Opóźniona ejakulacja
Epidemiologia

Opóźniona ejakulacja (DE) to zaburzenie charakteryzujące się wydłużonym czasem do ejakulacji lub jej brakiem pomimo odpowiedniej stymulacji i pożądania, występujące w formie pierwotnej lub nabytej, stale lub sytuacyjnie. Częstość występowania DE w populacji aktywnych seksualnie mężczyzn wynosi od 1% (pierwotna) do 4-5% (nabyta), z tendencją wzrostową wraz z wiekiem, szczególnie po 50. roku życia. Badania epidemiologiczne, takie jak GSSAB, EMAS i NSHAP, potwierdzają związek DE z wiekiem, chorobami współistniejącymi (np. nadciśnienie, otyłość, choroby serca), objawami dolnych dróg moczowych (LUTS) oraz stosowaniem leków, w tym tamsulozyny, która zwiększa ryzyko anejakulacji. Różnice kulturowe i genetyczne wpływają na częstość zgłaszania DE, która jest wyższa w populacjach azjatyckich niż w USA czy Europie. W porównaniu do innych zaburzeń ejakulacji, DE jest mniej powszechna, ale znacząco wpływa na jakość życia, relacje partnerskie i płodność.

Definicja i charakterystyka Opóźnionej ejakulacji

Opóźniona ejakulacja (ang. Delayed Ejaculation, DE) jest jednym z zaburzeń obniżonej zdolności ejakulacyjnej, charakteryzującym się wydłużeniem czasu potrzebnego do osiągnięcia wytrysku lub całkowitą niemożnością jego osiągnięcia, pomimo odpowiedniej stymulacji seksualnej i pożądania.12 Zaburzenie to może mieć formę pierwotną (występującą przez całe życie) lub nabytą, a także może występować stale lub sytuacyjnie.3 Jest to najmniej powszechna i najsłabiej zbadana forma męskiej dysfunkcji seksualnej, która może prowadzić do obniżenia samooceny, depresji, niepokoju, pogorszenia relacji partnerskich oraz problemów z płodnością.45

Pomimo rosnącego zainteresowania tym zaburzeniem, nadal brakuje jednoznacznej definicji opóźnionej ejakulacji oraz ustandaryzowanych kryteriów diagnostycznych, co znacząco utrudnia określenie rzeczywistej częstości występowania tego problemu w populacji.67

Epidemiologia opóźnionej ejakulacji

Ze względu na brak spójnej definicji opóźnionej ejakulacji oraz różnice w metodologii badań, występują rozbieżności w raportowanych wskaźnikach rozpowszechnienia tego zaburzenia.8 Istnieje jednak ogólna zgoda, że częstość występowania opóźnionej ejakulacji jest stosunkowo niska i waha się od 1% (pierwotna DE) do 4-5% (nabyta DE) wśród aktywnych seksualnie mężczyzn.91011

Wbrew dawniej zgłaszanym danym, nowsze badania populacyjne i obserwacje przekrojowe wskazują, że podobnie jak zaburzenia erekcji i przedwczesny wytrysk, opóźniona ejakulacja i inne dysfunkcje ejakulacyjne są dość powszechnymi formami męskiej dysfunkcji seksualnej.12 Badania pokazują, że występowanie DE jest umiarkowanie i pozytywnie powiązane z wiekiem, co nie jest zaskakujące, biorąc pod uwagę fakt, że funkcja ejakulacyjna jako całość ma tendencję do zmniejszania się wraz z wiekiem mężczyzny.13

Zmienność wskaźników rozpowszechnienia

Różne badania wskazują na zróżnicowane wskaźniki występowania opóźnionej ejakulacji:

  • Według niektórych źródeł, opóźniona ejakulacja dotyka około 3% aktywnych seksualnie mężczyzn14
  • W badaniu National Health and Social Life Survey (NHSLS), 7,78% mężczyzn w wieku 18-59 lat zgłosiło niemożność osiągnięcia orgazmu lub ejakulacji15
  • W międzynarodowym badaniu problemów seksualnych wśród 13 618 mężczyzn w wieku 40-80 lat z 29 krajów, 1,1-2,8% mężczyzn zgłosiło, że często doświadcza niemożności osiągnięcia orgazmu16
  • W badaniu przeprowadzonym w USA na próbie 1 455 mężczyzn w wieku 57-85 lat, 20% mężczyzn zgłosiło niemożność osiągnięcia orgazmu, a 73% zgłosiło, że problem ten ich niepokoił17
  • Nowsze badanie z 2023 roku szacuje, że opóźniona ejakulacja dotyka co najmniej 5-10% mężczyzn18

Warto zaznaczyć, że rzeczywista częstość występowania opóźnionej ejakulacji może być wyższa niż wskazują na to badania, ponieważ wstyd może powstrzymywać mężczyzn przed szukaniem pomocy medycznej lub rozmawianiem o tym problemie z lekarzami.19

Związek z wiekiem

Częstość występowania opóźnionej ejakulacji wydaje się być umiarkowanie i pozytywnie powiązana z wiekiem.2021 Badania wykazały zależną od wieku tendencję wzrostową w częstości występowania opóźnionej ejakulacji:

  • W badaniu włoskim stwierdzono, że pacjenci z DE byli starsi niż ci zgłaszający przedwczesny wytrysk2223
  • Wysokie wyniki (tj. krótszy czas wewnątrzpochwowego opóźnienia wytrysku, IELT) stopniowo zmniejszały się wraz z wiekiem, co sugeruje, że w zaawansowanym wieku więcej mężczyzn skarży się na DE niż na przedwczesny wytrysk24
  • Częstość występowania DE zaczyna wzrastać po 50. roku życia25
  • W porównaniu z mężczyznami poniżej 59. roku życia, mężczyźni w wieku 80 lat zgłaszają dwukrotnie większe trudności z ejakulacją26

Główne badania populacyjne

Kilka dużych badań populacyjnych dostarcza cennych informacji na temat epidemiologii opóźnionej ejakulacji:

Global Study of Sexual Attitudes and Behaviours (GSSAB) – międzynarodowe badanie obejmujące 13 882 kobiety i 13 618 mężczyzn w wieku 40-80 lat, które systematycznie badało czynniki mogące przyczyniać się do etiologii problemów seksualnych. Badanie to wykazało, że 13,2% mężczyzn nie osiąga orgazmu.272829

European Male Ageing Study (EMAS) – pozwoliło systematycznie analizować różne aspekty zdrowia ogólnego i seksualnego na próbie 3 369 mężczyzn w wieku 40-79 lat. Badanie to wykazało, że około połowa badanych miała nadwagę, a ponad 50% zgłaszało jedną lub więcej chorób współistniejących (nadciśnienie, otyłość i choroby serca). W badaniu EMAS zaawansowany wiek i zwiększona liczba chorób współistniejących były związane z większą częstością występowania zaburzeń ejakulacji.3031

National Social Life, Health, and Aging Project (NSHAP) – badanie to raportowało częstość aktywności seksualnej, zachowań i problemów w reprezentatywnej grupie populacji ogólnej USA, obejmującej 3 005 dorosłych. Wyniki były zgodne z wynikami badania EMAS.3233

Czynniki ryzyka i grupy szczególnie narażone

Badania wykazały, że pewne czynniki demograficzne i kliniczne korelują z zaburzeniami ejakulacji, w tym z opóźnioną ejakulacją.34

Choroby współistniejące

Dysfunkcje ejakulacyjne u starszych mężczyzn są najprawdopodobniej spowodowane kilkoma chorobami współistniejącymi, w tym:35

  • Zaburzenia metaboliczne
  • Choroby układu sercowo-naczyniowego
  • Zwiększona częstość występowania niedoboru testosteronu
  • Zwiększone stosowanie leków
  • Zmniejszona aktywność fizyczna

Objawy dolnych dróg moczowych (LUTS)

Po dostosowaniu do wieku i powszechnych chorób współistniejących, zaburzenia ejakulacji były istotnie związane z objawami dolnych dróg moczowych (LUTS), a mężczyźni z ciężkimi LUTS byli 3,3 razy bardziej narażeni na zgłaszanie zaburzeń ejakulacji.3637 Ma to znaczący negatywny wpływ na jakość życia, nie tylko w odniesieniu do funkcji orgazmicznej, ale także płodności, biorąc pod uwagę stosunkowo wczesne wystąpienie łagodnego rozrostu prostaty (BPH).38

Zabiegi chirurgiczne i farmakoterapia

Szacowana częstość występowania zaburzeń ejakulacji po przezcewkowej resekcji gruczołu krokowego (TURP) wynosiła 65% w 19 badaniach.39 Wykazano znacznie wyższą częstość występowania anejakulacji u mężczyzn otrzymujących tamsulozynę niż u tych otrzymujących placebo.40

Różnice etniczne i kulturowe

Częstość występowania opóźnionej ejakulacji różni się w zależności od rasy i kultury.4142 Zgłoszenia DE różnią się w zależności od kraju i kultury. Ogólnie rzecz biorąc, skarga ta jest częściej zgłaszana przez mężczyzn w populacjach azjatyckich niż przez mężczyzn mieszkających w Stanach Zjednoczonych, Australii lub Europie. Taka różnica może być spowodowana różnicami kulturowymi lub genetycznymi.43

Porównanie z innymi zaburzeniami ejakulacji

W przeciwieństwie do opóźnionej ejakulacji, przedwczesny wytrysk (PE) jest najczęstszym objawem seksualnym i najczęstszą dysfunkcją seksualną w każdym kraju.44 Częstość występowania powyżej 21% wydaje się realistyczną liczbą dla przedwczesnego wytrysku.45

Badania epidemiologiczne wskazują na następujące częstości występowania innych zaburzeń ejakulacji:

  • Prawdziwa częstość występowania wstecznej ejakulacji (RE) jest trudna do oszacowania. Waha się od 0,3% do 2% pacjentów uczęszczających do klinik leczenia niepłodności, ale może wzrosnąć u pacjentów z cukrzycą.46
  • Anejakulacja występuje u 0,14% populacji ogólnej, według Kinseya.47

Uwarunkowania genetyczne i środowiskowe

Ciekawe wyniki przyniosło badanie bliźniąt fińskich, które sugerowało umiarkowany wpływ genetyczny (28%) na przedwczesny wytrysk, ale nie na opóźnioną ejakulację (0%). W przypadku opóźnionej ejakulacji występował umiarkowany efekt rodzinny, przy czym wspólne efekty środowiskowe odpowiadały za 24% wariancji.48 Odkrycia te dostarczają cennych informacji na temat etiologii i zrozumienia dysfunkcji ejakulacyjnej.

Implikacje kliniczne i znaczenie dla zdrowia publicznego

Opóźniona ejakulacja, pomimo stosunkowo niskiej częstości występowania w porównaniu z innymi zaburzeniami seksualnymi, stanowi istotny problem kliniczny i zdrowia publicznego.49 Zaburzenie to nie tylko negatywnie wpływa na jakość życia seksualnego i relacje partnerskie, ale może również powodować problemy z płodnością.5051

Należy podkreślić, że opóźniona ejakulacja jest nadal słabo zbadanym zaburzeniem, a praktyki diagnostyczne i terapeutyczne są niejednolite wśród praktykujących lekarzy.52 Obecnie nie ma zatwierdzonych przez FDA leków na opóźnioną ejakulację ani żadnych leków, które uzyskałyby zatwierdzenie innych krajowych agencji regulacyjnych.53

Pomimo postępów klinicznych w diagnozowaniu i leczeniu zaburzeń erekcji, panuje zgoda, że opóźniona ejakulacja/anejakulacja pozostaje słabo zrozumianym zaburzeniem, z niespójnymi wzorcami praktyki obserwowanymi wśród praktykujących lekarzy.54

Wysoka częstość występowania nabytych zaburzeń ejakulacyjnych powinna być podkreślona ze względu na jej wpływ na jakość życia pacjentów i ich partnerów.5556

Wnioski i przyszłe kierunki badań

Opóźniona ejakulacja pozostaje jednym z najmniej zbadanych zaburzeń seksualnych u mężczyzn. Dane epidemiologiczne wskazują na częstość występowania od 1% (pierwotna DE) do 4-5% (nabyta DE) wśród aktywnych seksualnie mężczyzn, z tendencją wzrostową wraz z wiekiem.5758

Dalsze badania epidemiologiczne są potrzebne, aby uzyskać dokładne oszacowanie częstości występowania zaburzeń orgazmu u mężczyzn w różnych grupach wiekowych, rasach, kulturach, statusie związku i krajach.59 Ujednolicenie definicji i kryteriów diagnostycznych opóźnionej ejakulacji jest kluczowe dla poprawy jakości badań w tej dziedzinie oraz skuteczności diagnozy i leczenia.60

Zaburzenia ejakulacji stanowią istotny problem zdrowotny, mający potencjalny wpływ na seksualność, płodność i jakość życia par.61 Badania wskazują na wieloczynnikową patofizjologię DE, obejmującą zarówno czynniki organiczne, jak i psychospołeczne, co podkreśla potrzebę kompleksowego podejścia do diagnozowania i leczenia tego zaburzenia.62

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  1. 10.04.2026
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Materiały źródłowe

  • #1 KoreaMed Synapse
    https://synapse.koreamed.org/articles/1088855
    Delayed ejaculation (DE) is a poorly defined and uncommon form of male sexual dysfunction, characterized by a marked delay in ejaculation or an inability to achieve ejaculation. […] The literature suggests that the pathophysiology of DE/AE is multifactorial, including both organic and psychosocial factors. […] There is currently no single gold standard for diagnosing DE/AE, as operationalized criteria do not exist. […] The prevalence rate of DE among the general population ranges from 1% of sexually active men (lifelong DE) to 5% (acquired DE). […] The lack of an internationally accepted universal definition, combined with the absence of consensus about normative data for defining the duration of normal ejaculatory latency and the lack of a distinction between various types of delayed ejaculatory disorders limits our knowledge regarding the true prevalence of DE.
  • #2 :: WJMH :: World Journal of Men’s Health
    https://wjmh.org/DOIx.php?id=10.5534/wjmh.17051
    Delayed ejaculation (DE) is a poorly defined and uncommon form of male sexual dysfunction, characterized by a marked delay in ejaculation or an inability to achieve ejaculation. […] The literature suggests that the pathophysiology of DE/AE is multifactorial, including both organic and psychosocial factors. […] Despite the many publications on this condition, the exact pathogenesis is not yet known. […] There is currently no single gold standard for diagnosing DE/AE, as operationalized criteria do not exist. […] The prevalence rate of DE among the general population ranges from 1% of sexually active men (lifelong DE) to 5% (acquired DE). […] The lack of an internationally accepted universal definition, combined with the absence of consensus about normative data for defining the duration of normal ejaculatory latency and the lack of a distinction between various types of delayed ejaculatory disorders limits our knowledge regarding the true prevalence of DE.
  • #3 Epidemiology of delayed ejaculation
    https://pmc.ncbi.nlm.nih.gov/articles/PMC5002002/
    A large body of literature on diminished ejaculatory disorders has been generated without the use of a clear diagnostic definition. […] Delayed ejaculation (DE) is one of the diminished ejaculatory disorders, which range from varying delays in ejaculatory latency to a complete inability to ejaculate. […] The present review provides an overview of the current knowledge on the epidemiology of diminished ejaculatory disorders, with a focus on the acquired disease in specific populations at higher risk of developing DE and other forms of ejaculatory disorders. […] The lack of a consistent definition of DE and variations in the research methodology accounts for the different prevalence rates reported. […] There seems to be a general agreement that the prevalence of DE is low and ranges from 1% (lifelong DE) to 4% (acquired DE) of sexually active men.
  • #4 Delayed ejaculation: epidemiology, diagnostics and treatment – Rustamov – Urologiia
    https://journals.eco-vector.com/1728-2985/article/view/312393
    Delayed ejaculation is a form of sexual disorders, which is characterized by constant or intermittent delays or absence of ejaculation and orgasm, despite normal sexual arousal and erectile function. […] Current views on epidemiology, diagnostics and treatment strategy of delayed ejaculation are presented in the article. […] Delayed ejaculation is one of the most studied and rare types of male sexual dysfunctions, which leads to depression, anxiety, and often is a reason of low self-esteem, reduced satisfaction of a man with his partner, and worsening of relationships between partners. […] In some cases, delayed ejaculation and anejaculation cause infertility. […] Di Sante S, Mollaioli D, Gravina G.L., et al. Epidemiology of delayed ejaculation. Transl Androl Urol 2016;5:541-548. […] Jannini E.A., Lenzi A. Ejaculatory disorders: epidemiology and current approaches to definition, classification and subtyping. World J Urol 2005;23:68-75.
  • #5 Urology » Delayed ejaculation: epidemiology, diagnostics and treatment
    https://urologyjournal.ru/en/archive/article/38475
    Delayed ejaculation is a form of sexual disorders, which is characterized by constant or intermittent delays or absence of ejaculation and orgasm, despite normal sexual arousal and erectile function. […] Current views on epidemiology, diagnostics and treatment strategy of delayed ejaculation are presented in the article. […] Delayed ejaculation is one of the most studied and rare types of male sexual dysfunctions, which leads to depression, anxiety, and often is a reason of low self-esteem, reduced satisfaction of a man with his partner, and worsening of relationships between partners. […] In some cases, delayed ejaculation and anejaculation cause infertility.
  • #6 :: WJMH :: World Journal of Men’s Health
    https://wjmh.org/DOIx.php?id=10.5534/wjmh.17051
    Delayed ejaculation (DE) is a poorly defined and uncommon form of male sexual dysfunction, characterized by a marked delay in ejaculation or an inability to achieve ejaculation. […] The literature suggests that the pathophysiology of DE/AE is multifactorial, including both organic and psychosocial factors. […] Despite the many publications on this condition, the exact pathogenesis is not yet known. […] There is currently no single gold standard for diagnosing DE/AE, as operationalized criteria do not exist. […] The prevalence rate of DE among the general population ranges from 1% of sexually active men (lifelong DE) to 5% (acquired DE). […] The lack of an internationally accepted universal definition, combined with the absence of consensus about normative data for defining the duration of normal ejaculatory latency and the lack of a distinction between various types of delayed ejaculatory disorders limits our knowledge regarding the true prevalence of DE.
  • #7 Male delayed orgasm and anorgasmia: a practical guide for sexual medicine providers | International Journal of Impotence Research
    https://www.nature.com/articles/s41443-023-00692-7
    Delayed orgasm (DO) is defined as increased latency of orgasm despite adequate sexual stimulation and desire. […] Anorgasmia (AO) is characterized as the absence of orgasm. […] Given the multifactorial complex nature of this disorder, a thorough history and physical examination represent the most critical components of patient evaluation in the clinical setting. […] In this review, we specifically focus on summarizing the current knowledge regarding the epidemiology, pathophysiology, diagnosis, and treatment of DO/AO. […] Kinsey et al. found that on 15 out of 10,000 participants had primary AO while Nathan et al. found the prevalence of inhibited male orgasm to be 5%. […] DO and DE are used interchangeably in the literature, the true prevalence of AO and DO is difficult to extrapolate since difficulties with orgasm and ejaculation are often not separated in studies. […] However, it is postulated that the prevalence of DO is likely higher as embarrassment may preclude men from seeking treatment or discussing this condition with their providers.
  • #8 Epidemiology of delayed ejaculation
    https://pmc.ncbi.nlm.nih.gov/articles/PMC5002002/
    A large body of literature on diminished ejaculatory disorders has been generated without the use of a clear diagnostic definition. […] Delayed ejaculation (DE) is one of the diminished ejaculatory disorders, which range from varying delays in ejaculatory latency to a complete inability to ejaculate. […] The present review provides an overview of the current knowledge on the epidemiology of diminished ejaculatory disorders, with a focus on the acquired disease in specific populations at higher risk of developing DE and other forms of ejaculatory disorders. […] The lack of a consistent definition of DE and variations in the research methodology accounts for the different prevalence rates reported. […] There seems to be a general agreement that the prevalence of DE is low and ranges from 1% (lifelong DE) to 4% (acquired DE) of sexually active men.
  • #9 Epidemiology of delayed ejaculation
    https://pmc.ncbi.nlm.nih.gov/articles/PMC5002002/
    A large body of literature on diminished ejaculatory disorders has been generated without the use of a clear diagnostic definition. […] Delayed ejaculation (DE) is one of the diminished ejaculatory disorders, which range from varying delays in ejaculatory latency to a complete inability to ejaculate. […] The present review provides an overview of the current knowledge on the epidemiology of diminished ejaculatory disorders, with a focus on the acquired disease in specific populations at higher risk of developing DE and other forms of ejaculatory disorders. […] The lack of a consistent definition of DE and variations in the research methodology accounts for the different prevalence rates reported. […] There seems to be a general agreement that the prevalence of DE is low and ranges from 1% (lifelong DE) to 4% (acquired DE) of sexually active men.
  • #10 :: WJMH :: World Journal of Men’s Health
    https://wjmh.org/DOIx.php?id=10.5534/wjmh.17051
    Delayed ejaculation (DE) is a poorly defined and uncommon form of male sexual dysfunction, characterized by a marked delay in ejaculation or an inability to achieve ejaculation. […] The literature suggests that the pathophysiology of DE/AE is multifactorial, including both organic and psychosocial factors. […] Despite the many publications on this condition, the exact pathogenesis is not yet known. […] There is currently no single gold standard for diagnosing DE/AE, as operationalized criteria do not exist. […] The prevalence rate of DE among the general population ranges from 1% of sexually active men (lifelong DE) to 5% (acquired DE). […] The lack of an internationally accepted universal definition, combined with the absence of consensus about normative data for defining the duration of normal ejaculatory latency and the lack of a distinction between various types of delayed ejaculatory disorders limits our knowledge regarding the true prevalence of DE.
  • #11 EAU Guidelines on Sexual and Reproductive Health – Uroweb
    https://uroweb.org/guidelines/sexual-and-reproductive-health/chapter/epidemiology-and-prevalence-of-sexual-dysfunction-and-disorders-of-male-reproductive-health
    Due to it uncertain definitions, the epidemiology of delayed ejaculation (DE) is not clear. However, several well-designed epidemiological studies have revealed that its prevalence is around 3% among sexually active men. According to data from the NHSLS, 7.78% of a national probability sample of 1,246 men aged 18-59 years reported inability achieving climax or ejaculation. In a similar stratified national probability sample survey completed over six months among 11,161 men and women aged 16-44 years in Britain, 0.7% of men reported inability to reach orgasm. In an international survey of sexual problems among 13,618 men aged 40–80 years from 29 countries, 1.1-2.8% of men reported that they frequently experience inability to reach orgasm. Another study conducted in the USA, in a national probability sample of 1,455 men aged 57-85 years, 20% of men reported inability to climax and 73% reported that they were bothered by this problem. Similar to PE, there are distinctions among lifelong, acquired and situational DE. Although the evidence is limited, the prevalence of lifelong and acquired DE is estimated at 1 and 4%, respectively.
  • #12 Epidemiology of delayed ejaculation
    https://pmc.ncbi.nlm.nih.gov/articles/PMC5002002/
    However, contrary to old reported percentages, more recent population surveys and cross-sectional observations have reported that, like erectile dysfunction (ED) and premature ejaculation (PE), DE and other diminished ejaculatory dysfunctions are common forms of male sexual dysfunction. […] Specifically, the above studies have reported that certain demographic and clinical factors correlate with ejaculatory dysfunctions. For example, DE appears to be positively related to age and the prevalence differs among races. […] The true incidence of RE is also difficult to estimate. It ranges from 0.3% to 2% of patients attending fertility clinics, but it may increase in patients with diabetes. […] Anejaculation occurs in 0.14% of the general population, according to Kinsey. […] The prevalence of DE appears to be moderately and positively related to age, which is not surprising in view of the fact that ejaculatory function as a whole tends to diminish as men age.
  • #13 Epidemiology of delayed ejaculation
    https://pmc.ncbi.nlm.nih.gov/articles/PMC5002002/
    However, contrary to old reported percentages, more recent population surveys and cross-sectional observations have reported that, like erectile dysfunction (ED) and premature ejaculation (PE), DE and other diminished ejaculatory dysfunctions are common forms of male sexual dysfunction. […] Specifically, the above studies have reported that certain demographic and clinical factors correlate with ejaculatory dysfunctions. For example, DE appears to be positively related to age and the prevalence differs among races. […] The true incidence of RE is also difficult to estimate. It ranges from 0.3% to 2% of patients attending fertility clinics, but it may increase in patients with diabetes. […] Anejaculation occurs in 0.14% of the general population, according to Kinsey. […] The prevalence of DE appears to be moderately and positively related to age, which is not surprising in view of the fact that ejaculatory function as a whole tends to diminish as men age.
  • #14 EAU Guidelines on Sexual and Reproductive Health – Uroweb
    https://uroweb.org/guidelines/sexual-and-reproductive-health/chapter/epidemiology-and-prevalence-of-sexual-dysfunction-and-disorders-of-male-reproductive-health
    Due to it uncertain definitions, the epidemiology of delayed ejaculation (DE) is not clear. However, several well-designed epidemiological studies have revealed that its prevalence is around 3% among sexually active men. According to data from the NHSLS, 7.78% of a national probability sample of 1,246 men aged 18-59 years reported inability achieving climax or ejaculation. In a similar stratified national probability sample survey completed over six months among 11,161 men and women aged 16-44 years in Britain, 0.7% of men reported inability to reach orgasm. In an international survey of sexual problems among 13,618 men aged 40–80 years from 29 countries, 1.1-2.8% of men reported that they frequently experience inability to reach orgasm. Another study conducted in the USA, in a national probability sample of 1,455 men aged 57-85 years, 20% of men reported inability to climax and 73% reported that they were bothered by this problem. Similar to PE, there are distinctions among lifelong, acquired and situational DE. Although the evidence is limited, the prevalence of lifelong and acquired DE is estimated at 1 and 4%, respectively.
  • #15 EAU Guidelines on Sexual and Reproductive Health – Uroweb
    https://uroweb.org/guidelines/sexual-and-reproductive-health/chapter/epidemiology-and-prevalence-of-sexual-dysfunction-and-disorders-of-male-reproductive-health
    Due to it uncertain definitions, the epidemiology of delayed ejaculation (DE) is not clear. However, several well-designed epidemiological studies have revealed that its prevalence is around 3% among sexually active men. According to data from the NHSLS, 7.78% of a national probability sample of 1,246 men aged 18-59 years reported inability achieving climax or ejaculation. In a similar stratified national probability sample survey completed over six months among 11,161 men and women aged 16-44 years in Britain, 0.7% of men reported inability to reach orgasm. In an international survey of sexual problems among 13,618 men aged 40–80 years from 29 countries, 1.1-2.8% of men reported that they frequently experience inability to reach orgasm. Another study conducted in the USA, in a national probability sample of 1,455 men aged 57-85 years, 20% of men reported inability to climax and 73% reported that they were bothered by this problem. Similar to PE, there are distinctions among lifelong, acquired and situational DE. Although the evidence is limited, the prevalence of lifelong and acquired DE is estimated at 1 and 4%, respectively.
  • #16 EAU Guidelines on Sexual and Reproductive Health – Uroweb
    https://uroweb.org/guidelines/sexual-and-reproductive-health/chapter/epidemiology-and-prevalence-of-sexual-dysfunction-and-disorders-of-male-reproductive-health
    Due to it uncertain definitions, the epidemiology of delayed ejaculation (DE) is not clear. However, several well-designed epidemiological studies have revealed that its prevalence is around 3% among sexually active men. According to data from the NHSLS, 7.78% of a national probability sample of 1,246 men aged 18-59 years reported inability achieving climax or ejaculation. In a similar stratified national probability sample survey completed over six months among 11,161 men and women aged 16-44 years in Britain, 0.7% of men reported inability to reach orgasm. In an international survey of sexual problems among 13,618 men aged 40–80 years from 29 countries, 1.1-2.8% of men reported that they frequently experience inability to reach orgasm. Another study conducted in the USA, in a national probability sample of 1,455 men aged 57-85 years, 20% of men reported inability to climax and 73% reported that they were bothered by this problem. Similar to PE, there are distinctions among lifelong, acquired and situational DE. Although the evidence is limited, the prevalence of lifelong and acquired DE is estimated at 1 and 4%, respectively.
  • #17 EAU Guidelines on Sexual and Reproductive Health – Uroweb
    https://uroweb.org/guidelines/sexual-and-reproductive-health/chapter/epidemiology-and-prevalence-of-sexual-dysfunction-and-disorders-of-male-reproductive-health
    Due to it uncertain definitions, the epidemiology of delayed ejaculation (DE) is not clear. However, several well-designed epidemiological studies have revealed that its prevalence is around 3% among sexually active men. According to data from the NHSLS, 7.78% of a national probability sample of 1,246 men aged 18-59 years reported inability achieving climax or ejaculation. In a similar stratified national probability sample survey completed over six months among 11,161 men and women aged 16-44 years in Britain, 0.7% of men reported inability to reach orgasm. In an international survey of sexual problems among 13,618 men aged 40–80 years from 29 countries, 1.1-2.8% of men reported that they frequently experience inability to reach orgasm. Another study conducted in the USA, in a national probability sample of 1,455 men aged 57-85 years, 20% of men reported inability to climax and 73% reported that they were bothered by this problem. Similar to PE, there are distinctions among lifelong, acquired and situational DE. Although the evidence is limited, the prevalence of lifelong and acquired DE is estimated at 1 and 4%, respectively.
  • #18 Delayed Ejaculation: Causes, Diagnosis & Treatment
    https://my.clevelandclinic.org/health/diseases/22125-delayed-ejaculation
    Delayed ejaculation can be frustrating or unfulfilling, for you or a sexual partner. But its normal to have delayed ejaculation sometimes. Theres no normal time limit for how long it should take to orgasm or ejaculate. However, if it causes stress and its a long-lasting (chronic) issue, a healthcare provider can help. […] A 2023 study estimates that delayed ejaculation affects at least 5% to 10% of males. […] Delayed ejaculation can affect anyone. It can affect some men for their entire lives. For others, it only happens once in a while, or it starts to occur more regularly as they get older.
  • #19 Male delayed orgasm and anorgasmia: a practical guide for sexual medicine providers | International Journal of Impotence Research
    https://www.nature.com/articles/s41443-023-00692-7
    Delayed orgasm (DO) is defined as increased latency of orgasm despite adequate sexual stimulation and desire. […] Anorgasmia (AO) is characterized as the absence of orgasm. […] Given the multifactorial complex nature of this disorder, a thorough history and physical examination represent the most critical components of patient evaluation in the clinical setting. […] In this review, we specifically focus on summarizing the current knowledge regarding the epidemiology, pathophysiology, diagnosis, and treatment of DO/AO. […] Kinsey et al. found that on 15 out of 10,000 participants had primary AO while Nathan et al. found the prevalence of inhibited male orgasm to be 5%. […] DO and DE are used interchangeably in the literature, the true prevalence of AO and DO is difficult to extrapolate since difficulties with orgasm and ejaculation are often not separated in studies. […] However, it is postulated that the prevalence of DO is likely higher as embarrassment may preclude men from seeking treatment or discussing this condition with their providers.
  • #20 Epidemiology of delayed ejaculation
    https://pmc.ncbi.nlm.nih.gov/articles/PMC5002002/
    However, contrary to old reported percentages, more recent population surveys and cross-sectional observations have reported that, like erectile dysfunction (ED) and premature ejaculation (PE), DE and other diminished ejaculatory dysfunctions are common forms of male sexual dysfunction. […] Specifically, the above studies have reported that certain demographic and clinical factors correlate with ejaculatory dysfunctions. For example, DE appears to be positively related to age and the prevalence differs among races. […] The true incidence of RE is also difficult to estimate. It ranges from 0.3% to 2% of patients attending fertility clinics, but it may increase in patients with diabetes. […] Anejaculation occurs in 0.14% of the general population, according to Kinsey. […] The prevalence of DE appears to be moderately and positively related to age, which is not surprising in view of the fact that ejaculatory function as a whole tends to diminish as men age.
  • #21 Epidemiology of delayed ejaculation – PubMed
    https://pubmed.ncbi.nlm.nih.gov/27652226/
    A large body of literature on diminished ejaculatory disorders has been generated without the use of a clear diagnostic definition. […] Delayed ejaculation (DE) is one of the diminished ejaculatory disorders, which range from varying delays in ejaculatory latency to a complete inability to ejaculate. […] In addition, the impact of aging is discussed since the prevalence of DE appears to be moderately but positively related to age. […] To date, evidence on the endocrine control of ejaculation is derived from small clinical trials, but the evidence suggests that hormones modulate the ejaculatory process by altering its overall latency.
  • #22 Epidemiology of delayed ejaculation
    https://pmc.ncbi.nlm.nih.gov/articles/PMC5002002/
    The Global Study of Sexual Attitudes and Behaviours (GSSAB) was an international survey involving 13,882 women and 13,618 men, aged 40-80 years, in order to systematically study factors that may contribute to the aetiology of sexual problems. […] An age-dependent increase in the prevalence of DE was reported in an Italian study in which patients with DE were older than those reporting PE. […] High scores (i.e., shorter IELT) progressively decreased as a function of age, suggesting that in advanced age more men complain of DE than of PE. […] The European Male Ageing Study (EMAS) has allowed to systematically analyse different aspects of both general and sexual health in a sample of 3,369 men aged 40-79 years old. […] Overall, about half of the subjects were overweight and more than 50% of them reported one or more morbidities (hypertension, obesity and heart diseases).
  • #23 Epidemiology of delayed ejaculation – Sante – Translational Andrology and Urology
    https://tau.amegroups.org/article/view/10793/11774
    The Global Study of Sexual Attitudes and Behaviours (GSSAB) was an international survey involving 13,882 women and 13,618 men, aged 40-80 years, in order to systematically study factors that may contribute to the aetiology of sexual problems. […] An age-dependent increase in the prevalence of DE was reported in an Italian study in which patients with DE were older than those reporting PE. […] In the very well conducted European Male Ageing Study (EMAS), advancing age and increasing comorbidities were associated with greater prevalence rates of ejaculatory dysfunctions. […] Consistent with the results of EMAS, the National Social Life, Health, and Aging Project (NSHAP) reported the prevalence of sexual activity, behaviours and problems in a representative group of the US general population. […] The present review provides an overview of the current knowledge on the epidemiology of diminished ejaculatory disorders, with a focus on the acquired disease in specific populations at higher risk of developing DE and other forms of ejaculatory disorders.
  • #24 Epidemiology of delayed ejaculation
    https://pmc.ncbi.nlm.nih.gov/articles/PMC5002002/
    The Global Study of Sexual Attitudes and Behaviours (GSSAB) was an international survey involving 13,882 women and 13,618 men, aged 40-80 years, in order to systematically study factors that may contribute to the aetiology of sexual problems. […] An age-dependent increase in the prevalence of DE was reported in an Italian study in which patients with DE were older than those reporting PE. […] High scores (i.e., shorter IELT) progressively decreased as a function of age, suggesting that in advanced age more men complain of DE than of PE. […] The European Male Ageing Study (EMAS) has allowed to systematically analyse different aspects of both general and sexual health in a sample of 3,369 men aged 40-79 years old. […] Overall, about half of the subjects were overweight and more than 50% of them reported one or more morbidities (hypertension, obesity and heart diseases).
  • #25 Delayed Ejaculation: Background, Etiology, Pathophysiology
    https://emedicine.medscape.com/article/2184956-overview
    Consequently, the available epidemiologic evidence is, at best, informative. Further epidemiologic research is needed to derive an accurate estimate of the incidence of orgasmic disorder in men across age periods, races, cultures, relationship status, and countries. […] The Global Study of Sexual Attitudes and Behaviors (GSSAB), which investigated attitudes, behaviors, beliefs, and satisfaction among 27,500 men and women aged 40-80 years, reported 13.2% of men as not reaching orgasm. […] The incidence of DE begins to increase after the age of 50 years. […] Compared with men younger than 59 years, men in their 80s report twice as much difficulty in ejaculating. […] In a review of 52 studies, the estimated rate of MOD among gay men was 38% (notably higher than from other samples), leading the authors to speculate that this difference might reflect a greater recognition of the threat of infection with HIV. […] Reports of DE vary across countries and cultures. In general, this complaint is more commonly reported by men in Asian populations than by men living in the United States, Australia, or Europe. Such variation may be due to cultural or genetic differences.
  • #26 Delayed Ejaculation: Background, Etiology, Pathophysiology
    https://emedicine.medscape.com/article/2184956-overview
    Consequently, the available epidemiologic evidence is, at best, informative. Further epidemiologic research is needed to derive an accurate estimate of the incidence of orgasmic disorder in men across age periods, races, cultures, relationship status, and countries. […] The Global Study of Sexual Attitudes and Behaviors (GSSAB), which investigated attitudes, behaviors, beliefs, and satisfaction among 27,500 men and women aged 40-80 years, reported 13.2% of men as not reaching orgasm. […] The incidence of DE begins to increase after the age of 50 years. […] Compared with men younger than 59 years, men in their 80s report twice as much difficulty in ejaculating. […] In a review of 52 studies, the estimated rate of MOD among gay men was 38% (notably higher than from other samples), leading the authors to speculate that this difference might reflect a greater recognition of the threat of infection with HIV. […] Reports of DE vary across countries and cultures. In general, this complaint is more commonly reported by men in Asian populations than by men living in the United States, Australia, or Europe. Such variation may be due to cultural or genetic differences.
  • #27 Epidemiology of delayed ejaculation
    https://pmc.ncbi.nlm.nih.gov/articles/PMC5002002/
    The Global Study of Sexual Attitudes and Behaviours (GSSAB) was an international survey involving 13,882 women and 13,618 men, aged 40-80 years, in order to systematically study factors that may contribute to the aetiology of sexual problems. […] An age-dependent increase in the prevalence of DE was reported in an Italian study in which patients with DE were older than those reporting PE. […] High scores (i.e., shorter IELT) progressively decreased as a function of age, suggesting that in advanced age more men complain of DE than of PE. […] The European Male Ageing Study (EMAS) has allowed to systematically analyse different aspects of both general and sexual health in a sample of 3,369 men aged 40-79 years old. […] Overall, about half of the subjects were overweight and more than 50% of them reported one or more morbidities (hypertension, obesity and heart diseases).
  • #28 Delayed Ejaculation: Background, Etiology, Pathophysiology
    https://emedicine.medscape.com/article/2184956-overview
    Consequently, the available epidemiologic evidence is, at best, informative. Further epidemiologic research is needed to derive an accurate estimate of the incidence of orgasmic disorder in men across age periods, races, cultures, relationship status, and countries. […] The Global Study of Sexual Attitudes and Behaviors (GSSAB), which investigated attitudes, behaviors, beliefs, and satisfaction among 27,500 men and women aged 40-80 years, reported 13.2% of men as not reaching orgasm. […] The incidence of DE begins to increase after the age of 50 years. […] Compared with men younger than 59 years, men in their 80s report twice as much difficulty in ejaculating. […] In a review of 52 studies, the estimated rate of MOD among gay men was 38% (notably higher than from other samples), leading the authors to speculate that this difference might reflect a greater recognition of the threat of infection with HIV. […] Reports of DE vary across countries and cultures. In general, this complaint is more commonly reported by men in Asian populations than by men living in the United States, Australia, or Europe. Such variation may be due to cultural or genetic differences.
  • #29 Epidemiology of delayed ejaculation – Sante – Translational Andrology and Urology
    https://tau.amegroups.org/article/view/10793/html
    The Global Study of Sexual Attitudes and Behaviours (GSSAB) was an international survey involving 13,882 women and 13,618 men, aged 40-80 years, in order to systematically study factors that may contribute to the aetiology of sexual problems. […] An age-dependent increase in the prevalence of DE was reported in an Italian study in which patients with DE were older than those reporting PE. […] In the very well conducted European Male Ageing Study (EMAS), advancing age and increasing comorbidities were associated with greater prevalence rates of ejaculatory dysfunctions. […] Consistent with the results of EMAS, the National Social Life, Health, and Aging Project (NSHAP) reported the prevalence of sexual activity, behaviours and problems in a representative group of the US general population of 3,005 adults.
  • #30 Epidemiology of delayed ejaculation
    https://pmc.ncbi.nlm.nih.gov/articles/PMC5002002/
    The Global Study of Sexual Attitudes and Behaviours (GSSAB) was an international survey involving 13,882 women and 13,618 men, aged 40-80 years, in order to systematically study factors that may contribute to the aetiology of sexual problems. […] An age-dependent increase in the prevalence of DE was reported in an Italian study in which patients with DE were older than those reporting PE. […] High scores (i.e., shorter IELT) progressively decreased as a function of age, suggesting that in advanced age more men complain of DE than of PE. […] The European Male Ageing Study (EMAS) has allowed to systematically analyse different aspects of both general and sexual health in a sample of 3,369 men aged 40-79 years old. […] Overall, about half of the subjects were overweight and more than 50% of them reported one or more morbidities (hypertension, obesity and heart diseases).
  • #31 Epidemiology of delayed ejaculation – Sante – Translational Andrology and Urology
    https://tau.amegroups.org/article/view/10793/11774
    The Global Study of Sexual Attitudes and Behaviours (GSSAB) was an international survey involving 13,882 women and 13,618 men, aged 40-80 years, in order to systematically study factors that may contribute to the aetiology of sexual problems. […] An age-dependent increase in the prevalence of DE was reported in an Italian study in which patients with DE were older than those reporting PE. […] In the very well conducted European Male Ageing Study (EMAS), advancing age and increasing comorbidities were associated with greater prevalence rates of ejaculatory dysfunctions. […] Consistent with the results of EMAS, the National Social Life, Health, and Aging Project (NSHAP) reported the prevalence of sexual activity, behaviours and problems in a representative group of the US general population. […] The present review provides an overview of the current knowledge on the epidemiology of diminished ejaculatory disorders, with a focus on the acquired disease in specific populations at higher risk of developing DE and other forms of ejaculatory disorders.
  • #32 Epidemiology of delayed ejaculation – Sante – Translational Andrology and Urology
    https://tau.amegroups.org/article/view/10793/11774
    The Global Study of Sexual Attitudes and Behaviours (GSSAB) was an international survey involving 13,882 women and 13,618 men, aged 40-80 years, in order to systematically study factors that may contribute to the aetiology of sexual problems. […] An age-dependent increase in the prevalence of DE was reported in an Italian study in which patients with DE were older than those reporting PE. […] In the very well conducted European Male Ageing Study (EMAS), advancing age and increasing comorbidities were associated with greater prevalence rates of ejaculatory dysfunctions. […] Consistent with the results of EMAS, the National Social Life, Health, and Aging Project (NSHAP) reported the prevalence of sexual activity, behaviours and problems in a representative group of the US general population. […] The present review provides an overview of the current knowledge on the epidemiology of diminished ejaculatory disorders, with a focus on the acquired disease in specific populations at higher risk of developing DE and other forms of ejaculatory disorders.
  • #33 Epidemiology of delayed ejaculation – Sante – Translational Andrology and Urology
    https://tau.amegroups.org/article/view/10793/html
    The Global Study of Sexual Attitudes and Behaviours (GSSAB) was an international survey involving 13,882 women and 13,618 men, aged 40-80 years, in order to systematically study factors that may contribute to the aetiology of sexual problems. […] An age-dependent increase in the prevalence of DE was reported in an Italian study in which patients with DE were older than those reporting PE. […] In the very well conducted European Male Ageing Study (EMAS), advancing age and increasing comorbidities were associated with greater prevalence rates of ejaculatory dysfunctions. […] Consistent with the results of EMAS, the National Social Life, Health, and Aging Project (NSHAP) reported the prevalence of sexual activity, behaviours and problems in a representative group of the US general population of 3,005 adults.
  • #34 Epidemiology of delayed ejaculation
    https://pmc.ncbi.nlm.nih.gov/articles/PMC5002002/
    However, contrary to old reported percentages, more recent population surveys and cross-sectional observations have reported that, like erectile dysfunction (ED) and premature ejaculation (PE), DE and other diminished ejaculatory dysfunctions are common forms of male sexual dysfunction. […] Specifically, the above studies have reported that certain demographic and clinical factors correlate with ejaculatory dysfunctions. For example, DE appears to be positively related to age and the prevalence differs among races. […] The true incidence of RE is also difficult to estimate. It ranges from 0.3% to 2% of patients attending fertility clinics, but it may increase in patients with diabetes. […] Anejaculation occurs in 0.14% of the general population, according to Kinsey. […] The prevalence of DE appears to be moderately and positively related to age, which is not surprising in view of the fact that ejaculatory function as a whole tends to diminish as men age.
  • #35 Epidemiology of delayed ejaculation
    https://pmc.ncbi.nlm.nih.gov/articles/PMC5002002/
    Ejaculatory dysfunctions in the aged male are most probably due to several comorbidities, including metabolic and cardiovascular disorders, increased prevalence of T deficiency, increased use of medications, and decreased exercise. […] After adjusting for age and common comorbidities, ejaculatory dysfunctions were significantly associated with LUTS and men with severe LUTS were 3.3 times more likely to report ejaculation disorders. […] This has a significant negative impact on quality of life, not only in regard to orgasmic function, but also for fertility, considering the relatively early onset of BPH.
  • #36 Epidemiology of delayed ejaculation
    https://pmc.ncbi.nlm.nih.gov/articles/PMC5002002/
    Ejaculatory dysfunctions in the aged male are most probably due to several comorbidities, including metabolic and cardiovascular disorders, increased prevalence of T deficiency, increased use of medications, and decreased exercise. […] After adjusting for age and common comorbidities, ejaculatory dysfunctions were significantly associated with LUTS and men with severe LUTS were 3.3 times more likely to report ejaculation disorders. […] This has a significant negative impact on quality of life, not only in regard to orgasmic function, but also for fertility, considering the relatively early onset of BPH.
  • #37 Epidemiology of delayed ejaculation – Sante – Translational Andrology and Urology
    https://tau.amegroups.org/article/view/10793/html
    After adjusting for age and common comorbidities, ejaculatory dysfunctions were significantly associated with LUTS and men with severe LUTS were 3.3 times more likely to report ejaculation disorders. […] The estimated incidence of ejaculation disorders with TURP was 65% in 19 trials. […] A significantly higher incidence of anejaculation was demonstrated in men receiving tamsulosin than in those receiving placebo. […] The high prevalence of acquired ejaculatory dysfunctions should be emphasised.
  • #38 Epidemiology of delayed ejaculation
    https://pmc.ncbi.nlm.nih.gov/articles/PMC5002002/
    Ejaculatory dysfunctions in the aged male are most probably due to several comorbidities, including metabolic and cardiovascular disorders, increased prevalence of T deficiency, increased use of medications, and decreased exercise. […] After adjusting for age and common comorbidities, ejaculatory dysfunctions were significantly associated with LUTS and men with severe LUTS were 3.3 times more likely to report ejaculation disorders. […] This has a significant negative impact on quality of life, not only in regard to orgasmic function, but also for fertility, considering the relatively early onset of BPH.
  • #39 Epidemiology of delayed ejaculation – Sante – Translational Andrology and Urology
    https://tau.amegroups.org/article/view/10793/html
    After adjusting for age and common comorbidities, ejaculatory dysfunctions were significantly associated with LUTS and men with severe LUTS were 3.3 times more likely to report ejaculation disorders. […] The estimated incidence of ejaculation disorders with TURP was 65% in 19 trials. […] A significantly higher incidence of anejaculation was demonstrated in men receiving tamsulosin than in those receiving placebo. […] The high prevalence of acquired ejaculatory dysfunctions should be emphasised.
  • #40 Epidemiology of delayed ejaculation – Sante – Translational Andrology and Urology
    https://tau.amegroups.org/article/view/10793/html
    After adjusting for age and common comorbidities, ejaculatory dysfunctions were significantly associated with LUTS and men with severe LUTS were 3.3 times more likely to report ejaculation disorders. […] The estimated incidence of ejaculation disorders with TURP was 65% in 19 trials. […] A significantly higher incidence of anejaculation was demonstrated in men receiving tamsulosin than in those receiving placebo. […] The high prevalence of acquired ejaculatory dysfunctions should be emphasised.
  • #41 Epidemiology of delayed ejaculation
    https://pmc.ncbi.nlm.nih.gov/articles/PMC5002002/
    However, contrary to old reported percentages, more recent population surveys and cross-sectional observations have reported that, like erectile dysfunction (ED) and premature ejaculation (PE), DE and other diminished ejaculatory dysfunctions are common forms of male sexual dysfunction. […] Specifically, the above studies have reported that certain demographic and clinical factors correlate with ejaculatory dysfunctions. For example, DE appears to be positively related to age and the prevalence differs among races. […] The true incidence of RE is also difficult to estimate. It ranges from 0.3% to 2% of patients attending fertility clinics, but it may increase in patients with diabetes. […] Anejaculation occurs in 0.14% of the general population, according to Kinsey. […] The prevalence of DE appears to be moderately and positively related to age, which is not surprising in view of the fact that ejaculatory function as a whole tends to diminish as men age.
  • #42 Delayed Ejaculation: Background, Etiology, Pathophysiology
    https://emedicine.medscape.com/article/2184956-overview
    Consequently, the available epidemiologic evidence is, at best, informative. Further epidemiologic research is needed to derive an accurate estimate of the incidence of orgasmic disorder in men across age periods, races, cultures, relationship status, and countries. […] The Global Study of Sexual Attitudes and Behaviors (GSSAB), which investigated attitudes, behaviors, beliefs, and satisfaction among 27,500 men and women aged 40-80 years, reported 13.2% of men as not reaching orgasm. […] The incidence of DE begins to increase after the age of 50 years. […] Compared with men younger than 59 years, men in their 80s report twice as much difficulty in ejaculating. […] In a review of 52 studies, the estimated rate of MOD among gay men was 38% (notably higher than from other samples), leading the authors to speculate that this difference might reflect a greater recognition of the threat of infection with HIV. […] Reports of DE vary across countries and cultures. In general, this complaint is more commonly reported by men in Asian populations than by men living in the United States, Australia, or Europe. Such variation may be due to cultural or genetic differences.
  • #43 Delayed Ejaculation: Background, Etiology, Pathophysiology
    https://emedicine.medscape.com/article/2184956-overview
    Consequently, the available epidemiologic evidence is, at best, informative. Further epidemiologic research is needed to derive an accurate estimate of the incidence of orgasmic disorder in men across age periods, races, cultures, relationship status, and countries. […] The Global Study of Sexual Attitudes and Behaviors (GSSAB), which investigated attitudes, behaviors, beliefs, and satisfaction among 27,500 men and women aged 40-80 years, reported 13.2% of men as not reaching orgasm. […] The incidence of DE begins to increase after the age of 50 years. […] Compared with men younger than 59 years, men in their 80s report twice as much difficulty in ejaculating. […] In a review of 52 studies, the estimated rate of MOD among gay men was 38% (notably higher than from other samples), leading the authors to speculate that this difference might reflect a greater recognition of the threat of infection with HIV. […] Reports of DE vary across countries and cultures. In general, this complaint is more commonly reported by men in Asian populations than by men living in the United States, Australia, or Europe. Such variation may be due to cultural or genetic differences.
  • #44
    https://journals.lww.com/co-urology/fulltext/2005/11000/epidemiology_of_premature_ejaculation.8.aspx
    Accumulating evidence suggests that premature ejaculation is the most common sexual symptom. This review focuses on the epidemiology of premature ejaculation from geographical and medical perspectives. […] A prevalence of more than 21% seems a realistic figure for premature ejaculation. […] Premature ejaculation is the most prevalent sexual dysfunction in every country.
  • #45
    https://journals.lww.com/co-urology/fulltext/2005/11000/epidemiology_of_premature_ejaculation.8.aspx
    Accumulating evidence suggests that premature ejaculation is the most common sexual symptom. This review focuses on the epidemiology of premature ejaculation from geographical and medical perspectives. […] A prevalence of more than 21% seems a realistic figure for premature ejaculation. […] Premature ejaculation is the most prevalent sexual dysfunction in every country.
  • #46 Epidemiology of delayed ejaculation
    https://pmc.ncbi.nlm.nih.gov/articles/PMC5002002/
    However, contrary to old reported percentages, more recent population surveys and cross-sectional observations have reported that, like erectile dysfunction (ED) and premature ejaculation (PE), DE and other diminished ejaculatory dysfunctions are common forms of male sexual dysfunction. […] Specifically, the above studies have reported that certain demographic and clinical factors correlate with ejaculatory dysfunctions. For example, DE appears to be positively related to age and the prevalence differs among races. […] The true incidence of RE is also difficult to estimate. It ranges from 0.3% to 2% of patients attending fertility clinics, but it may increase in patients with diabetes. […] Anejaculation occurs in 0.14% of the general population, according to Kinsey. […] The prevalence of DE appears to be moderately and positively related to age, which is not surprising in view of the fact that ejaculatory function as a whole tends to diminish as men age.
  • #47 Epidemiology of delayed ejaculation
    https://pmc.ncbi.nlm.nih.gov/articles/PMC5002002/
    However, contrary to old reported percentages, more recent population surveys and cross-sectional observations have reported that, like erectile dysfunction (ED) and premature ejaculation (PE), DE and other diminished ejaculatory dysfunctions are common forms of male sexual dysfunction. […] Specifically, the above studies have reported that certain demographic and clinical factors correlate with ejaculatory dysfunctions. For example, DE appears to be positively related to age and the prevalence differs among races. […] The true incidence of RE is also difficult to estimate. It ranges from 0.3% to 2% of patients attending fertility clinics, but it may increase in patients with diabetes. […] Anejaculation occurs in 0.14% of the general population, according to Kinsey. […] The prevalence of DE appears to be moderately and positively related to age, which is not surprising in view of the fact that ejaculatory function as a whole tends to diminish as men age.
  • #48 Premature and Delayed Ejaculation: Genetic and Environmental Effects in a Population-Based Sample of Finnish Twins – Dartmouth College Library
    https://search.library.dartmouth.edu/discovery/fulldisplay?docid=cdi_proquest_miscellaneous_68457642&context=PC&vid=01DCL_INST:01DCL&lang=en&search_scope=MyInst_and_CI&adaptor=Primo%20Central&tab=All&query=null%2C%2C1749&offset=140
    A number of different theoretical approaches to understanding the etiology of ejaculatory dysfunction have been proposed, but no behavior genetic study has yet, to our knowledge, been conducted to explore the genetic and environmental influences on ejaculatory dysfunction. The aim of the present study was to explore the genetic and environmental effects on premature (PE) and delayed (DE) ejaculation in a population-based sample. […] The results suggested moderate genetic influence (28%) on PE, but not on DE (0%). There was a moderate familial effect on DE with shared environmental effects accounting for 24% of the variance. […] The findings from the present study provide useful information regarding the etiology and understanding of ejaculatory dysfunction.
  • #49 Disorders of Ejaculation: An AUA/SMSNA Guideline (2020) – American Urological Association
    https://www.auanet.org/guidelines-and-quality/guidelines/disorders-of-ejaculation
    Lifelong delayed ejaculation is defined as lifelong, consistent, bothersome inability to achieve ejaculation, or excessive latency of ejaculation, despite adequate sexual stimulation and the desire to ejaculate. (Expert Opinion) […] Acquired delayed ejaculation is defined as an acquired, consistent, bothersome inability to achieve ejaculation, or an increased latency of ejaculation, despite adequate sexual stimulation and the desire to ejaculate. (Expert Opinion) […] DE is arguably the least studied, least reported and least understood male sexual dysfunction. DE is of particular concern when procreation is desired. Regardless of the desire for procreation, the impact of failure to achieve orgasm is significant in that it typically results in a lack of sexual fulfilment for both the man and his partner.
  • #50 Delayed ejaculation: epidemiology, diagnostics and treatment – Rustamov – Urologiia
    https://journals.eco-vector.com/1728-2985/article/view/312393
    Delayed ejaculation is a form of sexual disorders, which is characterized by constant or intermittent delays or absence of ejaculation and orgasm, despite normal sexual arousal and erectile function. […] Current views on epidemiology, diagnostics and treatment strategy of delayed ejaculation are presented in the article. […] Delayed ejaculation is one of the most studied and rare types of male sexual dysfunctions, which leads to depression, anxiety, and often is a reason of low self-esteem, reduced satisfaction of a man with his partner, and worsening of relationships between partners. […] In some cases, delayed ejaculation and anejaculation cause infertility. […] Di Sante S, Mollaioli D, Gravina G.L., et al. Epidemiology of delayed ejaculation. Transl Androl Urol 2016;5:541-548. […] Jannini E.A., Lenzi A. Ejaculatory disorders: epidemiology and current approaches to definition, classification and subtyping. World J Urol 2005;23:68-75.
  • #51 Delayed ejaculation – wikidoc
    https://www.wikidoc.org/index.php/Delayed_ejaculation
    The prevalence of delayed ejaculation is unknown. […] Delayed ejaculation causes a great deal of complications for a man who suffers from it as well as for his partner. […] Divorces and breakups are especially widespread among those couples who plan to have children but cannot conceive due to the male partner’s inability to ejaculate inside the vagina.
  • #52 KoreaMed Synapse
    https://synapse.koreamed.org/articles/1088855
    Although clinical advances have been made in the diagnosis and treatment of erectile dysfunction, there is a consensus that DE/AE is still a poorly understood disorder, with inconsistent practice patterns seen among practicing physicians. […] Treatment should be cause-specific. […] There are many approaches to treatment planning, including various psychological interventions, pharmacotherapy, and specific treatments for infertile men. […] No approved drug therapy exists. […] A number of approaches can be employed for infertile men, including collection of nocturnal emissions, vigorous prostatic massage, prostatic urethra catheterization, PVS, rectal probe EEJ, sperm retrieval from either the vas deferens or the epididymis, or testicular sperm extraction.
  • #53 Disorders of Ejaculation: An AUA/SMSNA Guideline (2020) – American Urological Association
    https://www.auanet.org/guidelines-and-quality/guidelines/disorders-of-ejaculation
    A variety of medications have been clearly linked to disruption of orgasmic function in both men and women. […] There are no FDA approved pharmacotherapies for DE, nor is the Panel aware of any pharmacotherapies that have received regulatory approval from other national regulatory agencies. […] The Panel does not believe that existing evidence is robust enough to render an opinion on the actual risk/benefit ratio of DE pharmacotherapy.
  • #54 :: WJMH :: World Journal of Men’s Health
    https://wjmh.org/DOIx.php?id=10.5534/wjmh.17051
    Although clinical advances have been made in the diagnosis and treatment of erectile dysfunction, there is a consensus that DE/AE is still a poorly understood disorder, with inconsistent practice patterns seen among practicing physicians. […] Unfortunately, there is currently no single gold standard for diagnosing DE/AE, as operationalized criteria do not exist. […] Treatment should be cause-specific. […] A number of approaches can be employed for infertile men, including collection of nocturnal emissions, prostatic massage, prostatic urethra catheterization, penile vibratory stimulation, probe electroejaculation, sperm retrieval by aspiration from either the vas deferens or the epididymis, and testicular sperm extraction.
  • #55 Epidemiology of delayed ejaculation – Sante – Translational Andrology and Urology
    https://tau.amegroups.org/article/view/10793/html
    After adjusting for age and common comorbidities, ejaculatory dysfunctions were significantly associated with LUTS and men with severe LUTS were 3.3 times more likely to report ejaculation disorders. […] The estimated incidence of ejaculation disorders with TURP was 65% in 19 trials. […] A significantly higher incidence of anejaculation was demonstrated in men receiving tamsulosin than in those receiving placebo. […] The high prevalence of acquired ejaculatory dysfunctions should be emphasised.
  • #56 Delayed Ejaculation: Symptoms, Causes & Treatment | hims
    https://www.forhims.co.uk/blog/delayed-ejaculation-causes-treatment
    Delayed ejaculation is a rare condition, affecting an estimated one to four percent of the male population. […] Delayed ejaculation can happen to men of all ages, but studies show it’s more common in older men. […] Some researchers attribute this problem to a loss of penile receptors and sensory axons (nerves that respond to sexual stimuli) that occurs with age, leading to decreased sensitivity. […] Delayed ejaculation is just one form of sexual dysfunction. If you’re struggling with erectile dysfunction or premature ejaculation (PE) — two of the most common sexual problems affecting men — seek advice from a medical professional. […] If left untreated, this sexual health problem can lead to numerous complications like low self-esteem, relationship conflicts, infertility, and low sexual satisfaction.
  • #57 Epidemiology of delayed ejaculation
    https://pmc.ncbi.nlm.nih.gov/articles/PMC5002002/
    A large body of literature on diminished ejaculatory disorders has been generated without the use of a clear diagnostic definition. […] Delayed ejaculation (DE) is one of the diminished ejaculatory disorders, which range from varying delays in ejaculatory latency to a complete inability to ejaculate. […] The present review provides an overview of the current knowledge on the epidemiology of diminished ejaculatory disorders, with a focus on the acquired disease in specific populations at higher risk of developing DE and other forms of ejaculatory disorders. […] The lack of a consistent definition of DE and variations in the research methodology accounts for the different prevalence rates reported. […] There seems to be a general agreement that the prevalence of DE is low and ranges from 1% (lifelong DE) to 4% (acquired DE) of sexually active men.
  • #58 :: WJMH :: World Journal of Men’s Health
    https://wjmh.org/DOIx.php?id=10.5534/wjmh.17051
    Delayed ejaculation (DE) is a poorly defined and uncommon form of male sexual dysfunction, characterized by a marked delay in ejaculation or an inability to achieve ejaculation. […] The literature suggests that the pathophysiology of DE/AE is multifactorial, including both organic and psychosocial factors. […] Despite the many publications on this condition, the exact pathogenesis is not yet known. […] There is currently no single gold standard for diagnosing DE/AE, as operationalized criteria do not exist. […] The prevalence rate of DE among the general population ranges from 1% of sexually active men (lifelong DE) to 5% (acquired DE). […] The lack of an internationally accepted universal definition, combined with the absence of consensus about normative data for defining the duration of normal ejaculatory latency and the lack of a distinction between various types of delayed ejaculatory disorders limits our knowledge regarding the true prevalence of DE.
  • #59 Delayed Ejaculation: Background, Etiology, Pathophysiology
    https://emedicine.medscape.com/article/2184956-overview
    Consequently, the available epidemiologic evidence is, at best, informative. Further epidemiologic research is needed to derive an accurate estimate of the incidence of orgasmic disorder in men across age periods, races, cultures, relationship status, and countries. […] The Global Study of Sexual Attitudes and Behaviors (GSSAB), which investigated attitudes, behaviors, beliefs, and satisfaction among 27,500 men and women aged 40-80 years, reported 13.2% of men as not reaching orgasm. […] The incidence of DE begins to increase after the age of 50 years. […] Compared with men younger than 59 years, men in their 80s report twice as much difficulty in ejaculating. […] In a review of 52 studies, the estimated rate of MOD among gay men was 38% (notably higher than from other samples), leading the authors to speculate that this difference might reflect a greater recognition of the threat of infection with HIV. […] Reports of DE vary across countries and cultures. In general, this complaint is more commonly reported by men in Asian populations than by men living in the United States, Australia, or Europe. Such variation may be due to cultural or genetic differences.
  • #60 :: WJMH :: World Journal of Men’s Health
    https://wjmh.org/DOIx.php?id=10.5534/wjmh.17051
    Delayed ejaculation (DE) is a poorly defined and uncommon form of male sexual dysfunction, characterized by a marked delay in ejaculation or an inability to achieve ejaculation. […] The literature suggests that the pathophysiology of DE/AE is multifactorial, including both organic and psychosocial factors. […] Despite the many publications on this condition, the exact pathogenesis is not yet known. […] There is currently no single gold standard for diagnosing DE/AE, as operationalized criteria do not exist. […] The prevalence rate of DE among the general population ranges from 1% of sexually active men (lifelong DE) to 5% (acquired DE). […] The lack of an internationally accepted universal definition, combined with the absence of consensus about normative data for defining the duration of normal ejaculatory latency and the lack of a distinction between various types of delayed ejaculatory disorders limits our knowledge regarding the true prevalence of DE.
  • #61 Définition et épidémiologie des troubles de l’éjaculation | Basic and Clinical Andrology | Full Text
    https://bacandrology.biomedcentral.com/articles/10.1007/BF03034779
    Les troubles de l’jaculation sont des phnomnes de sant non ngligeables avec un impact potentiel sur la sexualit et la fertilit du couple et sa qualit de vie. […] Ejaculatory dysfunction is a male sexual disorder and comprises premature ejaculation, delayed ejaculation, anorgasmia, anejaculation and retrograde ejaculation. […] However, the rare studies performed since 1990 show high prevalences: about 10% of men often or always experience premature ejaculation. […] The prevalence of delayed ejaculation and anorgasmia is estimated to be between 5 and 10%. […] Ejaculatory dysfunctions are therefore significant health problems with consequences on sexuality, fertility and quality of life.
  • #62 :: WJMH :: World Journal of Men’s Health
    https://wjmh.org/DOIx.php?id=10.5534/wjmh.17051
    Delayed ejaculation (DE) is a poorly defined and uncommon form of male sexual dysfunction, characterized by a marked delay in ejaculation or an inability to achieve ejaculation. […] The literature suggests that the pathophysiology of DE/AE is multifactorial, including both organic and psychosocial factors. […] Despite the many publications on this condition, the exact pathogenesis is not yet known. […] There is currently no single gold standard for diagnosing DE/AE, as operationalized criteria do not exist. […] The prevalence rate of DE among the general population ranges from 1% of sexually active men (lifelong DE) to 5% (acquired DE). […] The lack of an internationally accepted universal definition, combined with the absence of consensus about normative data for defining the duration of normal ejaculatory latency and the lack of a distinction between various types of delayed ejaculatory disorders limits our knowledge regarding the true prevalence of DE.