title: Preejaculatory illness syndrome: Two cases of a rare psychosomatic disorder.
abstract: 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.
authors.affiliation: Department of Psychiatry, Ibri Regional Hospital, Ministry of Health, Sultanate of Oman.
authors.forename: Adel
authors.initials: A
authors.lastname: Mohsen
authors.affiliation: Department of Urology, Ibri Regional Hospital, Ministry of Health, Sultanate of Oman.
authors.forename: Mohamed Mohamed
authors.initials: MM
authors.lastname: Elawdy
authors.affiliation: Department of Sexual Medicine, Clinique Beau Soleil à Montpellier, France.
authors.forename: Antoine
authors.initials: A
authors.lastname: Faix
keywords: Human ejaculation; male sexual dysfunctions; preejaculation disorders
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