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- Title
Therapeutic Approaches in Premature Ejaculation.
- Authors
Marcu, Dragos; Bratu, Ovidiu; Spinu, Dan; Oprea, Ioana; Niculae, Andrei; Mischianu, Dan Liviu Dorel
- Abstract
Premature ejaculation is an important sexual dysfunction, with a prevalence rate estimated at approximately 20 to 30%. Despite the fact that many men may complain of premature ejaculation, only a small percentage of them will actually seek medical advice, the majority presenting symptoms similar to premature ejaculation, but with normal intravaginal ejaculatory latency time. Due to continuously research regarding this challenging sexual problem, interesting and effective therapeutical options have emerged over the last 30 years. Many treatment options are now available for patients complaining of premature ejaculation: psychotherapy, behavioral therapy, selective serotonin reuptake inhibitors, phosphodiesterase 5 inhibitors, topical anesthetics, tramadol and surgery. Psychotherapy should be considered the fi rst line treatment for patients with natural variable premature ejaculation and premature like ejaculatory dysfunction, whereas pharmacotherapy should be recommended for patients with lifelong and acquired premature ejaculation. The effi cacy and safety of selective serotonin reuptake inhibitors have been evaluated in numerous studies, making them the fi rst line option in the management of patients with premature ejaculation. Alternatives such as topical anesthetics, tramadol, phosphodiesterase 5 inhibitors and alpha 1 adrenergic antagonist therapy should be considered for the patients with poor results after selective serotonin reuptake inhibitors treatment.
- Subjects
SEXUAL dysfunction; PREMATURE ejaculation; SEROTONIN
- Publication
Medicina Moderna, 2016, Vol 23, Issue 4, p270
- ISSN
1223-0472
- Publication type
Article