Practical Clinical Andrology 2022
DOI: 10.1007/978-3-031-11701-5_7
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Orgasm and Ejaculation Disorders

Abstract: Disorders of ejaculations are among the most complex complaints of patients seeking first medical help for sexual dysfunction. Among these, premature ejaculation (PE), delayed ejaculation (DE), retrograde ejaculation, and anorgasmia are the most frequently reported, and their impact on patients’ quality of life can be major. Although numerous preclinical and clinical studies have been published over the last two decades, the true pathophysiological mechanisms behind ejaculation remain unclear. In this context,… Show more

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Cited by 1 publication
(3 citation statements)
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References 95 publications
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“…At the same time, in the paragigantocellular nucleus, serotonergic neurons inhibit ejaculation. 5,[8][9][10][11] When these neurons release serotonin into their synaptic space, this neurotransmitter interacts with the 5-HT2C receptor of the postsynaptic neuron, which causes the inhibition of ejaculation. In contrast, the absence of serotonin facilitates the ejaculatory process.…”
Section: Introductionmentioning
confidence: 99%
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“…At the same time, in the paragigantocellular nucleus, serotonergic neurons inhibit ejaculation. 5,[8][9][10][11] When these neurons release serotonin into their synaptic space, this neurotransmitter interacts with the 5-HT2C receptor of the postsynaptic neuron, which causes the inhibition of ejaculation. In contrast, the absence of serotonin facilitates the ejaculatory process.…”
Section: Introductionmentioning
confidence: 99%
“…Long-life or acquired premature ejaculation elicits different emotional, cognitive, and behavioral consequences in men suggesting that neurobiological substrates between the two classifications may differ. 1,2,7,8,[10][11][12][13] The treatment for premature ejaculation currently uses SSRIs, which increase the synaptic levels of this neurotransmitter. 14 It is assumed that the ejaculatory process inhibition is due to their effect on the 5-HT2C receptor.…”
Section: Introductionmentioning
confidence: 99%
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