Rapid ejaculation Flashcards
1
Q
Definition
A
ICD: The inability to control ejaculation sufficiently for both partners to enjoy sexual interaction
DSM: A persistent or recurrent pattern of ejaculation occurring during partnered sexual activity within approximately 1 minute following vaginal penetration and before the person wishes it.
2
Q
Risk factors
A
- genetic predisposition
- obesity
- emotional stress
- history of traumatic sexual experiences
- medication and recreational drugs
- prostatitis
- MS
- thyroid disorders
- varicocele
3
Q
Physiological causes
A
- Genetic susceptibility (Neuroreceptor sensitivity)
- Penile hypersensitivity
- Hyperthyroidism
- Prostatitis
- Co-morbid sexual problems e.g. ED
- Sympathomimetic medication
4
Q
Psychological causes
A
- Anxiety states
- Early learned experiences
- Lack of experience/infrequent sexual activity
- Psychosocial and environmental factors
- Relationship issues
- Partner issues e.g. pain
5
Q
Sexual Treatment
A
More frequent sex/masturbation
Using a condom
Sex with the women on top
6
Q
Medical treatment
A
Topical local anaesthetic (e.g. stud 100 spray, lidocaine gel)
Dapoxetine (SSRI)
7
Q
Behavioural interventions
A
Stop/start technique & Sensate Focus
Practice ‘point of inevitability’
Kegel exercises
8
Q
Therapy
A
Couple psychotherapy (MANAGE PARTNER EXPECTATION)
