Introduction and objectives: In epidemiological surveys the prevalence of manifest retarded ejaculation is 2% among Swedish men, 18-74 years old and 4% among French men 18-69 years old. The causes can be physiological/organic as well as psychological. Few studies about causes and treatment of RE are reported. The aim was to describe personality structure of men with RE. A consecutive sample of 14 men with RE during 20030801 to 20060101 at Center for Andrology and Sexualmedicine were included. Mean age was 33.6 years (23-46 years. Three men came because the RE were a problem for them self. The others, 11 men, came because their partner did not get pregnant or the partner expired the RE as a problem. Methods: RE were diagnosed by DSM-IV out of their anamnesis. Fourteen men were interviewed by the Karolinska Psychodynamic Profile (KAPP). KAPP gives the opportunity to do a psychodynamic investigation on relative stable and slow exchangeable mental behaviour and personal character. Each KAPP-investigation includes 3-4 sessions, one session a week. The instruments validity is good and the reliability is high. Results: The men had a high level of alexithymia, problem to coop with aggressive feelings and difficulties with fantasies and to be playful. They had a higher score in their need of control and they were inhibited in their impulsive emotions. They were well adapted in relations to avoid emotional dependency or to be left. Conclusions: The ability to sexual pleasure and satisfaction together with a partner presume a capacity to relax and get lost, and for a while, have the courage to be playful, release your control and let the feelings take over. Out of that perspective, RE as a problem can be expressed that the ejaculation is just a target and never the destination of a pleasure journey.
Conflict of Interest: None disclosed
Financial Support/Funding: None disclosed
Recorded: Sydney, Australia, April 2007
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