Spontaneous Ejaculation without Orgasm after Micturition Induced by Venlafaxine and Paroxetine: A Case Report
Abstract
Spontaneous ejaculation after micturition is a rare side
effect of antidepressants. Serotonin noradrenaline reuptake inhibitors (SNRIs)
and selective serotonin reuptake inhibitors (SSRIs) are reported to cause
spontaneous ejaculation. Venlafaxine is a SNRI, paroxetine is a SSRI. Nausea,
constipation, appetite and sleep changes are some side effects associated with
the use of venlafaxine and paroxetine. We report the case of a man who had
spontaneous ejaculations after using venlafaxine. Spontaneous ejaculations
continued after the switching to paroxetine. The side effect ceased after
discontinuation of paroxetine and did not appear with sertraline. This unusual
side effect should be questioned in patients who receive venlafaxine and
paroxetine, as it may cause embarrassment and noncompliance.
References
- 1. Orum MH, Egilmez OB, Kalenderoglu A. Bupropion extended-release-induced spontaneous orgasms. Dusunen Adam The Journal of Psychiatry and Neurological Sciences. 2018;31:107-9.
- 2. Egilmez OB, Orum MH. Intercourse type of situational anejaculation or inability to ejaculate intra-vaginally: three case reports from a conservative Islamic community. Psychiatry Clin Psychopharmacol. 2018. Doi: 10.1080/24750573.2018.1468618.
- 3. Orum MH, Egilmez OB. Succesfully treatment of intercourse anejaculation with psychosexual counselling: A very rare case of situational anejaculation specific to penetrative sex with the wife. Rev Int Androl. 2018. Doi: 10.1016/j.androl.2018.09.001.
- 4. Egilmez OB, Orum MH. Duloxetine use can result in retrograde ejaculation. Dusunen Adam The Journal of Psychiatry and Neurological Sciences. 2018;31:324-5.
- 5. Camkurt MA. Spontaneous ejaculation; caused by venlafaxine, reverted by mirtazapine. Eur Res J. 2015;1(3):157-9.
- 6. Pae CU, Kim TS, Lee KU, Kim JJ, Lee CU, Lee SJ et al. Paroxetine-associated spontaneous sexual stimulation. Int Clin Psychopharmacol. 2005;20(6):339-41.
- 7. Camkurt MA, Yilmaz MF, Gunes S. Spontaneous ejaculation induced by duloxetine. Anatolian Journal of Psychiatry. 2016;17(3):14-6.
- 8. Sivrioglu EY, Topaloglu VC, Sarandol A, Akkaya C, Eker SS, Kirli S. Reboxetine induced erectile dysfunction and spontaneous ejaculation during defecation and micturition. Prog Neuro-Psycho-pharmacology Biol Psychiatry. 2007;31(2):548-50.
VENLAFAKSİN VE PAROKSETİN KULLANIMINA BAĞLI, ORGAZM OLMAKSIZIN İDRAR SONRASINDA ORTAYA ÇIKAN SPONTAN EJAKÜLASYONLAR: BİR OLGU SUNUMU
Abstract
Miksiyonu takiben ortaya çıkan spontan ejakülasyon,
antidepresanların nadir görülen bir yan etkisidir. Serotonin noradrenalin geri
alım inhibitörleri (SNGİ) ve seçici serotonin geri alım inhibitörleri
(SSGİ)’nin spontan ejakülasyona neden olduğu bildirilmiştir. Venlafaksin bir
SNGİ, paroksetin ise bir SSGİ’dir. Mide bulantısı, kabızlık, iştah ve uyku
değişiklikleri venlafaksin ve paroksetin kullanımı ile ilgili bazı yan
etkilerdir. Biz bu olgu sunumunda, venlafaksin başlanan erkek hastada ortaya
çıkan spontan ejakülasyonu ele aldık. Spontan ejakülasyonlar venlafaksin
kesilip, paroksetine geçildikten sonra devam etti. Sadece sertralin
kullanılması sırasında yan etki bildirilmedi. Sık görülmeyen bu yan etki,
venlafaksin ve paroksetin alan hastalarda sorgulanmalıdır. Aksi takdirde bu yan
etki hastalarda utanma ve uyumsuzluğa neden olabilmektedir.
References
- 1. Orum MH, Egilmez OB, Kalenderoglu A. Bupropion extended-release-induced spontaneous orgasms. Dusunen Adam The Journal of Psychiatry and Neurological Sciences. 2018;31:107-9.
- 2. Egilmez OB, Orum MH. Intercourse type of situational anejaculation or inability to ejaculate intra-vaginally: three case reports from a conservative Islamic community. Psychiatry Clin Psychopharmacol. 2018. Doi: 10.1080/24750573.2018.1468618.
- 3. Orum MH, Egilmez OB. Succesfully treatment of intercourse anejaculation with psychosexual counselling: A very rare case of situational anejaculation specific to penetrative sex with the wife. Rev Int Androl. 2018. Doi: 10.1016/j.androl.2018.09.001.
- 4. Egilmez OB, Orum MH. Duloxetine use can result in retrograde ejaculation. Dusunen Adam The Journal of Psychiatry and Neurological Sciences. 2018;31:324-5.
- 5. Camkurt MA. Spontaneous ejaculation; caused by venlafaxine, reverted by mirtazapine. Eur Res J. 2015;1(3):157-9.
- 6. Pae CU, Kim TS, Lee KU, Kim JJ, Lee CU, Lee SJ et al. Paroxetine-associated spontaneous sexual stimulation. Int Clin Psychopharmacol. 2005;20(6):339-41.
- 7. Camkurt MA, Yilmaz MF, Gunes S. Spontaneous ejaculation induced by duloxetine. Anatolian Journal of Psychiatry. 2016;17(3):14-6.
- 8. Sivrioglu EY, Topaloglu VC, Sarandol A, Akkaya C, Eker SS, Kirli S. Reboxetine induced erectile dysfunction and spontaneous ejaculation during defecation and micturition. Prog Neuro-Psycho-pharmacology Biol Psychiatry. 2007;31(2):548-50.
Details
| Primary Language | Turkish |
|---|---|
| Subjects | Health Care Administration |
| Journal Section | Case Reports |
| Authors | |
| Publication Date | December 30, 2018 |
| Submission Date | June 24, 2018 |
| Published in Issue | Year 2018 Volume: 20 Issue: 3 |
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Bu Dergi, Kırıkkale Üniversitesi Tıp Fakültesi Yayınıdır.