejaculation, as well as lifestyle and psychological aspects of sexuality. The questionnaire comprised 77 questions for male participants and 16 for female participants, with responses structured on a Likert scale ranging from 1 to 5.
Results: A total of 1300 men and 1197 women participated in the survey, completing the entire questionnaire.The median age (IQR) of male participants was 27 (23-32) years, while that of female participants was 22 (19-35) years. Men reported a median (IQR) ejaculatory latency time of 17 (8-20) minutes during sexual intercourse, compared to 20 (15-20) minutes reported by women. Only 7.5% (98) of men and 5% (60) of women reported an ejaculatory latency time of less than 3 minutes in their last five sexual encounters (p=0.0001). Twelve percent (160) of men believed they consistently experienced premature ejaculation, whereas only 3% (41) of women reported this sensation (p=0.0001). Regarding satisfaction with ejaculatory latency time, 7% of men (85) expressed dissatisfaction, whereas only 2% of women (28) reported the same (p=0.0001). Conversely, only 12% of men (160) considered themselves completely satisfied, compared to 30% of women (358) (p=0.0001).
Conclusions: These analyses highlight a dissonance between male and female perceptions of premature ejaculation, not only in terms of actual intercourse duration but also in terms of psychological perception and sexual well-being. This should suggest a need to increase awareness among the population regarding the contrast between idealized sexual experiences and reality.

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How to Cite

Cocci, A., Pezzoli, M., Lo Giudice , A., Polloni, G., Russo, G. I., Gajo, L., Giunti, D., Di Dio, M., Garcia Gòmez , B., Alonso Isa, M., Fraile Poblador , A., Romero Otero, J., Minervini, A., & Lo Re, M. (2025). Discrepancy between male and female perceptions of ejaculation latency and sexual satisfaction: results from an online open survey. Archivio Italiano Di Urologia E Andrologia, 97(1). https://doi.org/10.4081/aiua.2025.13445
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