CPPS and ejaculation

Premature ejaculation / “failed” / “unexpected” ejaculation

Both anecdotal evidence and some research show that ejaculation is un-coordinated in men with CPPS. Problems vary but common problems is ejaculation before climax ("premature ejaculation, PE), no climax and ejaculation (anejaculation/anorgasmia), painful (often sort of “stumbling”) ejaculation and “weak” ejaculation. An Italian study has shown that about 50% of patients with ejaculatory problems had chronic bacterial prostatitis .(1)

A Turkish study showed that over 75% of patients with CP/CPPS had ejaculatory problems .(2) In both cases no other pathology could be found, but in hyperthyroid patients with premature ejaculation ejaculation normalizes after euthyroidism (thyroid hormones within normal range) is attained(3-4). An interesting finding as there seems to be little research on this in CPPS. Could some CPPS patients have undiagnosed thyroid disorder?

Research on ejaculation is, in my opinion, in some regards plain stupid as any ejaculation within two minutes is regarded as premature/abnormal, regardless of how it is experienced or if foreskin is normal or removed. It is also very focussed on "end" results and not the underlying (reflex) dyssynergia.

Andra bloggar om CPPS, kroniskt bäckenbottensmärtsyndrom, ejakulation
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(1) Screponi E, Carosa E, Di Stasi SM, Pepe M, Carruba G, Jannini EA. Prevalence of chronic prostatitis in men with premature ejaculation. Urology. 58(2):198-202, 2001.
(2) Gonen M, Kalkan M, Cenker A, Ozkardes H. Prevalence of premature ejaculation in Turkish men with chronic pelvic pain syndrome. J Androl. 26(5):601-603, 2005.
(3) Krassas GE, Tziomalos K, Papadopoulou F, Pontikides N, Perros P. Erectile dysfunction in patients with hyper- and hypothyroidism: how common and should we treat? J Clin Endocrinol Metab 93(5):1815-9, 2008.
(4) Cihan A, Demir O, Demir T, Aslan G, Comlekci A, Esen A. The relationship between premature ejaculation and hyperthyroidism. J Urol 181(3):1273-1280, 2009.