The association of anxiety with sexual excitement has been noted since
the early part of this century. The authors present case reports of a
schizophrenic and a neurotic patient in whom no direct sexual precipitants
of spontaneous ejaculation could be identified but in whom severe anxiety
was evident. The central noradrenergic neurophysiology that anxiety may
share with sexual excitement could provide a basis for spontaneous
ejaculation during anxiety. The pharmacology of spontaneous ejaculation
during opiate withdrawal is used to elaborate this central noradrenergic
model.
Abstract Teaser