How can a couple in which the man is unable to control his ejaculation be defined? This situation is the "asynchronous" couple in which quantitative sex is still possible, but the quality of sexual relationship is lost. We have, obviously, a much more scientific and evidence-based definition of premature ejaculation (PE), which will be used throughout this special issue of the Journal of Sexual Medicine. However, for practicing clinicians who are dealing with patients' perceptions, the translation of the technical term "PE" as sexual asynchrony would be an efficient way to understand this particular dysfunctional couple.After Masters and Johnson [1], we learned to consider, irrespective of who is the symptomatic partner, the couple as the real patient of any sexual dysfunction. However, for PE, there is something beyond this consideration and more specific. Although the lost control over the mechanism of ejaculation is to be considered-objectively-a male symptom, this unique male symptom is almost completely female-related or paitner-related. Thus, the asynchronous couple is one where the man ejaculates prematurely with respect to the physiology of the pleasure of their partner
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