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Epidemiology of delayed ejaculation.

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Summary

This review clarifies diminished ejaculatory disorders, focusing on delayed ejaculation (DE). It examines causes like benign prostatic hyperplasia (BPH), medications, aging, and hormonal factors impacting male ejaculation.

Keywords:
Testosteroneanejaculationanorgasmiadelayed ejaculation (DE)lower urinary tract symptoms (LUTS)painful ejaculationretrograde ejaculation (RE)thyroid stimulating hormone (TSH)

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Area of Science:

  • Urology
  • Andrology
  • Sexual Medicine

Background:

  • Diminished ejaculatory disorders lack clear definitions, hindering research.
  • Studies often confuse orgasm and ejaculation disorders, yielding unreliable results.
  • Delayed ejaculation (DE) is a key disorder, ranging from latency delays to anejaculation.

Purpose of the Study:

  • To provide a comprehensive overview of the definition and epidemiology of diminished ejaculatory disorders.
  • To explore acquired causes, including benign prostatic hyperplasia (BPH) and iatrogenic factors.
  • To discuss the influence of aging and hormonal milieu on male ejaculation.

Main Methods:

  • Literature review of existing studies on ejaculatory disorders.
  • Focus on acquired conditions and their impact on ejaculation.
  • Analysis of epidemiological data and hormonal influences.

Main Results:

  • Delayed ejaculation (DE) prevalence shows a moderate positive correlation with age.
  • Benign prostatic hyperplasia (BPH) and certain drug regimens are identified as causes.
  • Hormonal factors appear to modulate ejaculatory latency, though evidence is from small trials.

Conclusions:

  • A clear definition is crucial for understanding diminished ejaculatory disorders.
  • Aging, BPH, medications, and hormones are significant factors influencing male ejaculation.
  • Further research is needed to elucidate the precise endocrine control of ejaculation.