many such cases.   es/pmc4315676/ methylphenidate-induced spontaneous ejaculation a 16-year-old boy with complaints of inattention, careless mistakes, lower than expected academic achievement and a childhood history of adhd was diagnosed as adhd predominantly inattentive type according to the diagnostic and statistical manual of mental disorders (dsm-iv-tr). this young boy was 172 cm in height and 56.4 kg weight and was prescribed 30 mg of mph daily. after 2 months of treatment, he reported an increase in anxiety, especially during written examinations. when the examinations were about to end, he also had spontaneous ejaculation with increasing anxiety. this incident happened twice: in the first examination he had three spontaneous ejaculations and in the second examination he had two spontaneous ejaculations. neither salient erections nor sexual arousal were associated with the ejaculations. concomitant medication use was not reported. the patient also reported a single spontaneous ejaculation that seemed to be associated with mph 4 years earlier. following cessation of the drug spontaneous ejaculations disappeared.
Italy