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Retarded ejaculation: A review

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Abstract

Retarded ejaculation is the persistent difficulty or inability to ejaculate despite the presence of adequate sexual desire, erection, and stimulation. The causes of this dysfunction may be organic, i.e., medical illness or drug ingestion (particularly medications with antiadrenergic effects), the result of surgical interventions, or secondary to inhibiting psychological factors. With regard to psychological determinants, fear, guilt, resentment, and passivity have all been implicated, although objective studies are rare. The sexual object choice of men with retarded ejaculation has been reported by several clinicians and investigators to be other than adult members of the opposite sex, while the marital relationship of these males has been considered etiological in other instances. Outcome assessment to date consists mostly of individual case reports or reports on small groups of patients treated without controls. To some extent, routine reliance on longterm traditional therapy has yielded to shorter, symptomatic learning-based treatments. While improved outcomes have been reported, many patients do not respond well. It is not yet possible to objectively predict success or failure. Since it is our impression that this sexual dysfunction is more common than previously assumed (or is increasing in frequency), our present lack of data should soon be remedied.

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References

  • Alexander, F. (1950).Psychosomatic Medicine Norton, New York, pp. 242–243.

    Google Scholar 

  • Barnett, J. (1971). Sex and the obsessive-compulsive person.Med. Asp. Hum. Sex. 5(2): 35–45.

    Google Scholar 

  • Bennett, D. (1961). Treatment of ejaculatio praecox with monoamine-oxidase inhibitors.Lancet 2: 1309.

    Google Scholar 

  • Bergler, E. (1935). Some special varieties of ejaculatory disturbance not hitherto described.Int. J. Psychoanal. 16: 84.

    Google Scholar 

  • Blair, J. H., and Simpson, G. M. (1966). Effects of antipsychotic drugs on reproductive functions.Dis. Nerv. Syst. 27: 645–647.

    PubMed  Google Scholar 

  • Bors, E., and Comarr, A. E. (1960). Neurological disturbances of sexual function with special reference to 529 patients with spinal cord injury.Urol. Surv. 10: 191.

    Google Scholar 

  • Cole, T. (1975). Sexuality in the spinal cord injured. In Green, R. (ed.),Human Sexuality: A Health Practitioner's Text Williams and Wilkins, Baltimore, pp. 147–170.

    Google Scholar 

  • Cooper, A. J. (1968a). A factual study of male potency disorders.Br. J. Psychiat. 114: 719–731.

    Google Scholar 

  • Cooper, A. J. (1968b). “Neurosis” and disorders of sexual potency in the male.J. Psychosom. Res. 12: 141–144.

    PubMed  Google Scholar 

  • Cooper, A. J. (1968c). Hostility and male potency disorders.Comp. Psychiat. 9(6): 621–626.

    Google Scholar 

  • Cooper, A. J. (1969). A clinical study of “coital anxiety” in male potency disorders.J. Psychosom. Res. 13: 143–147.

    PubMed  Google Scholar 

  • Cushman, P. (1972). Sexual behavior in heroin addiction and methadone maintenance.N.Y. State J. Med. 72: 1261–1265.

    PubMed  Google Scholar 

  • Ditman, K. S. (1964). Inhibition of ejaculation by chlorprothixene.Am. J. Psychiat. 120: 1004–1005.

    Google Scholar 

  • Fenichel, O. (1945).The Psychoanalytic Theory of Neurosis Norton, New York, p. 172.

    Google Scholar 

  • Ferenczi, S. (1950). The symbolism of the bridge. In Rickman, J. (compiled by),Theory and Technique of Psychoanalysis Basic Books, New York, pp. 352–56.

    Google Scholar 

  • Friedman, D. (1968). The treatment of impotence by Brietal relaxation therapy.Behav. Res. Ther. 6: 257–261.

    PubMed  Google Scholar 

  • Friedman, M. (1973). Success phobia and retarded ejaculation.Am. J. Psychother. 27: 78–84.

    PubMed  Google Scholar 

  • Gagliardi, F. A. (1976). Ejaculatio retardata.Am. J. Psychother. 30: 85–94.

    PubMed  Google Scholar 

  • Gay, G., and Sheppard, C. (1972). Sex in the “drug culture.”Med. Asp. Hum. Sex. 6(10): 28–50.

    Google Scholar 

  • Green, M., and Berman, S. (1954). Failure of ejaculation produced by Dibenzyline.Conn. Med. 18: 30–33.

    PubMed  Google Scholar 

  • Heath, R. G. (1972). Pleasure and brain activity in man.J. Nerv. Ment. Dis. 154: 3–18.

    PubMed  Google Scholar 

  • Huff, B. B. (comp. ed.) (1976).Physicians' Desk Reference 30th ed., Medical Economics, Inc., Oradell, N.J.

    Google Scholar 

  • Hughes, J. M. (1964). Failure to ejaculate with chlordiazepoxide.Am. J. Psychiat. 121: 610–611.

    PubMed  Google Scholar 

  • Johnson, J. (1965). Prognosis of disorders of sexual potency in the male.J. Psychosom. Res. 9: 195–200.

    PubMed  Google Scholar 

  • Kaplan, A. H., and Abrams, M. (1958). Ejaculatory impotence.J. Urol. 79(6): 964–968.

    PubMed  Google Scholar 

  • Kaplan, H. (1974).The New Sex Therapy Brunner/Mazel, New York.

    Google Scholar 

  • Leiter, E., and Brendler, H. (1967). Loss of ejaculation following bilateral retroperitoneal lymphadenectomy.J. Urol. 98: 375–378.

    PubMed  Google Scholar 

  • Levine, S. B. (1976). Marital sexual dysfunction: Ejaculation disturbances.Ann. Intern. Med. 84(5): 575–579.

    PubMed  Google Scholar 

  • LoPiccolo, J., Stewart, R., and Watkins, B. (1972). Treatment of erectile failure and ejaculatory incompetence of homosexual etiology.J. Behav. Ther. Exp. Psychiat. 3: 233–236.

    Google Scholar 

  • MacLean, P. D.,et al. (1963). Cerebral localization for scratching and seminal discharge.Arch. Neurol. 9: 485–497.

    Google Scholar 

  • Mann, J. (1976). Retarded ejaculation and treatment. Presented at the International Congress of Sexology, Montreal, Canada.

  • Masters, W., and Johnson, V. E. (1966).Human Sexual Response Little, Brown, Boston.

    Google Scholar 

  • Masters, W., and Johnson, V. E. (1970).Human Sexual Inadequacy Little, Brown, Boston.

    Google Scholar 

  • Mintz, J., O'Hare, K., O'Brien, C., and Goldschmidt, J. (1974). Sexual problems of heroin addicts.Arch. Gen. Psychiat. 31: 700–703.

    PubMed  Google Scholar 

  • Moan, C. E., and Heath, R. G. (1972). Septal stimulation for the initiation of heterosexual behavior in a homosexual male.J. Behav. Ther. Exp. Psychiat. 3: 23–30.

    Google Scholar 

  • Munjack, D. (1975). Male inability to climax.Med. Asp. Hum. Sex. 1971(6): 125–126.

    Google Scholar 

  • Munjack, D., Kanno, P., and Oziel, L. (1978). Ejaculatory disorders: Some psychometric data.Psychol. Rep. 43: 783–787.

    PubMed  Google Scholar 

  • Newell, A. G. (1976). A case of ejaculatory incompetence treated with a mechanical aid.J. Behav. Ther. Exp. Psychiat. 7: 193–194.

    Google Scholar 

  • O'Connor, J. F., and Stern, L. O. (1972). Results of treatment in functional sexual disorders.N.Y. State J. Med. 72: 1927–1934.

    PubMed  Google Scholar 

  • Ovesey, L., and Meyers, H. (1968). Retarded ejaculation: Psychodynamics and psychotherapy.Am. J. Psychother. 22: 185–201.

    PubMed  Google Scholar 

  • Razani, J. (1972). Ejaculatory incompetence treated by deconditioning anxiety.J. Behav. Ther. Exp. Psychiat. 3: 65–67.

    Google Scholar 

  • Schellen, T. (1968). Induction of ejaculation by electrovibration.Fertil. Steril. 19(4): 566–569.

    PubMed  Google Scholar 

  • Selikoff, I., and Robitzek, E. H. (1952). Tuberculosis chemotherapy with hydralazine derivatives of isonicotinic acid.Dis. Chest 21: 385–438.

    PubMed  Google Scholar 

  • Silver, J. R. (1975). Sexual problems in disorders of the nervous system: Anatomic and physiologic aspects.Br. Med. J. 3: 480–482.

    PubMed  Google Scholar 

  • Singh, H. (1961). A case of inhibition of ejaculation as a side effect of Mellaril.Am. J. Psychiat. 117: 1041–1042.

    Google Scholar 

  • Talbot, H. S. (1955). The sexual function in paraplegia.J. Urol. 73: 91–100.

    PubMed  Google Scholar 

  • Tuthill, J. F. (1955). Impotence.Lancet 1: 124–128.

    Google Scholar 

  • Whitelaw, G. P., and Smithwick, R. H. (1951). Some secondary effects of sympathectomy with particular reference to disturbance of sexual function.New Engl. J. Med. 245: 121–130.

    PubMed  Google Scholar 

  • Zinsser, H. H. (1975). Sex and medicine. In Freedman, A. M., Kaplan, H. I., and Sadock, B. J. (eds.),Comprehensive Textbook of Psychiatry Williams and Wilkins, Baltimore.

    Google Scholar 

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Authors and Affiliations

  1. Department of Psychiatry, University of Southern California, Graduate Hall, 1935 Hospital Place, 90033, Los Angeles, California, USA

    Dennis J. Munjack M.D. & Pamela H. Kanno B.A.

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  1. Dennis J. Munjack M.D.
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  2. Pamela H. Kanno B.A.
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Munjack, D.J., Kanno, P.H. Retarded ejaculation: A review. Arch Sex Behav 8, 139–150 (1979). https://doi.org/10.1007/BF01541234

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