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Ejaculatory Disorders

Payam Sazegar, MD Reviewed 05/2023
 


BASICS

DESCRIPTION

  • Group of dysfunctions involving altered time and control (premature ejaculation [PE], delayed ejaculation [DE]), presence (anejaculation [AE]), direction (retrograde ejaculation [RE]...

DIAGNOSIS

HISTORY

Detailed sexual history, including: 
  • Time frame of the problem

  • Quality of patient’s sexual response

  • Sense of ejaculatory control and sexual distress

  • Overall assessment of the relationship

  • ...

TREATMENT

GENERAL MEASURES

  • Identifying any medical cause (even if not reversible) helps patient accept condition.

  • Improve partner communication.

  • Psychological counseling for patient and partner

  • Reduce per...

ONGOING CARE

PATIENT EDUCATION

See “General Measures.” 

PROGNOSIS

PE often improves with therapy and counseling 

COMPLICATIONS

Psychological impact on some males: signs of severe inadequacy, self-doubt, ad...

REFERENCES

1
Shindel AW, Althof SE, Carrier S, et al. Disorders of Ejaculation: An AUA/SMSNA Guideline. J Urol. 2022;207(3):504-512.
2
Chen T, Mulloy EA, Eisenberg ML. Medical Treatment of Disorders of E...

CODES

ICD10

  • F52.4 Premature ejaculation

  • N53.11 Retarded ejaculation

  • N53.14 Retrograde ejaculation

  • N53.13 Anejaculatory orgasm

  • F52.8 Oth sexual dysfnct not due to a sub or known physiol cond

  • N53.12 Painful e...

CLINICAL PEARLS

  • If erectile dysfunction is contributing to ejaculatory difficulty, management of erectile dysfunction should precede attempted management of ejaculatory disorders.

  • Medications should al...

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