Tags

Type your tag names separated by a space and hit enter

Standard operating procedures in the disorders of orgasm and ejaculation.
J Sex Med. 2013 Jan; 10(1):204-29.JS

Abstract

INTRODUCTION

Ejaculatory/orgasmic disorders are common male sexual dysfunctions and include premature ejaculation (PE), inhibited ejaculation, anejaculation, retrograde ejaculation, and anorgasmia.

AIM

To provide recommendations and guidelines of the current state-of-the-art knowledge for management of ejaculation/orgasmic disorders in men as standard operating procedures (SOPs) for the treating health care professional.

METHODS

The International Society of Sexual Medicine Standards Committee assembled over 30 multidisciplinary experts to establish SOPs for various male and female sexual medicine topics. The SOP for the management of disorders of orgasm and ejaculation represents the opinion of four experts from four countries developed in a process over a 2-year period.

MAIN OUTCOME MEASURE

Expert opinion was based on grading of evidence-based medical literature, limited expert opinion, widespread internal committee discussion, public presentation, and debate.

RESULTS

PE management is largely dependent upon etiology. Lifelong PE is best managed with PE pharmacotherapy (selective serotonin reuptake inhibitors and/or topical anesthetics). The management of acquired PE is etiology specific and may include erectile dysfunction (ED) pharmacotherapy in men with comorbid ED. All men seeking treatment for PE should receive basic psychosexual education. Graded behavioral therapy is indicated when psychogenic or relationship factors are present and is often best combined with PE pharmacotherapy in an integrated treatment program. Delayed ejaculation, anejaculation, and/or anorgasmia may have a biogenic and/or psychogenic etiology. Men with age-related penile hypoanesthesia should be educated, reassured, and instructed in revised sexual techniques which maximize arousal. Retrograde ejaculation is managed by education, patient reassurance, and pharmacotherapy.

CONCLUSIONS

Additional research is required to further the understanding of the disorders of ejaculation and orgasm.

Authors+Show Affiliations

Australian Centre for Sexual Health, Sydney, Australia. cmcmahon@acsh.com.auNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Review

Language

eng

PubMed ID

22970767

Citation

McMahon, Chris G., et al. "Standard Operating Procedures in the Disorders of Orgasm and Ejaculation." The Journal of Sexual Medicine, vol. 10, no. 1, 2013, pp. 204-29.
McMahon CG, Jannini E, Waldinger M, et al. Standard operating procedures in the disorders of orgasm and ejaculation. J Sex Med. 2013;10(1):204-29.
McMahon, C. G., Jannini, E., Waldinger, M., & Rowland, D. (2013). Standard operating procedures in the disorders of orgasm and ejaculation. The Journal of Sexual Medicine, 10(1), 204-29. https://doi.org/10.1111/j.1743-6109.2012.02824.x
McMahon CG, et al. Standard Operating Procedures in the Disorders of Orgasm and Ejaculation. J Sex Med. 2013;10(1):204-29. PubMed PMID: 22970767.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Standard operating procedures in the disorders of orgasm and ejaculation. AU - McMahon,Chris G, AU - Jannini,Emmanuele, AU - Waldinger,Marcel, AU - Rowland,David, Y1 - 2012/09/12/ PY - 2012/9/14/entrez PY - 2012/9/14/pubmed PY - 2013/7/23/medline SP - 204 EP - 29 JF - The journal of sexual medicine JO - J Sex Med VL - 10 IS - 1 N2 - INTRODUCTION: Ejaculatory/orgasmic disorders are common male sexual dysfunctions and include premature ejaculation (PE), inhibited ejaculation, anejaculation, retrograde ejaculation, and anorgasmia. AIM: To provide recommendations and guidelines of the current state-of-the-art knowledge for management of ejaculation/orgasmic disorders in men as standard operating procedures (SOPs) for the treating health care professional. METHODS: The International Society of Sexual Medicine Standards Committee assembled over 30 multidisciplinary experts to establish SOPs for various male and female sexual medicine topics. The SOP for the management of disorders of orgasm and ejaculation represents the opinion of four experts from four countries developed in a process over a 2-year period. MAIN OUTCOME MEASURE: Expert opinion was based on grading of evidence-based medical literature, limited expert opinion, widespread internal committee discussion, public presentation, and debate. RESULTS: PE management is largely dependent upon etiology. Lifelong PE is best managed with PE pharmacotherapy (selective serotonin reuptake inhibitors and/or topical anesthetics). The management of acquired PE is etiology specific and may include erectile dysfunction (ED) pharmacotherapy in men with comorbid ED. All men seeking treatment for PE should receive basic psychosexual education. Graded behavioral therapy is indicated when psychogenic or relationship factors are present and is often best combined with PE pharmacotherapy in an integrated treatment program. Delayed ejaculation, anejaculation, and/or anorgasmia may have a biogenic and/or psychogenic etiology. Men with age-related penile hypoanesthesia should be educated, reassured, and instructed in revised sexual techniques which maximize arousal. Retrograde ejaculation is managed by education, patient reassurance, and pharmacotherapy. CONCLUSIONS: Additional research is required to further the understanding of the disorders of ejaculation and orgasm. SN - 1743-6109 UR - https://www.unboundmedicine.com/medline/citation/22970767/Standard_operating_procedures_in_the_disorders_of_orgasm_and_ejaculation_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S1743-6095(15)30118-1 DB - PRIME DP - Unbound Medicine ER -