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Ejaculatory Disorders

Payam Sazegar, MD Reviewed 06/2022
 


BASICS

DESCRIPTION

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

DIAGNOSIS

Based on a good history. Start by asking if ejaculation occurs before individual wishes OR does not occur following normal stimulation (including masturbation). 

HISTORY

Detailed sexual histor...

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

Often improves with therapy and counseling 

COMPLICATIONS

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

REFERENCES

1
Pastore  A, Palleschi  G, Fuschi  A, et al. Pelvic muscle floor rehabilitation as a therapeutic option in lifelong premature ejaculation: long-term outcomes. Asian ...

ADDITIONAL READING

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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