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The impact of ejaculatory dysfunction upon the sufferer and his partner
1Department and Institute of Psychiatry, Program of Studies in Sexuality (ProSex), Medical School, University of São Paulo (FMUSP), São Paulo, Brazil.
Translational Andrology and Urology
|September 22, 2016
Summary
Ejaculatory dysfunction significantly impacts men and their partners, affecting sexual satisfaction and relationships. Addressing these conditions requires considering psychological, physiological, and relational factors for effective treatment.
Area of Science:
- Reproductive Medicine
- Psychology
- Sociology
Background:
- Ejaculatory disorders, including premature ejaculation (PE) and delayed ejaculation (DE), are often studied in isolation, neglecting the dyadic impact.
- Limited research objectively evaluates the effects of ejaculatory dysfunction on couples, despite partner distress being a motivator for seeking help.
- Existing psychological theories for PE and DE lack robust evidence, often pointing to irrational fear of ejaculation as a common factor.
Purpose of the Study:
- To review the literature on premature ejaculation (PE) and delayed ejaculation (DE), focusing on their impact on individuals and relationships.
- To highlight the psychological, emotional, and relational burdens associated with ejaculatory dysfunction.
- To emphasize the need for a holistic approach integrating physiological, psychobehavioral, cultural, and relationship dimensions in treatment.
Main Methods:
- Literature review focusing on premature ejaculation (PE) and delayed ejaculation (DE).
- Analysis of psychological explanations and their evidence base.
- Examination of the impact on men, partners, and the couple's relationship quality.
Main Results:
- Ejaculatory dysfunction causes significant emotional burden, including shame, low self-esteem, and frustration, affecting intimacy.
- Men with DE report lower sexual satisfaction and coital frequency, similar to other sexual dysfunctions.
- Anxiety disorders and sexual performance anxiety are associated with ejaculatory dysfunction, potentially creating a vicious cycle.
Conclusions:
- Ejaculatory dysfunction negatively impacts both men and their partners, affecting the couple's overall relationship and sexual satisfaction.
- Long-term ejaculatory dysfunction (over a year) increases the risk of depression in affected men.
- Comprehensive treatment strategies must integrate physiological, psychobehavioral, cultural, and relationship factors, considering both individual and partner perspectives.