Marital Sexual Dysfunction: Ejaculation Disturbances

  1. STEPHEN B. LEVINE, M.D.
  1. Cleveland, Ohio

    Abstract

    The three clinically encountered disturbances of the male orgasmic phase—that is, premature ejaculation, inability to ejaculate, and retrograde ejaculation—are discussed. The problem of defining premature ejaculation is explained and the possible pathogenic mechanisms of its origin are reviewed. The classic premature ejaculator is described. Also included are an elaboration of the newer therapeutic approaches to the problem and a suggested clinical protocol for screening patients. The other two, less common dysfunctions are briefly discussed.

    Article and Author Information

    • ▸From the Department of Psychiatry, Case Western Reserve University, Cleveland, Ohio.

    • Grant support: by a grant from The Robert Wood Johnson Foundation, Princeton, New Jersey. The opinions, conclusions, and proposals in the text are those of the author and do not necessarily represent the views of The Robert Wood Johnson Foundation.

    • ▸Requests for reprints should be addressed to Stephen B. Levine, M.D.; Department of Psychiatry, Case Western Reserve University, 2040 Abington Road; Cleveland, OH 44106.

      • Received November 13, 1975.
      • Accepted February 9, 1976.
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