Successful treatment of retarded ejaculation in an unconsummated couple: A brief report

Moleinezhad, M.; Salehi, P.; Salehi, M.
June 2014
Iranian Journal of Reproductive Medicine;Jun2014 Supplement, Vol. 12, p37
Academic Journal
Introduction: Retarded ejaculation (RE) is probably the least common, and one of the most challenging male sexual disorders. It may contribute with the persistent or recurrent delay or absence of orgasm after a normal sexual excitement phase. Materials and Methods: We describe a successful treatment of an unconsummated couple for 18 months, which was associated with RE and secondary erectile dysfunction in male partner and primary vaginismus in woman, in Isfahan psychosexual clinic. Results: The young woman, who complained about sever pain during several penetration attempts, diagnosed as vaginismus. She reported that never have seen her husband to ejaculate during sexual contacts and complained about a recently developed erectile disorder for her partner. Young man claimed that he can ejaculate during his recurrent masturbation with an idiosyncratic method. He attributed his recurrent ejaculation failure to high level of anxiety during his first sexual intercourse (FSI); and fear of contamination and conception during unprotected sex. The RIGI scan test showed normal results. The couple reported full vaginal penetration with ejaculation after a period of gradual exposure exercises assisted by a female sexologist. Furthermore, the male partner taught to alter the style of masturbation through his partner stimulation to experience increasing levels of arousal. Conclusion: The family expectation about conducting FSI during the wedding night, conservative sexual upbringing and limited sexual knowledge in Iran may elicit negative emotionality towards sexual cues and, exert pressure on young people. Individual and dyadic sexual education programs may help newly married couples to overcome their sexual problems.


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