Journals / Turkish Journal of Medical Sciences / 2008 / Cilt: 38 - Sayı: 1

Efficacy of Clomipramine, Sertraline and Terazosin Treatments in Premature Ejaculation

Pages
59–64
Publication Date
2022-11-05
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

No significant difference was observed in terms of efficacy among these three medical treatments.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Aim: To compare the efficacy of oral clomipramine, sertraline and terazosin to placebo in premature ejaculation.
📊
Key Findings & Data:Materials and Methods: A total of 90 patients aged from 20 to 58 years were enrolled in this study.
💡
Conclusion & Impact:No significant difference was observed in terms of efficacy among these three medical treatments.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Premature ejaculation · treatment · antidepressant

Abstract

Aim: To compare the efficacy of oral clomipramine, sertraline and terazosin to placebo in premature ejaculation. Materials and Methods: A total of 90 patients aged from 20 to 58 years were enrolled in this study. Patients were randomized into 4 groups. Group 1 (n: 22) took placebo and served as controls. Group 2 (n: 23) patients took 25 mg clomipramine HCl nightly; Group 3 (n: 20) 50 mg sertraline nightly; and Group 4 (n: 25) 5 mg terazosin nightly. The medications were used for two months. After 8 sexual attempts, the patients' clinical responses were assessed using the patient self-description method. Clinical responses were classified as ``no change´´, ``improvemen´´ and ``under contro´´. Success was described as improvement + under control. Results: Success rates were 36.3% in Group 1, 91.3% in Group 2, 90% in Group 3 and 76% in Group 4. Although the efficacy of each medical treatment was superior to placebo (P = 0.001), no significant difference in efficacy was found between the medical treatment groups (P = 0.537). Conclusions: Clomipramine, sertraline and terazosin are more efficient than placebo. No significant difference was observed in terms of efficacy among these three medical treatments.

Özet

Aim: To compare the efficacy of oral clomipramine, sertraline and terazosin to placebo in premature ejaculation. Materials and Methods: A total of 90 patients aged from 20 to 58 years were enrolled in this study. Patients were randomized into 4 groups. Group 1 (n: 22) took placebo and served as controls. Group 2 (n: 23) patients took 25 mg clomipramine HCl nightly; Group 3 (n: 20) 50 mg sertraline nightly; and Group 4 (n: 25) 5 mg terazosin nightly. The medications were used for two months. After 8 sexual attempts, the patients' clinical responses were assessed using the patient self-description method. Clinical responses were classified as ``no change´´, ``improvemen´´ and ``under contro´´. Success was described as improvement + under control. Results: Success rates were 36.3% in Group 1, 91.3% in Group 2, 90% in Group 3 and 76% in Group 4. Although the efficacy of each medical treatment was superior to placebo (P = 0.001), no significant difference in efficacy was found between the medical treatment groups (P = 0.537). Conclusions: Clomipramine, sertraline and terazosin are more efficient than placebo. No significant difference was observed in terms of efficacy among these three medical treatments.

🔖

Cite This Article

TUNCEL, A., ASLAN, Y., BAŞAR, M. M., ATAN, A. (2022). Efficacy of Clomipramine, Sertraline and Terazosin Treatments in Premature Ejaculation. Turkish Journal of Medical Sciences, Cilt: 38 - Sayı: 1, 59–64. https://ajindex.com/articles/611809

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (15)

  1. Spiess WF, Geer JH, O’Donohue WT. Premature ejaculation: investigation of factors in ejaculatory latency. J Abnorm Psychol 1984; 93: 242-5.
  2. Strassberg DS, Mahoney JM, Schaugaard M, Hale VE. The role of anxiety in premature ejaculation: a psychophysiological model. Arch Sex Behav 1990; 19: 251-7.
  3. Colpi GM, Fanciullacci F, Beretta G, Negri L, Zanollo A. Evoked sacral potentials in subjects with true premature ejaculation. Andrologia 1986; 18: 583-6.
  4. Jannini EA, Simonelli C, Lenzi A. Disorders of ejaculation. J Endocrinol Invest 2002; 25: 1006-19.
  5. Waldinger MD, Zwinderman AH, Schweitzer DH, Olivier B. Relevance of methodological design for the interpretation of efficacy of drug treatment of premature ejaculation: a systematic review and meta-analysis. Int J Impot Res 2004; 16: 369-81.
  6. Schuster TG, Ohl DA. Diagnosis and treatment of ejaculatory dysfunction. Urol Clin North Am 2002; 29: 939-48.
  7. Lorrain DS, Matuszewich L, Friedman RD, Hull EM. Extracellular serotonin in the lateral hypothalamic area is increased during the postejaculatory interval and impairs copulation in male rats. J Neurosci 1997; 17: 9361-6.
  8. Waldinger MD, Olivier B. Selective serotonin reuptake inhibitor- induced sexual dysfunction. Clinical and research considerations. Int Clin Psychopharmacol 1998; 13 (Suppl. 6): S27-S33. Berendsen H, Broekkamp C. Behavioural evidence for functional interactions between 5-HT receptor sub-types in rats and mice. Br J Pharmacol 1990; 101: 667-73.
  9. Yells DP, Prendergast MA, Hendricks SE, Nakamura M. Fluoxetine induced inhibition of male rat copulatory behavior: modification by lesions of the nucleus paragigantocellularis. Pharmacol Biochem Behav 1994; 49: 121-7.
  10. Kim SW, Lee SH, Paick J-S. In vivo rat model to measure hypogastric nerve-stimulation-induced seminal vesicle and vasal pressure responses simultaneously. Int J Impot Res 2004; 16: 427-32.
  11. Segraves RT, Saran A, Segraves K, Maguire E. Clomipramine versus placebo in the treatment of premature ejaculation: a pilot study. J Sex Marital Ther 1993; 19: 198-200.
  12. Haensel SM, Rowland DL, Kallan KT, Slob AK. Clomipramine and sexual function in men with premature ejaculation and controls. J Urol 1996; 156: 1310-5.
  13. McMahon CG, Ramin S. Pharmacological treatment of premature ejaculation. Curr Opin Urol 1999; 9: 553-61.
  14. Mendels J, Camera A, Sikes C. Sertraline treatment for premature ejaculation. J Clin Psychopharmacol 1995; 15: 341-6.
  15. Balbay MD, Yildiz M, Salvarci A, Ozsan O, Ozbek E. Treatment of premature ejacula