Standard operating procedures in the disorders of orgasm and ejaculation

Area of Science:

• Male Sexual Health
• Urology
• Sexual Medicine

Background:

• Ejaculatory and orgasmic disorders are prevalent male sexual dysfunctions.
• These conditions encompass premature ejaculation (PE), inhibited ejaculation, anejaculation, retrograde ejaculation, and anorgasmia.

Purpose of the Study:

• To establish standard operating procedures (SOPs) for healthcare professionals managing male ejaculation/orgasmic disorders.
• Provide current, state-of-the-art recommendations and guidelines.

Main Methods:

• A multidisciplinary expert committee from the International Society of Sexual Medicine developed the SOPs.
• The process involved 2 years of expert opinion, evidence-based literature review, and committee discussions.

Main Results:

• Premature ejaculation (PE) management is etiology-dependent; lifelong PE benefits from pharmacotherapy (SSRIs, topical anesthetics).
• Acquired PE treatment is specific to the cause, potentially including erectile dysfunction (ED) pharmacotherapy.
• Delayed ejaculation, anejaculation, and anorgasmia management addresses biogenic and/or psychogenic factors. Retrograde ejaculation is managed via education, reassurance, and pharmacotherapy.

Conclusions:

• Further research is needed to deepen the understanding of ejaculation and orgasm disorders.
• The established SOPs provide a framework for clinical management.