To prevent ejaculatio praecox (premature ejaculation), attention must be paid to reducing individual risk factors. Behavioral risk factors Drug use Opiates – powerful painkillers such as morphine. Physical activity Physical inactivity Irregular sexual intercourse
Symptoms of ejaculatio praecox include premature ejaculation: Suffering of the man and the partner. The definition of ejaculatio praecox is difficult. There are currently several attempts at definition. Among the most important is the definition about the deviation from “normal values of intravaginal ejaculation latency time (intravaginal ejaculation latency (IELT))”. This describes the time from … Premature Ejaculation (Ejaculatio Praecox): Symptoms, Complaints, Signs
Pathogenesis (development of disease) The exact cause of ejaculatio praecox is not known. It is thought to be a disorder primarily in the neurotransmitter system (system of messenger substances). Serotonin probably plays the leading role, as it has been shown in experiments that increased serotonin levels in the brain raise the ejaculation threshold. Etiology (causes) … Premature Ejaculation (Ejaculatio Praecox): Causes
General measures Aim for normal weight! Determination of BMI (body mass index, body mass index) or body composition by means of electrical impedance analysis and, if necessary, participation in a medically supervised weight loss program or program for underweight. Review of permanent medication due topossible effect on the existing disease! Operative therapy Capping the penile … Premature Ejaculation (Ejaculatio Praecox): Therapy
The following are the most important diseases or complications that can be caused by ejaculatio praecox (premature ejaculation): Genitourinary system (kidneys, urinary tract-genital organs) (N00-N99). Dyspareunia (painful sexual intercourse) in women. Further Lack of fun in sexuality Conflicts in the partnership Renunciation of sexuality
A comprehensive clinical examination is the basis for selecting further diagnostic steps: General physical examination – including blood pressure, pulse, body weight, height; furthermore: Inspection (viewing). Skin and mucous membranes Inspection and palpation (palpation) of the abdomen (belly), inguinal region (groin region) (pressure pain?, knock pain?, release pain?, cough pain?, defensive tension?, hernial orifices?, kidney … Premature Ejaculation (Ejaculatio Praecox): Examination
Ejaculatio praecox is diagnosed on the basis of medical history and physical examination.
Therapeutic target Improvement of the symptomatology Therapy recommendations Psychotherapy or behavioral therapy should be performed in any case before the use of medication For symptomatic therapy, the following groups of agents are used: Antihypotensives (drugs used to treat hypotensive circulatory disorders); 30 min before ejaculation; for retrograde ejaculation. Antidepressants: SSRI (selective serotonin reuptake inhibitor); take … Premature Ejaculation (Ejaculatio Praecox): Drug Therapy
Ejaculatio praecox is diagnosed on the basis of history and physical examination.
Medical history (history of illness) represents an important component in the diagnosis of ejaculatio praecox (premature ejaculation). Family history Social history Is there any evidence of psychosocial stress or strain due to your family situation? Current medical history/systemic history (somatic and psychological complaints). How do you have intercourse? How long does it take you to … Premature Ejaculation (Ejaculatio Praecox): Medical History
Genitourinary system (kidneys, urinary tract-genital organs) (N00-N99). Spermatorrhea – uncontrolled discharge of semen.
