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The office management of ejaculatory disorders
1Division of Basic Medical Research, Department of Medical Education and Research, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan;; School of Medicine, National Yang-Ming University, Taipei, Taiwan.
Translational Andrology and Urology
|September 22, 2016
Summary
Ejaculatory disorders like premature ejaculation are common but undertreated. Effective management requires a holistic, etiology-specific approach, including patient education and partner involvement, with dapoxetine as a key treatment option.
Area of Science:
- Urology
- Andrology
- Sexual Medicine
Background:
- Ejaculatory disorders (EjDs), including premature ejaculation (PE), delayed ejaculation (DE), anejaculation (AE), and retrograde ejaculation (RE), are prevalent clinical issues.
- These conditions are frequently underdiagnosed and undertreated, highlighting a gap in patient care.
- Integrating sexual health discussions into routine primary care is crucial for early detection and management.
Purpose of the Study:
- To emphasize the importance of addressing ejaculatory disorders in clinical practice.
- To outline the multifactorial nature and etiology-specific management of EjDs.
- To highlight critical factors for optimizing the treatment outcomes of PE, particularly with dapoxetine.
Main Methods:
- Review of clinical observations regarding the prevalence and management of EjDs.
- Discussion of the role of primary care physicians in diagnosing and treating EjDs.
- Analysis of treatment strategies for PE, including the use of dapoxetine.
Main Results:
- EjDs are common but often overlooked, necessitating proactive clinical engagement.
- Management requires a holistic, etiology-specific approach tailored to individual patient needs.
- Dapoxetine is the sole approved medication for on-demand PE treatment.
Conclusions:
- Primary care physicians play a vital role in improving EjD diagnosis and treatment rates.
- Optimal management of PE involves a comprehensive strategy including patient education, partner involvement, and appropriate pharmacotherapy like dapoxetine.
- Addressing the multifactorial causes of EjDs is key to successful patient outcomes.