![]() An association between pre-existing anxiety disorders and sexual performance anxiety has been found in men and couples with ejaculatory dysfunction. These sexual disorders may also cause personal distress for the sexual partner and decreased sexual satisfaction for the couple. The common final pathway of these factors is the irrational fear of ejaculating intravaginally. Unfortunately, none of the theories evolve from evidence-based studies. There are multiple psychological explanations as to why a man develops PE or DE. ![]() The matter presented in this article can also be considered for other ejaculatory disorders, since all of them relate to a failure of control, changing the intravaginal ejaculatory latency time (IELT), with consequences for men and their partners. Therefore, the review focuses on the literature of the two most studied ejaculatory disorders. Comparatively, there are far more studies on premature ejaculation (PE) than on delayed ejaculation (DE) and even fewer studies on other male orgasm disorders. Specialized literature has been dealing with ejaculatory disorders in a heterogeneous manner. Although the distress of the sufferer and his partner has been a motivating factor in leading men with ejaculatory dysfunction to seek medical help, few objective or prospective evaluations of the effects on the couple have been reported. Ejaculatory function cannot be evaluated outside the dyadic process and without taking into account the men’s and women’s cognition of the condition and how their subjective perception impacts on the evaluation of the relationship and sexual quality.
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