Delayed orgasm and anorgasmia

Jenkins, Lawrence C.; Mulhall, John P.

doi:10.1016/j.fertnstert.2015.09.029

Cited by 63 publications

(51 citation statements)

References 50 publications

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“…Delayed orgasm or anorgasmia, however transient, may ultimately be at fault. Secondary orgasm dysfunction, resulting later in life, may be due to selective serotonin reuptake inhibitors, hyperprolactinemia, chronic penile stimulation, or psychogenic/situational reasons (Jenkins & Mulhall, 2015). This result underscores the importance of a sexual history intake during the couple's initial evaluation for infertility.…”

Section: Discussionmentioning

confidence: 97%

Inability to Obtain Sperm for Fresh IVF Cycles: Analysis and Incidence of Outcomes Using a National Database

Berger¹,

Raup²,

Ghayda³

et al. 2020

Preprint

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Background: Azoospermia is present in 10% of men presenting with infertility and surgical sperm retrieval rates for men with azoospermia due to spermatogenic dysfunction remain low. We investigated the incidence of failed fresh IVF cycles due to inability to obtain sperm and describe predictors for subsequent IVF. Methods: A national IVF database was used to identify fresh IVF cycles in which there was failure to obtain sperm. Patient linkage was utilized to determine outcomes of subsequent IVF. Results: 243,291 fresh IVF cycles were identified; 719 (0.3%) listed "inability to obtain sperm" as reason for embryo non-transfer. Male infertility was a factor in 537 (75%) and ejaculation was the most common anticipated sperm source (414, 57%). 713 (99.2%) cycles resulted in retrieved oocytes, but only 627 (87.2%) cryopreserved. 265 (37%) of couples underwent subsequent IVF. On multivariable analysis, lack of initial oocyte cryopreservation (OR 0.34, p=0.01) and male infertility (OR 0.14, p=0.01) were associated with having no subsequent cycles. Partner sperm was used in 213 (80%) second cycles and sperm retrieval method was largely conserved (181/213, 85%). Embryos were transferred in 186 (70%) second cycles. Failed embryo transfers were due to repeat inability to obtain sperm in 5 (6%) cycles. Conclusions: Failure to obtain sperm during fresh IVF is rare, but fresh IVF cycles should be undertaken with caution.

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Section: Discussionmentioning

confidence: 97%

Inability to Obtain Sperm for Fresh IVF Cycles: Analysis and Incidence of Outcomes Using a National Database

Berger¹,

Raup²,

Ghayda³

et al. 2020

Preprint

View full text Add to dashboard Cite

show abstract

“…The first consideration should be to discontinue any medications, such as SSRIs, that could be contributing. It is good practice to work with the physician prescribing the medication and have them coordinate a drug holiday, cessation, or substitution [65]. Cabergoline, a dopamine agonist, has been used off-label in the treatment of anorgasmia.…”

Section: Anorgasmia/anejaculationmentioning

confidence: 99%

Ejaculatory and Orgasmic Dysfunction Following Prostate Cancer Therapy: Clinical Management

2019

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The majority of sexual health research has focused on erectile dysfunction following prostate cancer treatment. Ejaculatory and orgasmic dysfunction are significant side effects following the treatment of prostate cancer. Orgasmic dysfunction covers a range of issues including premature ejaculation, anorgasmia, dysorgasmia, and climacturia. This review provides an overview of prevalence and management options to deal with orgasmic dysfunction. A Medline Pubmed search was used to identify articles relating to these problems. We found that orgasmic dysfunction has a very large impact on patients’ lives following prostate cancer treatment and there are ways for physicians to treat it. Management of patients’ sexual health should be focused not only on erectile dysfunction, but on orgasmic dysfunction as well in order to ensure a healthy sexual life for patients and their partners.

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“…Основной диагностический критерий -потеря удовольствия [16]. Различные симптомы данного состояния описаны многими авторами [15][16][17][18][19][20][21]. Ощущения, испытываемые пациентами, варьируют в широком диапазоне -от «нечувствительности, бесчувствия» до «отвращения».…”

Section: Introductionunclassified

Clinical and psychopathological features of orgasmic anhedonia in men

Ягубов

Kan

Кибрик

2019

Androl. genit. hir.

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В статье рассмотрены клинико-психопатологические особенности оргазмических дисфункций у мужчин при сохранении феномена эякуляции: представлены результаты анализа данных научной литературы по этой проблеме, описаны современные принципы диагностики таких состояний в рамках различных психических расстройств, клинические варианты их течения, принципы и тактика лечебно-реабилитационных мероприятий с учетом структуры психической и сексуальной патологии.

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Delayed orgasm and anorgasmia

Cited by 63 publications

References 50 publications

Inability to Obtain Sperm for Fresh IVF Cycles: Analysis and Incidence of Outcomes Using a National Database

Inability to Obtain Sperm for Fresh IVF Cycles: Analysis and Incidence of Outcomes Using a National Database

Ejaculatory and Orgasmic Dysfunction Following Prostate Cancer Therapy: Clinical Management

Clinical and psychopathological features of orgasmic anhedonia in men

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