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Prematur ejakulasjon

Sist oppdatert: Sist revidert:
Sist revidert av:

Definisjon:
Rask eller for tidlig utløsning som kan skyldes en kombinasjon av organiske og psykologiske forhold
Forekomst:
Et ganske vanlig problem, særlig blant yngre menn
Symptomer:
For tidlig sædavgang
Funn:
Mangler som regel
Diagnostikk:
Ingen tilleggsundersøkelser er påkrevd
Behandling:
Aktuelle behandlinger er antidepressiver (SSRI), ev. atferdsterapi
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  2. Deem SG. Premature ejaculation. Medscape, last updated Apr 28, 2014.
  3. Rowland DL, Kolba TN. Understanding the effects of establishing various cutoff criteria in the definition of men with premature ejaculation. J Sex Med 2015; 12: 1175-83. pmid: 25855032 PubMed  
  4. Buvat J. Pathophysiology of premature ejaculation. J Sex Med. 2011 Oct. 8 Suppl 4:316-27.
  5. Lue T, Giuliano F, Montorsi F et al. Summery of the recommendations on sexual dysfunctions in men. J Sex Med 2004; 1: 17-20. PubMed  
  6. Khera M. Treatment of male sexual dysfunction. UpToDate, last updated Dec 11, 2019. UpToDate  
  7. Mohee A, Eardley I. Medical therapy for premature ejaculation. Ther Adv Urol. 2011 Oct. 3(5):211-22.
  8. Cooper K, Martyn-St James M, Kaltenthaler E, et al. Interventions to treat premature ejaculation: a systematic review short report. Health Technol Assess. 2015 21:1-180. PMID: 25768099 PubMed  
  9. Xia JD, Zhou LH, Han YF, et al. A reassessment of penile sensory pathways and effects of prilocaine-lidocaine cream in primary premature ejaculation. Int J Impot Res. 2014; 26:186-90. PMID: 24572995. PubMed  
  10. Pu C, Yang L, Liu L, et al. Topical anesthetic agents for premature ejaculation: a systematic review and meta-analysis. Urology 2013; 81:799. PubMed  
  11. Atikeler MK, Gecit I, Senol FA. Optimum usage of prilocaine-lidocaine cream in premature ejaculation. Andrologia. 2002;34(6):356-9. PMID: 12472618. PubMed  
  12. Sathianathen NJ, Hwang EC, Mian R, et al. Selective serotonin re-uptake inhibitors for premature ejaculation in adult men. Cochrane Database Syst Rev. 2021 Mar 21;3:CD012799. doi: 10.1002/14651858.CD012799.pub2 DOI  
  13. Waldinger MD, Zwinderman AH, Schweitzer DH, Olivier B. Relevance of methodological design for the interpretation of efficacy of drug treatment of premature ejaculation: a systematic review and meta-analysis. Int J Impot Res 2004; 16:369. PubMed  
  14. McMahon CG, Porst H. Oral agents for the treatment of premature ejaculation: review of efficacy and safety in the context of the recent International Society for Sexual Medicine criteria for lifelong premature ejaculation. J Sex Med 2011; 8:2707. PubMed  
  15. Tan H, Zhou Z, Cui Y, et al. A systematic review and meta-analysis of randomized controlled trials of ``on-demand`` use of tramadol vs ``on-demand`` use of paroxetine in the management of patients with premature ejaculation. Int J Clin Pract. 2021. PMID: 34492139 PubMed  
  16. McMahon CG, Althof SE, Kaufman JM, et al. Efficacy and safety of dapoxetine for the treatment of premature ejaculation: integrated analysis of results from five phase 3 trials. J Sex Med 2011; 8: 524-39. pmid: 21059176 PubMed  
  17. Abdel-Hamid IA, El Naggar EA, El Gilany AH. Assessment of as needed use of pharmacotherapy and the pause-squeeze technique in premature ejaculation. Int J Impot Res 2001; 13: 41. PubMed  
  • Ingard Løge, spesialist allmennmedisin, redaktør NEL