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. 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, 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.
To describe one of the psychosomatic abnormalities that may happen before or during ejaculation disorders, we present two cases of PEIS...
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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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