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Fertil Steril. 2015 Nov;104(5):1089-94. doi: 10.1016/j.fertnstert.2015.07.1155. Epub 2015 Aug 19.

Psychosocial aspects of ejaculatory dysfunction and male reproduction.

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Men's Health Center, Miriam Hospital, and Warren Alpert Medical School of Brown University, Providence, Rhode Island. Electronic address:


This article provides a summary of the biopsychosocial model and the assessment and treatment of male sexual dysfunction as manifested in cases of infertility. In couples trying to get pregnant, a unique set of psychosocial and behavioral changes may evolve that directly interferes with a couple's usual pattern of sexual behavior, resulting in sexual dysfunction. The unique set of changes is discussed and how these changes impact on erectile and ejaculatory function. Strategies for assessing and managing male sexual dysfunction that compromise fertility are reviewed.


Biopsychosocial model; DE; ED; PE; delayed ejaculation; erectile dysfunction; male sexual dysfunction; premature (early) ejaculation; psychosocial etiology

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