Cochrane's problem: psychoanalysis and anejaculation.

OBJECTIVE

The stimulus inciting Archie Cochrane's interest in scientific medicine was his own ill health and the inability of psychoanalysis to cure his problem of sexual dysfunction. The aetiology and modern management of anejaculation will be considered.

CONCLUSIONS

The treatment undertaken by Cochrane failed because his condition was organic. Evidence-based medicine was founded upon Cochrane's critical evaluation of his own psychoanalytic psychotherapy.