A male client being followed for premature ejaculation is prescribed the SSRI sertraline to be taken 4 to 8 hours prior to planned sexual intercourse
The client reads the client education leaflet for this medication and then asks you how taking an antidepressant medication will "fix" his problem with premature ejaculation when he isn't depressed. Your explanation is based on the knowledge that sertraline is being used: a. "off label" primarily for its side effect of delayed ejaculation
b. to treat a masked depression to resolve his sexual performance disorder
c. as a placebo to convince the client that the problem has been medically "fixed"
d. for its anxiolytic effect to reduce sexual performance anxiety
A
SSRIs are primarily used to treat premature ejaculation due to the common side effect these medications have in delaying ejaculation. Whereas when prescribed to treat depression, such a side effect may be considered negative, it has proven beneficial in helping men who are not suffering from depression, but are suffering from premature ejaculation.
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