Lifelong PE (also called primary PE) and acquired PE (also called secondary PE) are the two subtypes of the condition. Men with lifelong PE describe having PE consistently from the time they first became sexually active. Men with acquired PE have normal ejaculatory function initially, but at some later time in their lives develop PE. It’s important to note that psychological problems can often be the cause of acquired PE while in lifelong PE psychological problems are often the result of the PE.
The baseline definition of PE does not include time of onset of symptoms or information about changes in previously normal ejaculatory latency. Therefore, for clinical purposes, the distinction between lifelong and acquired PE is relatively unimportant. The treatments for lifelong and acquired PE are the same. It has been hypothesized that lifelong PE may be more likely related to an underlying neurophysiological condition, and that acquired PE may be more likely related to stressors such as new sexual partners or interpersonal distress, but these suppositions have not been definitively determined in the medical literature.
This information is not, nor is it intended to be, a substitute for professional medical advice, diagnosis, or treatment, and should never be relied upon for specific medical advice. If you have any questions or concerns, please talk to your doctor.