Last week my office was attended by a young couple (17 years of age) who complained of sexual difficulties. I found myself sitting across the desk from a shy teenage boy and his girlfriend of two months. “I have ED” was his introductory comment. After my initial shock, we settled into a discussion about their sex life and related concerns. As you may have guessed, his erectile dysfunction (ED) was secondary to his premature ejaculation and education was all that was needed.