Open AccessPreejaculatory illness syndrome: Two cases of a rare psychosomatic disorder
Author(s) -
A. Mohsen,
Mohamed Mohamed Elawdy,
A. Faix
Publication year - 2016
Publication title -
urology annals
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.355
H-Index - 20
eISSN - 0974-7834
pISSN - 0974-7796
DOI - 10.4103/0974-7796.171492
Subject(s) - medicine , fluoxetine , anxiety , panic , depression (economics) , ejaculation , psychiatry , medical illness , premature ejaculation , psychology , receptor , illness behavior , serotonin , psychoanalysis , economics , macroeconomics
Human ejaculation happens in the orgasmic phase of the human sexual response cycle. Among psychosomatic ejaculatory disorders that may happen before ejaculation, we present two cases of preejaculatory illness syndrome. The two cases shared common symptoms of sympathetic over activity, the sensation of impending death, and muscle atonia with subsequent failure to ejaculate. Depression, anxiety disorders, and family histories of psychiatric problems were noticed as risk factors. Medical conditions that may lead to panic attack type symptoms were eliminated before the final diagnosis. After the failure of empirical medications, symptoms became controlled with fluoxetine. Patients reported a recurrence of the symptoms on trying to stop the prescribed medication. On the last follow-up, they still take fluoxetine on a regular base with satisfactory sexual life.