Rigot J-M, Marcelli F, Giuliano F
Service d'andrologie, université Lille Nord-de-France, CHRU de Lille, 59037 Lille cedex, France.
Prog Urol. 2013 Jul;23(9):657-63. doi: 10.1016/j.purol.2013.01.011. Epub 2013 Feb 28.
Disorders of ejaculation and orgasm apart from premature ejaculation are pretty uncommon.
Medical literature was reviewed and combined with expert opinion of the authors.
The semiology of these disorders is essential: aspermia, hypospermia, retrograde ejaculation, delayed or absent ejaculation with or without orgasm. Whether this is a lifelong or acquired condition, it is essential to assess the side-effects of medications i.e. psychotropic drugs, including antidepressant, neuroleptics, tramadol, alphablockers: tamsulosin and silodosin must always be surveyed.
The management is often difficult, especially with a parenthood perspective. The management of lifelong disorders must rely on psychosexual therapies.
除早泄外，射精和性高潮障碍相当罕见。
查阅医学文献并结合作者的专业意见。
这些障碍的症状学至关重要：无精子症、精子减少症、逆行射精、射精延迟或无射精伴或不伴性高潮。无论这是终生性还是后天性疾病，评估药物的副作用（即精神药物，包括抗抑郁药、抗精神病药、曲马多、α受体阻滞剂：必须始终调查坦索罗辛和西洛多辛）至关重要。
治疗往往很困难，尤其是从生育的角度来看。终生性障碍的治疗必须依靠性心理治疗。
