Personality Disorders among Patients with Premature Ejaculation Attending In A Tertiary Care Hospital.

Premature ejaculation (PE) is one of the common male sexual dysfunctions with high prevalence rates varying in different studies, while Personality disorders (PDs) occur significantly in the general population, acting as a predisposing factor for other psychiatric disorders. This study was conducted with aims to find the proportion and type of PDs among patients with PE attending in tertiary care hospitals as well as observing any additional variation according to the socio-demographic variables. This observational, cross-sectional study was conducted in the Psychiatric sex clinic (PSC) of the outpatient Department of Bangladesh Medical University (BMU) from May 2017 to September 2019. The assessment of PE was done by applying Premature Ejaculation Diagnostic Tool (PEDT) from consenting male patients. Cases scoring more than or equal to 11 in PEDT and met the inclusion criteria, were accepted. Different types of PDs were determined by using the Structured Clinical Interview for DSM-IV Axis II Disorders (SCID-II questionnaire). PDs were found to be present in 37.1% of patients with PE, Cluster C being predominant among them. Within Cluster C, OCPD (Obsessive-Compulsive Personality Disorder) was the most prevalent type (63.6%), followed by Avoidant (39.4%). Co-occurrence of more than one PD in the same individual was found as 9.1%; 66.3% patients had lifelong premature ejaculation, among which 41.0% of patients with Lifelong PE had PD. There is no significant difference between mean age of the PE patients with PD (35.0±7.9) and without PD (36.0±8.03). Current study reveals almost 97.0% of patients with PE belong to cluster C PD and 41.0% of lifelong PE has PD. There are significant proportions of Personality Disorder among patients who are suffering from Premature Ejaculation, particularly of Cluster C Disorders. OCPD is the commonest among all types of PD, but further study is needed to explore whether there is any direct relationship between PD and PE.