Ejaculatory Dysfunction

Ejaculatory dysfunction is a type of sexual dysfunction in which the male ejaculates too early, too late or not at all during the sexual act. There are three types of ejaculatory dysfunction: premature, delayed or retrograde ejaculation.

On average, once the penis enters the vagina, there is a delay of 5 to 6 minutes before ejaculation. Premature ejaculation occurs when the male partner ejaculates too quickly over 50% of the time. Delayed ejaculation occurs when you have difficulty reaching climax after prolonged sexual activity (>30 minutes) even if your erection is adequate. Most cases of premature or delayed ejaculation develop over time, but some cases may be life-long. Retrograde ejaculation is rare type of ejaculatory dysfunction resulting in the backward ejaculation of sperm into the bladder.

Ejaculatory dysfunction may be caused by medical conditions such as high blood pressure, diabetes, neurological disorders, or prostate and thyroid problems. Psychological causes for dysfunction may include stress, anxiety about your problem, causing you to hasten the sexual act, marital problems, depression or the negative effects of past sexual experiences. Certain medications as well as substance abuse can also contribute to ejaculatory dysfunction.

If you or your partner experience dissatisfaction as a result of ejaculatory dysfunction, you must not hesitate to contact your physician as these problems are common and often treatable. Your doctor will review your symptoms as well as your medical and family history and may perform certain tests to rule out physical problems that could be causing ejaculatory dysfunction. You will be asked questions to gauge your mental state, attitude towards sex, and find out if you have any psychological issues contributing to the problem.

Your doctor may prescribe medication to treat ejaculatory dysfunction. Couples therapy or sex therapy may be recommended to resolve marital issues, improve intimacy, remove psychological blocks, and teach you sexual techniques that either delay or enhance ejaculation. Topical anesthetics or thick condoms may be recommended in cases of premature ejaculation to decrease sensation thereby delaying ejaculation. Medications contributing to ejaculatory dysfunction are either stopped or altered. Retrograde ejaculation does not usually affect sexual life, but may affect childbearing for which medication or artificial fertility methods are suggested.