***TASK*** the task is to summarize an input biomedical literature in six sentences 
    ***INPUT*** the input is a biomedical literature 
    ***OUTPUT*** the output is the summary of an input biomedical literature in six sentences 
    ***DOCUMENTATION*** 
    ***EXAMPLES*** 
    Input: 48 consecutive male patients of potency disorders were examined and classified as ' Dhat ' syndrome , impotence or premature ejaculation . The age range of these cases was found as 20 - 38 years ( mean 23.5 + /- 3.3 years ) while age of onset was 16 - 24 years ( mean 20.6 + /- 4.5 years ) . Majority of cases were unmarried ( 54.2 % ) and educated 5th class or above ( 79.1 % ) . 31 cases ( 64.6 % ) had Dhat syndrome with or without impotency and /or premature ejaculation while 7 cases ( 14.6 % ) had only premature ejaculation and 10 cases ( 20.8 % ) only impotence . The cases with ' Dhat ' syndrome or with impotence scored maximally on neuroticism and depression scales . Neurotic depression was the commonest associated psychiatric illness ( 39.5 % ) followed by anxiety neurosis ( 20.8 % ) while 31.3 % did not have any possible diagnosis . The common presenting symptoms of ' Dhat ' syndrome include weakness ( 70.8 % ) , fatigue ( 68.7 % ) , palpitations ( 68.7 % ) , sleeplessness ( 62.4 % ) etc . Among the four groups on the basis of type of treatment ( antianxiety drug , antidepressant , placebo , psychotherapy ) , the best response was seen in those receiving antianxiety or antidepressant drugs while those receiving psychotherapy showed minimal response . 7 cases ( 14.6 % ) dropped out of treatment and the maximum dropout ( 40.6 % ) was seen in psychotherapy group In a prospect i ve study of 144 consecutive male patients with psychosexual disorders , comprising 93 with Dhat syndrome with or without impotence or premature ejaculation , 21 with premature ejaculation , and 30 suffering only impotence , the commonest associated psychiatric illness was neurotic depression ( 39 % ) followed by anxiety neurosis ( 21 % ) , while 31 % did not receive a psychiatric diagnosis . The common presenting a symptoms of Dhat syndrome were weakness ( 71 % ) , fatigue ( 69 % ) , palpitations ( 69 % ) , and sleeplessness ( 62 % ) . After r and om allocation into groups , four types of treatment were given : an anti-anxiety drug , an antidepressant , a placebo , or counselling . The best response was seen with the anti-anxiety and antidepressant drugs . Twenty-one patients dropped out of treatment ; 15 of whom were from the counselling group 
    Output:
    
Dhat was a common condition in young people from certain cultures and origins .
Depressive and anxiety symptoms were common , including fatigue , sleepiness , and sexual dysfunction .
Good clinical engagement , social support , and sexual education were useful in some cases .
Given the high rate of comorbid depressive symptoms , antidepressant has been used .
Dhat may be a common manifestation of a depressive or anxiety disorder in certain cultures .