early ejaculation difficulties. If the man’s low desire is explained by self-identification as an
asexual, then a diagnosis of male hypoac tive sexual desire disorder is not made. 
Comorbidity
Depression and other ment al disorders, as well as endocr inological factors, are often co-
morbid with male hypoacti ve sexual desire disorder.
Premature (Early) Ejaculation
Diagnostic Criteria 302.75 (F52.4)
A. A persistent or recurrent pattern of ejacul ation occurring during partnered sexual activ-
ity within approximately 1 minute following  vaginal penetration and before the individ-
ual wishes it.
Note: Although the diagnosis of premature (early ) ejaculation may be applied to indi-
viduals engaged in nonvaginal sexual activities, specific duration criteria have not been
established for these activities.
B. The symptom in Criterion A must have been present for at least 6 months and must be
experienced on almost all or all (approximately 75%–100%) occasions of sexual activ-
ity (in identified situational contexts or, if generalized, in all contexts).
C. The symptom in Criterion A causes clinically significant distress in the individual.
D. The sexual dysfunction is not better explained by a nonsexual mental disorder or as a
consequence of severe relationship distress or other significant stressors and is not at-
tributable to the effects of a substance/medication or another medical condition.
Specify whether:
Lifelong:  The disturbance has been present since the individual became sexually active.
Acquired:  The disturbance began after a period of relatively normal sexual function.