The Complex Etiology of Delayed Ejaculation

2019 ◽  
pp. 92-106
Author(s):  
Sallie Foley ◽  
Nancy Gambescia
Keyword(s):  
Delayed Ejaculation

scholarly journals The Potential Associations of Pornography Use with Sexual Dysfunctions: An Integrative Literature Review of Observational Studies

2019 ◽  
Vol 8 (7) ◽  
pp. 914 ◽  
Author(s):  
Aleksandra Diana Dwulit ◽  
Piotr Rzymski
Keyword(s):  
Sexual Satisfaction ◽  
Observational Studies ◽  
Case Reports ◽  
Future Research ◽  
Sexual Dysfunctions ◽  
Cross Sectional ◽  
Delayed Ejaculation ◽  
Confounding Variables ◽  
Pornography Use ◽  
Existing Data

This paper reviews the associations between pornography use and sexual dysfunction based on evidence from observational studies. The existing data in this regard mostly derive from cross-sectional investigations and case reports. There is little if no evidence that pornography use may induce delayed ejaculation and erectile dysfunction, although longitudinal studies that control for confounding variables are required for a full assessment. The associations between pornography use and sexual desire may differ between women and men although the existing data is contradictory and causal relationships cannot be established. The strongest evidence is available for the relation of pornography use with decreased sexual satisfaction, although the results of prospective studies are inconsistent. The paper outlines future research prospects beneficial in understanding the nature of associations between pornography use and sexual dysfunctions in men and women.

scholarly journals Premature and delayed ejaculation: two ends of a single continuum influenced by hormonal milieu

2011 ◽  
Vol 34 (1) ◽  
pp. 41-48 ◽  
Author(s):  
G. Corona ◽  
E. A. Jannini ◽  
F. Lotti ◽  
V. Boddi ◽  
G. De Vita ◽  
...  
Keyword(s):  
Delayed Ejaculation ◽  
Hormonal Milieu

scholarly journals Systematic review and meta-analysis for the value of thyroid disorder screening in men with ejaculatory dysfunction

2021 ◽  
Author(s):  
Ahmet Cihan ◽  
Ahmet Adil Esen
Keyword(s):  
Clinical Studies ◽  
Meta Analysis ◽  
Thyroid Stimulating Hormone ◽  
Synthesis Methods ◽  
Thyroid Disorders ◽  
Thyroid Disorder ◽  
Eligibility Criteria ◽  
Delayed Ejaculation ◽  
Ejaculatory Dysfunction ◽  
Serum Tsh

Abstract Objective: To demonstrate evidence from available clinical studies to clarify the scientific points that have been achieved in relation to thyroid disorders and ejaculatory dysfunction. Data sources: Clinical trial articles published in English on Medline. Eligibility criteria: Clinical studies that investigated the association of thyroid disorders with the ejaculatory function of subjects and the trials evaluating the effect of thyroid dysfunction treatment on the ejaculatory function of the subjects were eligible. Synthesis methods: We searched Medline with “ejaculation” and different combinations of “thyroid,” “serum TSH,” “serum T3,” “serum T4” keywords in PubMed. Results: Standardized mean serum thyroid-stimulating hormone (TSH) levels in premature ejaculation (PE) sufferers differed from non-PE control subjects (p=.05). Hyperthyroidism was associated with increased odds among PE subjects (OR=2.0, p=.03). Delayed ejaculation was seen with increased odds in hypothyroid patients compared with hyperthyroidism patients (OR=57, p=.0001). Serum TSH and mean intra-vaginal ejaculation latency time (IELT) of the subjects showed a correlation both before and after treatment for thyroid disorder. Treatment of thyroid disorders improved the mean IELT measures of the subjects. The overall estimate of the effect of hyperthyroidism treatment on mean IELT was .64 (p=.0001) in the random-effects model. Limitations: The low quality and quantity of evidence from available studies limited the interpretation of our study findings. Conclusions: The causal relationship between ejaculatory dysfunction and thyroid disorders remains to be clarified. Sufferers of delayed ejaculation acquired PE subjects, and PE sufferers who have accompanying erectile dysfunction and/or anxiety may benefit from thyroid disorder investigation.

Male Sexual Function and Dysfunction (DRAFT)

2018 ◽  
Author(s):  
Jeffrey A. Albaugh
Keyword(s):  
Erectile Dysfunction ◽  
Sexual Dysfunction ◽  
Sexual Function ◽  
Premature Ejaculation ◽  
Lifestyle Modification ◽  
Treatment Options ◽  
Hypoactive Sexual Desire Disorder ◽  
Delayed Ejaculation ◽  
Male Sexual Function ◽  
Desire Disorder

Sexual dysfunction is a common and frustrating problem in men that is often under reported and under treated. Sexual dysfunction issues identified by men may include hypoactive sexual desire disorder/lack of libido, premature ejaculation, delayed ejaculation, erectile dysfunction and/or Peyronie’s disease. This chapter covers information on how normal sexual function occurs and some of the etiologic factors leading to sexual dysfunction. Understanding each individual patient and their goals for sexual health can lead to identifying and addressing sexual issues effectively. Information is provided about some of the traditional medical treatment options typically used to treat men with common sexual problems. In addition, some lifestyle modification and psychological approaches to treating sexual dysfunction are discussed.

scholarly journals Delayed Ejaculation After Lumbar Spine Surgery: A Claims Database Analysis

2020 ◽  
pp. 219256822096243
Author(s):  
Hriday P. Bhambhvani ◽  
Alex M. Kasman ◽  
Chiyuan A. Zhang ◽  
Serena S. Hu ◽  
Michael L. Eisenberg
Keyword(s):  
Lumbar Spine ◽  
Spine Surgery ◽  
Interbody Fusion ◽  
Lumbar Fusion ◽  
Multivariable Analysis ◽  
Thoracolumbar Spine ◽  
Lumbar Spine Surgery ◽  
Lumbar Interbody Fusion ◽  
Delayed Ejaculation ◽  
Institutional Experience

Study Design: Retrospective cohort. Objectives: Delayed ejaculation (DE) is a distressing condition characterized by a notable delay in ejaculation or complete inability to achieve ejaculation, and there are no existing reports of DE following lumbar spine surgery. Inspired by our institutional experience, we sought to assess national rates of DE following surgery of the lumbar spine. Methods: We queried the Optum De-identified Clinformatics Database for adult men undergoing surgery of the lumbar spine between 2003 and 2017. The primary outcome was the development of DE within 2 years of surgery. Multivariable logistic regression was performed to identify factors associated with the development of DE. Results: We identified 117 918 men who underwent 162 646 lumbar spine surgeries, including anterior lumbar interbody fusion (ALIF), posterior lumbar fusion (PLF), and more. The overall incidence of DE was 0.09%, with the highest rate among ALIF surgeries at 0.13%. In multivariable analysis, the odds of developing DE did not vary between anterior/lateral lumbar interbody fusion, PLF, and other spine surgeries. A history of tobacco smoking (OR = 1.47, 95% CI 1.00-2.16, P = .05) and obesity (OR = 1.56, 95% CI 1.00-2.44, P = .05) were associated with development of DE. Conclusions: DE is a rare but distressing complication of thoracolumbar spine surgery, and patients should be queried for relevant symptoms at postoperative visits when indicated.

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