paroxetine<\/a>) decrease both libido and erectile function<\/p>\n\n\n\nHowever, SSRIs can cause delayed ejaculation, an effect that is beneficial for men with premature ejaculation (PE).<\/p>\n\n\n\n
Psychological counseling, including the use of sensate focus exercises by both partners, can be helpful for men with performance anxiety.<\/p>\n\n\n\n
\u25cfYohimbine<\/strong> \u2013<\/p>\n\n\n\nblocks presynaptic alpha-2-adrenergic receptors, resulting in increased cholinergic and decreased adrenergic tone, has also been used for the management of psychogenic ED.<\/strong><\/p>\n\n\n\nWe suggest not using yohimbine, given the limited data for efficacy and the availability of effective alternatives (PDE5 inhibitors).<\/strong><\/p>\n\n\n\nEJACULATORY DISORDERS<\/strong><\/p>\n\n\n\nPremature ejaculation<\/strong><\/p>\n\n\n\nManagement depends upon the etiology, but the mainstays of therapy [132] include<\/p>\n\n\n\n
- selective serotonin reuptake inhibitors (SSRIs)
- Available agents and dosages include paroxetine (10 to 40 mg\/day), sertraline (50 to 200 mg\/day), fluoxetine (20 to 40 mg\/day), citalopram (20 to 40 mg\/day), and escitalopram (10 to 20 mg\/day)<\/li><\/ul><\/li>
- topical anesthetics<\/li>
- and psychotherapy when psychogenic and\/or relationship factors are present<\/li>
- Phosphodiesterase (PDE) inhibitors may also be effective for the treatment of PE, but mainly in men with PE and coexisting ED<\/li><\/ul>\n","protected":false},"excerpt":{"rendered":"
Erectile dysfunction and Ejaculatory Dysfunction Three of the most common male sexual dysfunctions are decreased libido, erectile dysfunction (ED), and ejaculatory dysfunction (including premature ejaculation [PE] in men ages 18 to 59 years). One or more conditions can coexist in an individual. The inability to achieve and\/or maintain an erection sufficient for satisfactory sexual intercourse is a[…]\n","protected":false},"author":3,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_seopress_robots_primary_cat":"","_seopress_titles_title":"","_seopress_titles_desc":"","_seopress_robots_index":"","footnotes":""},"categories":[3],"tags":[],"_links":{"self":[{"href":"https:\/\/medicineplexus.com\/wp-json\/wp\/v2\/posts\/386"}],"collection":[{"href":"https:\/\/medicineplexus.com\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/medicineplexus.com\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/medicineplexus.com\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/medicineplexus.com\/wp-json\/wp\/v2\/comments?post=386"}],"version-history":[{"count":0,"href":"https:\/\/medicineplexus.com\/wp-json\/wp\/v2\/posts\/386\/revisions"}],"wp:attachment":[{"href":"https:\/\/medicineplexus.com\/wp-json\/wp\/v2\/media?parent=386"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/medicineplexus.com\/wp-json\/wp\/v2\/categories?post=386"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/medicineplexus.com\/wp-json\/wp\/v2\/tags?post=386"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}