Ejaculatory Disorders

1h 25m

Evie Kirana

Health Psychologist & Sexologist
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Content and Aim: This lecture is focused on providing clinical knowledge on the management of patients with premature ejaculation (PE). How fast is ‘premature ejaculation’? Why is it a problem and for whom? Is it a problem for the man or his partner or both? Which factors explain the problem? Are they biological, psychological, interpersonal? This lecture gives a good understanding of the causes of premature ejaculation and the crucial parts of the diagnostic procedure. The possible treatment options are also presented: instructions of the stop start exercises are clearly demonstrated as well as what we can expect from pharmacotherapy and for which patients. Several clinical cases presenting cases of mild PE, moderate PE, severe PE and PE combined with erectile dysfunction help explain management strategies. Delayed ejaculation is briefly described.
Learning objectives:

  1. To understand medical, psychogenic and partner related causes of PE
  2. To understand the important parts of the diagnostic workup including the sexual history taking.
  3. To understand medical therapies and psychosexual therapy- based on research evidence base and clinical experience
  4. To identify common decision making issues in choosing the right treatment for PE

Produced in 2020

Evie Kirana

Evie Kirana

Health Psychologist & Sexologist
Lecturer and Supervisor

Dr. Paraskevi-Sofia (Evie) Kirana, Ph.D., MSc, ECPS, received her Bachelor’s Degree in Psychology from Panteion University (1998) and immediately continued with her postgraduate studies in Health Psychology (MSc) at the University of Bristol in the United Kingdom, and later completed her Ph.D. in psychology at the University of Athens.

She received additional training in the field of sexology by completing the Specialist Programme of the European Society for Sexual Medicine (ESSM) and a two-year postgraduate program in psychosexual dysfunction treatments at the Mental Health Research Institute (EPIPSY) of the University of Athens. In 2013 she was awarded the title of Honorary Fellow of the European Committee of Sexual Medicine (hon FECSM). Since 2008 her daily clinical work has focused solely on treating sexual dysfunctions of men and women, with the majority of cases being erectile dysfunction and ejaculatory disorders. Within the last 5 years, she has treated approximately 1500 men with psychogenic erectile dysfunction and 1000 men with premature ejaculation. Since 2010 she has lectured at the postgraduate program on psychosexual dysfunctions of Athens, as well as all educational activities of the ESSM (ESSM School of Sexual Medicine, ABC course, Preparatory Course). Her lectures and workshops are usually on psychogenic erectile dysfunction and ejaculatory disorders. For the last 8 years, she has been the head of the Centre for Sexual and Reproductive Health (KESAY). Her research work includes 19 international and 6 Greek publications. She is one of the editors of the EFS-ESSM Syllabus in Clinical Sexology and also the ESSM Manual of Sexual Medicine (2nd edition). She has served as an associate editor of the Journal of Sexual Medicine and as a member of the editorial board of the Journal of Sexual Medicine. She was the chair of the ESSM/EFS Exam Committee for psycho-sexologists (2012-2022), a member of the 4th International Consultation for Sexual Medicine, and a member of the EFS executive committee (2018-2022) and co-chair of the EFS scientific committee (2017-2022).
She is currently a member of the ESSM Educational Committee and chair of the ESSM Sexology scientific sub-committee.

Languages

English, Greek

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