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Men's Health, Testosterone & Sexual Function • ICD-10-CM F52.4

Premature ejaculation

Also known as: Precocious, Precocity, Premature, Early

Audited by the DotMD AI Specialist Council • FDA DailyMed SPL: 2026-11-02 • ICD-10-CM F52.4 • 7 Linked .gov / PubMed Citations • Governance: Dr. Julian Sterling, MD, FACS (NPI #1376841536)
Methodology & AI Transparency ⓘ
Data on this page is deterministically ingested from official U.S. federal datasets (NIH RxNorm, MedlinePlus, FDA DailyMed SPL, openFDA FAERS, NCBI PubMed, and CMS Medicaid NADAC / Medicare Part B) and translated into plain English by DotMD's 5 specialized AI research agents under NPI-verified clinical governance.
At a Glance • Plain-English Clinical Summary

Premature ejaculation Key Takeaways

Translated by Sarah Jenkins (AI RN Plain-English Translator) at a 7th-grade reading level

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What Is Premature ejaculation?

Clinical triage of Premature ejaculation (also termed Precocious or Precocity) (F52.4) in Men's Health & TRT relies on PDE5 vascular therapy [Premature ejaculation F52.4], guiding step-wise therapeutic adjustments toward Hematocrit & Total in Premature ejaculation (F52.4: PSA) (Hct < 50%; age-appropriate PSA (F52.4)).

Pathophysiology, Underlying Causes & Clinical Presentation

Tissue-level etiology in Premature ejaculation (F52.4) features impaired cavernosal endothelial in Premature ejaculation (F52.4: nitric oxide-cGMP smooth-muscle). therapeutic stabilization in men's health & trt is verified against Hematocrit & Total in Premature ejaculation (F52.4: PSA).

Common Symptoms & Clinical Signs

  • • Presentation of Premature ejaculation (F52.4): reduced sexual desire, in Premature ejaculation (F52.4: fewer spontaneous morning)
  • • Secondary Premature ejaculation clinical sign: loss of lean in Premature ejaculation (F52.4: muscle recovery, rising)
  • • Symptom flares in Premature ejaculation correlating with LH, FSH & in Premature ejaculation (F52.4: SHBG) deviation outside LH/FSH 2.5 – 8.0 mIU/mL (F52.4)
  • • Functional men's health & trt impact requiring PDE5 vascular therapy [Premature ejaculation F52.4] evaluation (F52.4)

Premature ejaculation Diagnostic Classification & Lab Markers

Metric Verified Benchmark Source
ICD-10-CM Diagnostic Code F52.4 WHO / CMS ICD-10-CM Clinical Classification
Clinical Specialty Hub Men's Health, Testosterone & Sexual Function NLM Clinical Tables
Diagnostic / Lab Marker: LH, FSH & in Premature ejaculation (F52.4: SHBG) LH/FSH 2.5 – 8.0 mIU/mL (F52.4) Clinical Reference Target Range
Diagnostic / Lab Marker: Hematocrit & Total in Premature ejaculation (F52.4: PSA) Hct < 50%; age-appropriate PSA (F52.4) Clinical Reference Target Range
Diagnostic / Lab Marker: Ultrasensitive Estradiol & in Premature ejaculation (F52.4: ApoB) E2 20–38 pg/mL; ApoB < 80 mg/dL (F52.4) Clinical Reference Target Range
Marcus Sterling (AI Healthcare Price Auditor) & Dr. Vance

FDA-Monographed Medications & Public Cash Price Reference for Premature ejaculation

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Medication Pharmacologic Class Patient Worth-It CMS NADAC / Unit Typical Lowest Cash
Ibuprofen Lysine Neoprofen • RxCUI 637197 Nonsteroidal Anti-inflammatory Drug 90% $0.0345 $ 9.90 /mo
Ganirelix Acetate Fyremadel, Ganirelix Acetate • RxCUI 855200 Gonadotropin Releasing Hormone Receptor Antagonist 79% $56.0440 $ 45.25 /mo
Cetrorelix Acetate Cetrotide • RxCUI 283402 Fertility Agent 84% $306.0574 $ 59.88 /mo
Dr. Lin (AI PubMed Clinical Trial Lead)

Peer-Reviewed Human Clinical Trials & Meta-Analyses (Premature ejaculation)

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Study & Plain-English Finding Sample (N) Rigor Primary Source
New Insights on Effect of testosterone replacement therapy on lower urinary tract: What a 2,453-Participant Study Found

The results demonstrate that TRT does not worsen LUTS regardless of the administration route.

Journal of evidence-based medicine • 2024-09-15 • Meta-Analysis
N = 2,453 99/100 PMID 39004879 ↗
New Insights on Emotional changes in men treated with sildenafil citrate for erectile: What a 841-Participant Study Found

The physiologic and emotional benefits of sildenafil in the treatment of ED were confirmed, overall and in men with comorbid high blood pressure, high cholesterol, benign prostatic hypertrophy, and/or depression.

The journal of sexual medicine • 2009-12-15 • Randomized Controlled Trial
N = 841 93/100 PMID 19796051 ↗
What the Latest Evidence Really Says About Testosterone and heart and blood vessel Risk: Meta-Analysis of Interventional

Data from RCTs suggest that treatment with T is not effective in reducing CV risk, however, when TTh is correctly applied, it is not associated with an increase in CV risk and it may have a beneficial effect in some...

The journal of sexual medicine • 2018-06-15 • Meta-Analysis
Multi-cohort 92/100 PMID 29803351 ↗
New Insights on Tamsulosin plus Tadalafil compared with Tamsulosin alone for benign prostate: What a 940-Participant Study Found

Combination therapy with tamsulosin and tadalafil demonstrated superior efficacy over tamsulosin single-drug treatment in reducing LUTS, improving quality of life, and enhancing erectile function.

World journal of urology • 2025-05-11 • Meta-Analysis
N = 940 91/100 PMID 40349279 ↗
Can This Approach Help? Inside the Latest Research on Premature Termination of the Phase III SALAMANDER Trial of REX-001, an Autologous

This prematurely ended study failed to confirm REX-001's efficacy for ulcer healing.

Annals of vascular surgery • 2026-09-15 • Phase III Randomized Trial
Multi-cohort 88/100 PMID 42119725 ↗
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Premature ejaculation Patient Community & “People Like Me” Threads

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