Sexual consequences of multiple sclerosis and other central nervous system disorders
Jacques Corcos, David Ginsberg, Gilles Karsenty in Textbook of the Neurogenic Bladder, 2015
Implied by the complex innervation and regulation of the male sexual response, it logically follows that men suffering from MS can experience a wide range of sexual symptoms, which are directly related to MS lesions at various levels in these neuronal cascades. The resulting symptoms may include diminished libido; ED; anorgasmia or dysorgasmia; diminished, absent, or unpleasant genital sensations; and reduced force of ejaculation or even anejaculation. Besides a direct profound impact on sexuality and self-perception, these issues may further cause infertility, which is especially important in young MS patients who have not completed their family planning.
Surgical Management Techniques for Male Infertility
Botros Rizk, Ashok Agarwal, Edmund S. Sabanegh in Male Infertility in Reproductive Medicine, 2019
TRUS is indicated for patients presenting with low-volume azoospermia and normal or enlarged testicles, consistent with obstructive azoospermia (OA; Figure 16.1). Engin et al. reported a 75% diagnostic rate in low-volume azoospermic patients undergoing TRUS [3]. Alternatively, low-volume oligospermia may represent partial ejaculatory duct obstruction (EDO) and represents a relative indication for TRUS at the discretion of the provider. Other relative indications exist (painful ejaculation, severe hypospadias, anejaculation, hematospermia, etc.) and should be evaluated in the clinical context of each patient.
Male infertility
C. Yan Cheng in Spermatogenesis, 2018
Anejaculation occurs when the patient fails to ejaculate. This may be due to psychological stress, hyperstimulation of sexual content, chronic medical conditions such as chronic kidney disease requiring dialysis, selective serotonin reuptake inhibitor use, low testosterone, decreased penile sensation, and neurological disorders such as spinal cord injury (SCI), and some men with multiple sclerosis.58 Pelvic surgery and retroperitoneal lymph node dissection may be associated with ejaculatory dysfunction or failure of emission where sperm and semen are transported to the posterior urethra prior to ejaculation.58
Intercourse type of situational anejaculation or inability to ejaculate intra-vaginally: three case reports from a conservative islamic community
Published in Psychiatry and Clinical Psychopharmacology, 2018
Oguzhan Bekir Egilmez, Mehmet Hamdi Orum
Anejaculation is the inability of the ejaculation, despite the stimulation of the penis by sexual intercourse or masturbation. The term “anejaculation” (true impotentia ejaculationis) is used by Steeno et al. to describe all cases of nonejaculatory intercourse [9]. Anejaculation may be primary or secondary, total, selective, or occasional. Patients having primary selective anejaculation can masturbate but cannot ejaculate intra-vaginally and this situation is called by some authors as intercourse anejaculation. This disorder stems from unconscious conflicts or abnormal beliefs about intravaginal ejaculation [5,6].
Does Metabolic Syndrome Impair Sexual Functioning in Adults With Overweight and Obesity?
Published in International Journal of Sexual Health, 2019
Saeideh Botlani Esfahani, Sebely Pal
Currently, there is no universally recognized definition of sexual dysfunction (Boyle, Cook, Purdie, Najman, & Dunne, 2003; Lewis et al., 2004), without which accurate prevalence rates are difficult to determine (Lewis et al., 2004). To establish such a definition, an International Consultation Committee was assembled, consisting of over 200 multidisciplinary experts in urology and sexual medicine from 60 countries; these consultations resulted in the following criteria of male and female sexual dysfunction (Lewis et al., 2004):Sexual desire dysfunction: Diminished sexual interest or desire, sexual thoughts and fantasies, more common in femalesPersistent sexual arousal dysfunction: Spontaneous, intrusive, and unwanted genital arousal in the absence of sexual desire.Orgasmic dysfunction: The lack, delay, or significantly diminished quality of orgasmic sensation.Sexual aversion: Extreme disgust and/or anxiety in response to anticipated or attempted sexual activity.Sexual arousal disorder in females: The presence of genital sexual arousal dysfunction, subjective sexual arousal dysfunction, or both. Genital sexual arousal: absent or impaired genital arousal; subjective sexual arousal dysfunction: absent or diminished feelings of sexual arousal or pleasure.Dyspareunia in females: Pain that persists or recurs with complete or attempted vaginal penetration.Vaginismus in females: Persistent or recurrent difficulty with vaginal penetration, despite the willingness to do so.Erectile dysfunction in males: The inability to attain and/or maintain penile erection sufficient for sexual activity.Early ejaculation in males: Ejaculation before or shortly after sexual stimulation, and occurring earlier than desired.Delayed ejaculation in males: Unwonted delay in attaining orgasm during sexual activity.Anejaculation in males: The absence of ejaculation during sexual stimulation.
Related Knowledge Centers
- Antidepressant
- Antipsychotic
- Autonomic Nervous System
- Ejaculatory Duct Obstruction
- Pathology
- Ejaculation
- Anorgasmia
- Medication
- Reaction Inhibitor
- Prostatectomy