Preejaculatory illness syndrome: Two cases of a rare psychosomatic disorder

Urology Annals
Adel MohsenAntoine Faix

Abstract

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.

References

Jun 1, 1968·Journal of Psychosomatic Research·M Pines
Apr 1, 1994·British Journal of Urology·J M Gil-VernetJ M Gil-Vernet
May 9, 2002·Journal of Sex & Marital Therapy·Marcel D Waldinger, Dave H Schweitzer
Apr 15, 2010·The Journal of Sexual Medicine·David RowlandTai Young Ahn

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