5-Hydroxytryptamine in premature ejaculation: opportunities for therapeutic intervention.

Abstract:

:Ejaculation, although mediated by a spinal ejaculation generator, is subject to descending supraspinal modulation from several brain regions. 5-Hydroxytryptamine (5-HT or serotonin) is involved in ejaculatory control, with its ejaculation-retarding effects likely to be attributable to activation of 5-HT1B and 5-HT2C receptors, both spinally and supraspinally. By contrast, stimulation of 5-HT1A receptors precipitates ejaculation. Selective serotonin reuptake inhibitors (SSRIs), which are used for treatment of psychiatric disorders, can delay ejaculation in humans and are widely used 'off-label' for treatment of premature ejaculation. SSRIs require 1-2 weeks' chronic dosing to be effective, similar to their use for treatment of depression. However, a new short-acting SSRI is effective 'on demand' and might represent the first of a new generation of therapies targeted to premature ejaculation.

journal_name

Trends Neurosci

journal_title

Trends in neurosciences

authors

Giuliano F

doi

10.1016/j.tins.2006.12.002

subject

Has Abstract

pub_date

2007-02-01 00:00:00

pages

79-84

issue

2

eissn

0166-2236

issn

1878-108X

pii

S0166-2236(06)00273-6

journal_volume

30

pub_type

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