Abstract
The purpose of this study was to evaluate men presenting with erectile difficulty at a sex therapy clinic. Erectile difficulties are obviously not apparent when these men attend their doctors for referral for help. The patient's own diagnosis is therefore accepted by his GP and requests for treatment are called upon for this condition. However, when these men were allowed to talk at length about their experience of erectile difficulty, many were actually found to be describing advanced premature ejaculation which was underlying their erectile difficulty, and responded successfully to the appropriate treatment for premature ejaculation. The implications of the findings will be discussed with reference to the growing popularity of medical intervention for erectile difficulty, and the paper will conclude by questioning whether enough time is being given to assessment before medical intervention is begun.

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