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Year : 2016  |  Volume : 8  |  Issue : 1  |  Page : 99-101

Preejaculatory illness syndrome: Two cases of a rare psychosomatic disorder

1 Department of Psychiatry, Ibri Regional Hospital, Ministry of Health, Oman
2 Department of Urology, Ibri Regional Hospital, Ministry of Health, Oman
3 Department of Sexual Medicine, Clinique Beau Soleila Montpellier, France

Correspondence Address:
Mohamed Mohamed Elawdy
Department of Urology, Ibri Regional Hospital, Ibri P. O. Box 618
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DOI: 10.4103/0974-7796.171492

PMID: 26834413

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Human ejaculation happens in the orgasmic phase of the human sexual response cycle. Among psychosomatic ejaculatory disorders that may happen before ejaculation, we present two cases of preejaculatory illness syndrome. The two cases shared common symptoms of sympathetic over activity, the sensation of impending death, and muscle atonia with subsequent failure to ejaculate. Depression, anxiety disorders, and family histories of psychiatric problems were noticed as risk factors. Medical conditions that may lead to panic attack type symptoms were eliminated before the final diagnosis. After the failure of empirical medications, symptoms became controlled with fluoxetine. Patients reported a recurrence of the symptoms on trying to stop the prescribed medication. On the last follow-up, they still take fluoxetine on a regular base with satisfactory sexual life.

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