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    Urinalysis and urine cultures were performed routinely to exclude urinary infections. IELTs before and after treatment were calculated by using a partner-held stopwatch.

    Patients who did not abide to strict stopwatch use during coitus, who changed their sexual partner or whose partner did not agree to participate in the study and patients who did not tolerate the side-effects of tramadol were excluded from the study.

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    All patients signed letters of informed consent. A total of 60 patients were randomly distributed into two groups 30 each. Group A patients were given 100 mg daily of tramadol for 4 weeks and then on request every 2 or 8 h before sexual contact for next 4 weeks.


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    Group B patients were given a placebo tablet for 4 weeks then a placebo on request 2 or 8 h prior to sexual contact for next 4 weeks.

    Subjects were instructed to take study medication 2-8 h before engaging in vaginal intercourse, with an interval between sexual intercourse events of at least 20 h to ensure wash-out of the drug and its effect.

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    Female partners were instructed to time the IELT for each event by using the stopwatch mobile phone stopwatch application and recording the time in a study diary.

    Data were analyzed with descriptive tests and data inference analysis was obtained using the Student t-test.

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  • Tramadol has shown efficacy in PME when used as sporadic basis.
  • The frequency of sexual intercourse and the characteristics of PE are shown in Table 1. The majority of the subjects 68.

    Table 1 Open in a separate window The frequency of sexual intercourse and the characteristics of IELT after treatment are shown in Table 2. Amil H.

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