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Ejaculatory Disorders

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Contemporary Treatment of Erectile Dysfunction

Part of the book series: Contemporary Endocrinology ((COE))

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Abstract

Ejaculation is a highly integrated process that involves both the sympathetic and parasympathetic neural pathways. Numerous studies reveal that ejaculatory dysfunction is a common disorder and the source of significant bother for many of those affected. Ejaculatory dysfunction comprises several different, more specific abnormalities including: premature ejaculation, inhibited ejaculation (consisting of delayed and absent ejaculation), and painful ejaculation. The evaluation of affected patients should include a comprehensive medical history, physical examination, and laboratory testing. Numerous therapeutic options are available to treat ejaculatory disorders, with many of these leading to marked improvement in patients’ symptoms and associated bother.

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Author information

Authors and Affiliations

  1. Department of Urology/Sexual Medicine, Park Nicollet Health Partners, 6600 Excelsior Blvd, Suite 181, Saint Louis Park, MN, 55426, USA

    Michael J. Butcher DO

  2. Department of Urology, Northwestern Memorial Hospital, Galter Pavilion, Suite 20-150, 675 North Saint Clair Street, Chicago, IL, 60611, USA

    Robert E. Brannigan MD

Authors
  1. Michael J. Butcher DO
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  2. Robert E. Brannigan MD
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Correspondence to Michael J. Butcher DO .

Editor information

Editors and Affiliations

  1. Southern Illinois University School of Medicine, Springfield, Illinois, USA

    Tobias S. Köhler

  2. Division of Urology Department of Surgery, Southern Illinois University School of Medicine Hospital Affiliates, Springfield, Illinois, USA

    Kevin T. McVary

Appendices

Appendices

Appendix 25.1

Algorithm of Disordered Ejaculation in Men. ψ = See Collaboration of Clinician and Sexual Therapist (Appendix 25.2). * = Medications in Table 25.3 can be tried in treatment of Retrograde Ejaculation (see Table 25.3). ^ = If patient on SSRI consider use of SSRI Antidote types of medications (see Table 25.3). † = Medications in Table 3 can be used for Prolactin abnormalities (see Table 25.3).

(Used with permission from Sadowski DJ, Butcher MJ, Kohler TS. Delayed Ejaculation: Medical and Psychological treatments and Algorithms. Current Sexual Health Reports. September 2015; 7(3): 170–179. Created using data in Rowland D, McMahon CG, Abdo C, Chen J, Jannini E, Waldinger MD, et al. Disorders of orgasm and ejaculation in men. The journal of sexual medicine. 2010;7(4 Pt 2):1668–86.)

Appendix 25.2

Collaboration of Clinician and Sexual Therapist (Used with permission from Sadowski DJ, Butcher MJ, Kohler TS. Delayed Ejaculation: Medical and Psychological treatments and Algorithms. Current Sexual Health Reports. September 2015; 7(3): 170–179. Created using data from Perelman, MA. Delayed ejaculation in: Principles and practice of sex therapy. Fifth edition. Binik YM, Hall KSK. (eds). New York, NY: The Guilford Press; 2014. 138–55.)

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Butcher, M.J., Brannigan, R.E. (2016). Ejaculatory Disorders. In: Köhler, T., McVary, K. (eds) Contemporary Treatment of Erectile Dysfunction. Contemporary Endocrinology. Humana Press, Cham. https://doi.org/10.1007/978-3-319-31587-4_25

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