Human ejaculation happens in
the orgasmic phase of the human sexual response cycle. Among psychosomatic
ejaculatory disorders that may happen before ejaculation, we present two cases
of preejaculatory illness syndrome. The two cases shared common symptoms of
sympathetic over activity, the sensation of impending death, and muscle atonia
with subsequent failure to ejaculate. Depression, anxiety disorders, and family
histories of psychiatric problems were noticed as risk factors. Medical
conditions that may lead to panic attack type symptoms were eliminated before
the final diagnosis. After the failure of empirical medications, symptoms
became controlled with fluoxetine. Patients reported a recurrence of the
symptoms on trying to stop the prescribed medication. On the last follow-up,
they still take fluoxetine on a regular base with satisfactory sexual life.
...Human ejaculation is the emission of semen to the exterior.
It is a coordinated mechanism of male sexual organs: Prostate, seminal
vesicles, urethra, and pelvic floor muscle.[1] It happens in the
orgasmic phase of the human sexual response cycle.
Although organic ejaculatory problems such as
premature ejaculation, inhibited ejaculation, anejaculation, retrograde
ejaculation, and anorgasmia were reported,[2] we have not found
reported cases of preejaculatory illness syndrome (PEIS).
Psychosomatic ejaculatory disorders may happen
before, during, or after ejaculation. Postorgasmic illness syndrome (POIS) has
been reported as patients may have severe fatigue, intense warmth, and a
flulike state, with generalized myalgia.[3]
To describe one of the psychosomatic abnormalities
that may happen before or during ejaculation disorders, we present two cases of
PEIS...
Full article at: http://goo.gl/9hWewS
By:
Department of
Psychiatry, Ibri Regional Hospital, Ministry of Health, Sultanate of Oman
1Department of Urology, Ibri Regional
Hospital, Ministry of Health, Sultanate of Oman
2Department of Sexual Medicine, Clinique
Beau Soleil à Montpellier, France
Address for correspondence: Dr. Mohamed Mohamed
Elawdy, Department of Urology, Ibri Regional Hospital, Ibri P. O. Box 618,
Sultanate of Oman. E-mail: moc.liamg@ydwalemm
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