Retarded ejaculation in homosexual patients: A report of nine cases

Wilensky, Marshall; Myers, Michael F.

doi:10.1080/00224498709551343

Cited by 12 publications

(5 citation statements)

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“…The disorder is relatively rare in men, occurring in approximately 3% to 8% of clinic samples [14,20]. A higher prevalence rate (10%-15%) has been reported among homosexual males [30]. Delayed or absent ejaculation may be associated with a variety of medical or surgical conditions (eg, multiple sclerosis, spinal cord injury, surgical prostatectomy), or the use of anti-adrenergic or neuroleptic medications [31,32].…”

Section: Orgasmic Disordersmentioning

confidence: 99%

Prevalence and risk factors of sexual dysfunction in men and women

Rosen¹

2000

Curr Psychiatry Rep

336

175

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Sexual dysfunctions are highly prevalent, affecting about 43% of women and 31% of men. Hypoactive sexual desire disorder has been reported in approximately 30% of women and 15% of men in population-based studies, and is associated with a wide variety of medical and psychologic causes. Sexual arousal disorders, including erectile dysfunction in men and female sexual arousal disorder in women, are found in 10% to 20% of men and women, and is strongly age-related in men. Orgasmic disorder is relatively common in women, affecting about 10% to 15% in community-based studies. In contrast, premature ejaculation is the most common sexual complaint of men, with a reporting rate of approximately 30% in most studies. Finally, sexual pain disorders have been reported in 10% to 15% of women and less than 5% of men. In addition to their widespread prevalence, sexual dysfunctions have been found to impact significantly on interpersonal functioning and overall quality of life in both men and women.

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Section: Orgasmic Disordersmentioning

confidence: 99%

Prevalence and risk factors of sexual dysfunction in men and women

Rosen¹

2000

Curr Psychiatry Rep

336

175

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“…The disorder is relatively rare, occurring in approximately 3% to 8% of clinical samples (Hawton, 1982;Renshaw, 1988;Spector & Carey, 1990). A higher prevalence rate (10% to 15%) has been reported among homosexual men (Wilensky & Myers, 1987). Delayed or absent ejaculation may be associated with a variety of medical or surgical conditions (e.g., multiple sclerosis, spinal cord injury, surgical prostatecomy), or the use of antiadrenergic or neuroleptic medications (Rosen, 1991;Segraves, 1989).…”

Section: Male Orgasmic Disordersmentioning

confidence: 99%

Treatment of sexual disorders in the 1990s: An integrated approach.

Rosen¹,

Leiblum²

1995

Journal of Consulting and Clinical Psychology

130

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Marked changes have occurred in the formulation and treatment of sexual disorders in the past 2 decades. Emphasis has shifted to the role of biomedical and organic factors in the etiology of sexual dysfunction, along with the growing use of medical and surgical treatment interventions. Multidimensional assessment models are widely used, particularly in the evaluation of male erectile dysfunction and sexual pain disorders. Integrated treatment approaches have also been developed, as cognitive-behavioral and couples' therapy procedures are increasingly combined with traditional sex therapy techniques. This article reviews existing data regarding the etiology and treatment of male and female sexual dysfunctions. Despite the conceptual and technological sophistication of current approaches, treatment outcome is less than satisfactory in several areas. Further research is needed on the etiology and treatment of sexual disorders.

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“…17 Sex therapy, as well as conjoint couples therapy and individual psychodynamically-oriented psychotherapy, was an approach described by Wilensky and Myers in a case series, consisting of nine cases. 18 In their 1987 publication on male homosexual patients, the authors described an incidence of delayed ejaculation of 12.5% (9/72) and they concluded that delayed ejaculation was only one of a constellation of symptoms that required a biopsychosocial approach, not a symptom-based approach. They reported resolution of symptoms in one-third of patients, with another third of patients making progress with masturbation training but progressing less well with partner sex, and the final third had minimal or no improvement.…”

Section: Narrative Summary and Discussionmentioning

confidence: 99%

“…They reported resolution of symptoms in one-third of patients, with another third of patients making progress with masturbation training but progressing less well with partner sex, and the final third had minimal or no improvement. 18 Before any pharmacological approaches are described in the literature, in 1992, Gellman and Gellman-Barroux described the management of delayed ejaculation and psychogenic ejaculation from 220 cases treated between 1973 and 1992. 19 They had built upon all the abovedescribed management techniques, including mechanical treatment (vibration stimulation), behavioural and cognitive therapy (relaxation, couples therapy) and psychotherapy (when the problem was caused by dysfunctions in desire) and had described a therapeutic approach in several stages, in the most severe cases, developing an awareness of subconscious defences; rehabilitation and relaxation and intervention at the couples level.…”

Section: Narrative Summary and Discussionmentioning

confidence: 99%

“…Sex therapy, as well as conjoint couples therapy and individual psychodynamically‐oriented psychotherapy, was an approach described by Wilensky and Myers in a case series, consisting of nine cases 18 . In their 1987 publication on male homosexual patients, the authors described an incidence of delayed ejaculation of 12.5% (9/72) and they concluded that delayed ejaculation was only one of a constellation of symptoms that required a biopsychosocial approach, not a symptom‐based approach.…”

Section: Narrative Summary and Discussionmentioning

confidence: 99%

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