Condition Lookup
Category:
Sexual Disorders
Number of Conditions: 2
Paraphilic Disorders
Specialty: Mental Health and Psychology
Category: Sexual Disorders
Symptoms:
intense and persistent sexual urges or behaviors involving atypical objects, activities, or situations; distress or impairment in functioning; possible harm to others
Root Cause:
Dysregulation of sexual arousal pathways, often influenced by early life experiences, conditioning, or biological factors.
How it's Diagnosed: videos
Clinical evaluation, including history-taking and use of DSM-5 criteria for specific paraphilias.
Treatment:
Psychotherapy (e.g., cognitive-behavioral therapy), behavior modification, and pharmacotherapy in some cases.
Medications:
Anti-androgens (e.g., medroxyprogesterone acetate) or SSRIs may reduce sexual drive and obsessive thoughts.
Prevalence:
How common the health condition is within a specific population.
Difficult to estimate; varies widely depending on the specific paraphilia.
Risk Factors:
Factors or behaviors that increase the likelihood of developing the condition.
Childhood trauma, exposure to sexually explicit materials at a young age, or other co-occurring psychiatric conditions.
Prognosis:
The expected outcome or course of the condition over time.
Varies by individual and treatment adherence; some may achieve control over behaviors, while others require long-term management.
Complications:
Additional problems or conditions that may arise as a result of the original condition.
Legal issues, relationship problems, and social isolation.
Premature Ejaculation
Specialty: Mental Health and Psychology
Category: Sexual Disorders
Symptoms:
ejaculation occurring sooner than desired; distress in sexual relationships; lack of control over ejaculation
Root Cause:
Multifactorial causes, including heightened penile sensitivity, psychological factors like anxiety, and neurotransmitter dysregulation.
How it's Diagnosed: videos
Clinical history and patient self-reports; assessment of the duration of ejaculation and associated distress.
Treatment:
Behavioral therapy, couple’s counseling, and pharmacotherapy.
Medications:
SSRIs (e.g., dapoxetine, sertraline ) delay ejaculation by altering serotonin levels. Topical anesthetics (e.g., lidocaine-prilocaine cream) reduce sensitivity.
Prevalence:
How common the health condition is within a specific population.
Estimated 20%-30% of men experience this condition at some point in their lives.
Risk Factors:
Factors or behaviors that increase the likelihood of developing the condition.
Anxiety, stress, sexual inexperience, and certain medical conditions (e.g., prostatitis).
Prognosis:
The expected outcome or course of the condition over time.
Good with treatment; many achieve improved control and satisfaction.
Complications:
Additional problems or conditions that may arise as a result of the original condition.
Relationship problems, reduced self-esteem, and avoidance of sexual activity.