Materiały źródłowe

• #1 Ejaculatory Dysfunction | Boston Medical Center

  https://www.bmc.org/patient-care/conditions-we-treat/db/ejaculatory-dysfunction

  Ejaculatory dysfunction is the general term for several different conditions. It’s the most common form of male sexual dysfunction and a potential cause of male infertility. […] Ejaculatory dysfunction may be caused by a problem at birth or start later in life. It can cause sexual dissatisfaction, infertility, and other issues. […] Medication, behavioral therapy, and surgery are common treatments.

• #2 Ejaculation Problems: Too Fast, Too Slow or Not at All? » Sexual Medicine » BUMC

  https://www.bumc.bu.edu/sexualmedicine/informationsessions/ejaculation-problems-too-fast-too-slow-or-not-at-all/

  For men, erectile dysfunction and ejaculatory problems are the most common sexual difficulties. […] In contrast, ejaculatory problems continue to be commonplace among men and often create feelings of shame and embarrassment for those men who struggle with this difficulty. […] When does an ejaculation problem become a disorder? This is a subjective question and is based on the level of distress that is experienced by the man or his partner. […] Typically, ejaculatory disorders fall into two categories. These are: delayed ejaculation and early ejaculation. […] In the vast majority of cases, the most effective therapeutic approach for ejaculatory dysfunction is a combination of biologic and psychologic therapy. […] Regardless of the psychological issues, a good medical or urologic work-up is always encouraged before embarking on a behavioral treatment program.

• #3 The office management of ejaculatory disorders – Jiann – Translational Andrology and Urology

  https://tau.amegroups.org/article/view/10685/html

  EjDs, erectile dysfunction (ED), and hypogonadism are three major categories of male sexual dysfunctions. EjDs comprise a heterogeneous group of dysfunctions that involve altered time and control [premature ejaculation (PE) and delayed ejaculation (DE)], presence [anejaculation (AE)], direction [retrograde ejaculation (RE)], volume [perceived ejaculate volume reduction (PEVR)], or force [decreased force of ejaculation (DFE)] of ejaculation. […] Despite being extremely common among men, EjDs remain poorly understood, underdiagnosed, and undertreated. Therefore, this article presents the current state-of-the-art knowledge for EjDs management and perspectives on EjD diagnosis and treatment optimization strategies. […] In European surveys of e-mail and telephone helplines for sexual problems, ED and PE were the major male sexual concerns, whereas EjDs other than PE accounted for only 3.3% of the complaints.

• #4 Ejaculatory Dysfunction | Patient Care

  https://weillcornell.org/services/urology/male-infertility-and-sexual-medicine/conditions-we-treat/ejaculatory-dysfunction

  Ejaculation involves coordinated muscular and neurological events that involve deposition of semen in the urethral (emission) and propulsion of the fluid from the urethral meatus (ejection). […] There are four main ejaculatory disorders that are seen in clinical practice: (i) premature ejaculation, (ii) retrograde ejaculation, (iii) delayed ejaculation (orgasm), and (iv) anorgasmia. […] Delayed ejaculation and anorgasmia involve the inability of the patient to achieve orgasm (ejaculation) in a timely manner, and in severe cases men fail to achieve orgasm on any occasion. […] A comprehensive medical and sexual history is the most important aspect in the diagnosis of men with ejaculatory dysfunction. […] Premature ejaculation (PE), also known as rapid ejaculation, lacks a definition that is agreed upon by all practitioners, but essentially is the condition whereby a patient ejaculates with minimal sexual stimulation and before he wishes it to occur.

• #5 Ejaculatory Dysfunction | Urology Associates | Denver Metro

  https://www.denverurology.com/mens-fertility-sexual-health/ejaculatory-dysfunction/

  Ejaculatory dysfunction is the inability of a man to efficiently ejaculate semen from the penis at the moment of sexual climax. […] Ejaculatory dysfunction is classified into four types: premature ejaculation, delayed ejaculation, retrograde ejaculation and anejaculation (no ejaculation). […] Treatments for ejaculatory dysfunction include medications, behavioral therapy (for premature ejaculation) and sometimes surgery. […] Ejaculation disorders, also called aspermia, can be caused by a problem at birth (primary) or by acquired dysfunctions (secondary) after birth (often much later in life), such as disease, injury and adverse drug reactions. […] The four types of ejaculation dysfunction are premature ejaculation, delayed ejaculation, retrograde ejaculation and anejaculation. […] Medications, physical therapy and psychotherapy are tools for treating PE.

• #6 Ejaculation problems

  https://www.nhs.uk/conditions/ejaculation-problems/

  Ejaculation problems are common sexual problems in men. […] If you have a persistent problem with ejaculation, visit your GP, who will discuss the problem with you and may examine you or refer you to a specialist. […] Premature ejaculation is a common ejaculation problem. It’s where the male ejaculates sooner than he or his partner wishes during sexual arousal. […] Common physical causes include prostate problems, thyroid problems an overactive thyroid or an underactive thyroid, and using recreational drugs. […] Common psychological causes may include depression, stress, relationship problems, and anxiety about sexual performance. […] Selective serotonin reuptake inhibitors (SSRIs) are a type of antidepressant, but they also delay ejaculation. […] An SSRI specifically designed to treat premature ejaculation, known as dapoxetine (Priligy), has been licensed in the UK.

• #7 Ejaculation Problems: Too Fast, Too Slow or Not at All? » Sexual Medicine » BUMC

  https://www.bumc.bu.edu/sexualmedicine/informationsessions/ejaculation-problems-too-fast-too-slow-or-not-at-all/

  In July 2003, the World Health Organization recommended that the term pre-mature ejaculation be replaced by the more neutral phrase early ejaculation. […] By definition, early ejaculation is an ejaculation that occurs before it is desired. […] A significant amount of distress from the man or his partner almost always accompanies an early ejaculation. […] Psychologists and sex therapists tend to view ejaculatory control as a skill that is mastered via masturbation during adolescence and early adulthood. […] Although less common, some men develop early ejaculatory problems later in life. […] As mentioned, the most effective approach is a combination of psychological assistance and medical intervention. […] Urologists and other medical doctors typically treat early ejaculation with a combination of medications and creams.

• #8 Ejaculation problems

  https://www.nhs.uk/conditions/ejaculation-problems/

  Phosphodiesterase-5 inhibitors, such as sildenafil (sold as Viagra), are a class of medicine used to treat erectile dysfunction. Research has found that they may also help with premature ejaculation. […] The use of topical anaesthetics such as lidocaine or prilocaine can help but may be transferred and absorbed to the vagina, causing decreased sensation. […] You may benefit from having psychosexual counselling, where a therapist can help you, and a partner if you have one, with sex related problems. […] Delayed ejaculation (male orgasmic disorder) is classed as either experiencing a significant delay before ejaculation or being unable to ejaculate at all, even though the man wants to and his erection is normal. […] Physical causes of delayed ejaculation include diabetes, spinal cord injuries, multiple sclerosis, surgery to the bladder or prostate gland, and increasing age.

• #9 Ejaculation Disorders I Ohio State Urology Department

  https://wexnermedical.osu.edu/urology/ejaculation

  Antidepressants and other selective serotonin reuptake inhibitors (SSRIs) are often prescribed. As a side effect, these medicines increase the time it takes to reach ejaculation. […] Delayed ejaculation is a medical condition in which a male cannot ejaculate, either during intercourse or by manual stimulation. Men with delayed ejaculation may be unable to ejaculate or may only be able to ejaculate with great effort after having intercourse for a long time (30 to 45 minutes). Delayed Ejaculation can have psychological or physical causes. […] Your treatment plan will be based upon the causes of your condition. Sometimes, counseling helps improve this condition. If a medication is believed to be the cause of the problem, discuss other medication options with your doctor.

• #10 Ejaculation problems

  https://www.nhs.uk/conditions/ejaculation-problems/

  Sex therapy is a form of counselling that uses a combination of psychotherapy and structured changes in your sex life. […] Retrograde ejaculation is a rarer type of ejaculation problem. It happens when semen travels backwards into the bladder instead of through the urethra. […] Most men do not need treatment for retrograde ejaculation because they are still able to enjoy a healthy sex life and the condition does not have adverse effects on their health. […] If you’re having problems with your sex life and are seeking treatment, it is usually recommended you involve your partner as much as possible.

• #11 Ejaculatory and Orgasmic Disorders | UCSF Department of Urology

  https://urology.ucsf.edu/patient-care/adult-non-cancer/male-sexual-and-reproductive-health/ejaculatory-orgasmic-disorders

  Ejaculation is the expulsion of semen from the penis. Many men experience disruption or disturbance of their ejaculatory function at some point in their life. The cause and management of ejaculation/orgasmic issues depends in large part on where the problem lies. Early or Premature Ejaculation (PE) is ejaculation that occurs before the man wishes it to occur and over which he has little to no sense of control. The cause of PE is not completely understood. A number of psychotherapeutic and behavioral approaches have been promoted for managing PE. There is no FDA approved medical therapy for PE in the United States although a drug has been approved for PE in other countries. Delayed Ejaculation (DE) can be thought of as the opposite of PE. There is no specific treatment for DE. Although there is no FDA approved therapy for DE, some medical therapies have been studied and may have some efficacy in helping alleviate symptoms. Absent or diminished ejaculation is also common in men who are taking certain medications or who have had surgery for an enlarged prostate or prostate cancer. Decline or absence in ejaculation force/volume is not dangerous but can be disturbing to some men.

• #12 Ejaculatory Dysfunction | Urology Associates | Denver Metro

  https://www.denverurology.com/mens-fertility-sexual-health/ejaculatory-dysfunction/

  Ejaculatory dysfunction is the inability of a man to efficiently ejaculate semen from the penis at the moment of sexual climax. […] Ejaculatory dysfunction is classified into four types: premature ejaculation, delayed ejaculation, retrograde ejaculation and anejaculation (no ejaculation). […] Treatments for ejaculatory dysfunction include medications, behavioral therapy (for premature ejaculation) and sometimes surgery. […] Ejaculation disorders, also called aspermia, can be caused by a problem at birth (primary) or by acquired dysfunctions (secondary) after birth (often much later in life), such as disease, injury and adverse drug reactions. […] The four types of ejaculation dysfunction are premature ejaculation, delayed ejaculation, retrograde ejaculation and anejaculation. […] Medications, physical therapy and psychotherapy are tools for treating PE.

• #13 Orgasmic and ejaculatory problems in clinical practice

  https://www.pulsus.com/scholarly-articles/orgasmic-and-ejaculatory-problems-in-clinical-practice.html

  Ejaculation is, basically, the complex process of sperm transport from the epididymis to the urethral meatus, resulting in the expulsion of semen. […] Ejaculation occurs in two phases: seminal emission and propulsatile ejaculation. […] Fast or premature ejaculation is defined as ejaculation before or very soon after intromission that causes personal distress: this disorder is often considered psychogenic in nature. Inhibited or delayed ejaculation is defined as difficulty reaching ejaculation or orgasm despite long and adequate stimulation. […] Ejaculation without orgasm: Often referred to as anhedonic ejaculation, the ejaculatory process occurs with very little sensation of seminal fluid passage and/or weak or absent orgasmic sensation. […] Orgasm without antegrade ejaculate: Orgasmic sensation that is not accompanied by antegrade ejaculation (aspermia) is due to three possibilities: failure of seminal emission, interruption of the pathway for seminal transport or retrograde ejaculation into the bladder.

• #14 Delayed ejaculation: MedlinePlus Medical EncyclopediaLock

  https://medlineplus.gov/ency/article/001954.htm

  Delayed ejaculation is a medical condition in which a male cannot ejaculate easily or at all. It may occur either during intercourse or by manual stimulation with or without a partner. Ejaculation is when semen is released from the penis. […] Delayed ejaculation can have psychological or physical causes. […] If you have never ejaculated through any form of stimulation, see your health care provider to determine if the problem has a physical cause. […] See a therapist who specializes in ejaculation problems if you are unable to ejaculate in an acceptable amount of time. […] Therapy often involves a series of „homework” assignments. […] In cases where there is a problem with the relationship or a lack of sexual desire, you may need therapy to improve your relationship and emotional intimacy.

• #15 Ejaculation problems

  https://www.nhs.uk/conditions/ejaculation-problems/

  Ejaculation problems are common sexual problems in men. […] If you have a persistent problem with ejaculation, visit your GP, who will discuss the problem with you and may examine you or refer you to a specialist. […] Premature ejaculation is a common ejaculation problem. It’s where the male ejaculates sooner than he or his partner wishes during sexual arousal. […] Common physical causes include prostate problems, thyroid problems an overactive thyroid or an underactive thyroid, and using recreational drugs. […] Common psychological causes may include depression, stress, relationship problems, and anxiety about sexual performance. […] Selective serotonin reuptake inhibitors (SSRIs) are a type of antidepressant, but they also delay ejaculation. […] An SSRI specifically designed to treat premature ejaculation, known as dapoxetine (Priligy), has been licensed in the UK.

• #16 Ejaculation problems

  https://www.nhs.uk/conditions/ejaculation-problems/

  Phosphodiesterase-5 inhibitors, such as sildenafil (sold as Viagra), are a class of medicine used to treat erectile dysfunction. Research has found that they may also help with premature ejaculation. […] The use of topical anaesthetics such as lidocaine or prilocaine can help but may be transferred and absorbed to the vagina, causing decreased sensation. […] You may benefit from having psychosexual counselling, where a therapist can help you, and a partner if you have one, with sex related problems. […] Delayed ejaculation (male orgasmic disorder) is classed as either experiencing a significant delay before ejaculation or being unable to ejaculate at all, even though the man wants to and his erection is normal. […] Physical causes of delayed ejaculation include diabetes, spinal cord injuries, multiple sclerosis, surgery to the bladder or prostate gland, and increasing age.

• #17 Delayed Ejaculation – Men’s Clinic – The Men’s Clinic at UCLA | UCLA Health

  https://www.uclahealth.org/medical-services/urology/mens-clinic-ucla/sexual-health/delayed-ejaculation

  The opposite of premature or rapid ejaculation is delayed ejaculation. This can be as, if not more, frustrating than its opposite. Delayed ejaculation is the inability of a man to achieve climax within a reasonable amount of time. […] Delayed ejaculation is a neurological, hormonal and psychological event. If a man has had damage to the nerves in his pelvis or had a spinal cord injury below the lower thoracic spinal level, he may suffer from inability to ejaculate. […] Treatment for delayed ejaculation depends on its cause. For men with nerve injuries, sometimes they respond to medical vibrators placed at the tip of the penis to retrain the nerves to fire more rapidly. […] For men with hormone imbalances, the doctor needs to run some laboratory tests, specifically testosterone and prolactin levels to see if there’s an imbalance.

• #18 Ejaculation problems

  https://www.nhs.uk/conditions/ejaculation-problems/

  Ejaculation problems are common sexual problems in men. […] If you have a persistent problem with ejaculation, visit your GP, who will discuss the problem with you and may examine you or refer you to a specialist. […] Premature ejaculation is a common ejaculation problem. It’s where the male ejaculates sooner than he or his partner wishes during sexual arousal. […] Common physical causes include prostate problems, thyroid problems an overactive thyroid or an underactive thyroid, and using recreational drugs. […] Common psychological causes may include depression, stress, relationship problems, and anxiety about sexual performance. […] Selective serotonin reuptake inhibitors (SSRIs) are a type of antidepressant, but they also delay ejaculation. […] An SSRI specifically designed to treat premature ejaculation, known as dapoxetine (Priligy), has been licensed in the UK.

• #19 Ejaculation Problems: Too Fast, Too Slow or Not at All? » Sexual Medicine » BUMC

  https://www.bumc.bu.edu/sexualmedicine/informationsessions/ejaculation-problems-too-fast-too-slow-or-not-at-all/

  In many cases, the man himself may tend to delay treatment or to minimize the distress of the situation. […] Unfortunately however, problems such as delayed ejaculation seldom disappear without professional intervention. […] In spite of the lack of information regarding delayed ejaculation, the most successful approach, for sex therapists, is to engage both members of the couple into addressing the problem. […] Ejaculatory problems can have a devastating affect on self-esteem. […] Ejaculation problems may also contribute to a low libido and lack of interest in sexual activity. […] For some men, there may be additional psychological issues that underlie an ejaculatory dysfunction. […] Traditional behavioral sex therapy for delayed ejaculation is as follows: the man begins by masturbating, then starts intercourse when he is almost ready to ejaculate.

• #20 Delayed Ejaculation: Causes, Symptoms, & Diagnosis

  https://www.healthline.com/health/delayed-ejaculation

  Delayed ejaculation (DE) occurs when a man needs more than 30 minutes of sexual stimulation to reach orgasm and ejaculate. […] DE has multiple causes, including anxiety, depression, neuropathy, and reactions to medications. […] While this condition does not pose any serious medical risks, it can be a source of stress and may create problems in your sex life and personal relationships. However, treatments are available. […] Psychological causes of DE can occur due to a traumatic experience. Cultural or religious taboos can give sex a negative connotation. Anxiety and depression can both suppress sexual desire, which may result in DE as well. […] Treatment will depend on the underlying cause. If you’ve had lifelong problems or you’ve never ejaculated, a urologist can determine if you have a structural birth defect.

• #21 Premature ejaculation

  https://johnsonmemorial.org/jmh-health/disease-conditions/con-20212524

  Premature ejaculation occurs in men when semen leave the body (ejaculate) sooner than wanted during sex. Premature ejaculation is a common sexual complaint. As many as 1 out of 3 people say they have it at some time. […] Premature ejaculation is a treatable condition. Medications, counseling and techniques that delay ejaculation can help improve sex for you and your partner. […] Talk with your health care provider if you ejaculate sooner than you wish during most sexual encounters. […] Premature ejaculation can cause issues in your personal life. They might include: Stress and relationship problems. A common complication of premature ejaculation is relationship stress. […] Common treatment options for premature ejaculation include behavioral techniques, medications and counseling. […] Counseling is most likely to help when it’s used in combination with drug therapy. […] Premature ejaculation can cause partners to feel less connected or hurt. Talking about the problem is an important step. Relationship counseling or sex therapy also might be helpful.

• #22 Premature ejaculation – treatment, causes and diagnosis | healthdirect

  https://www.healthdirect.gov.au/premature-ejaculation

  Premature ejaculation is the most common sexual problem to affect males. […] It’s important to speak to your doctor about premature ejaculation because it can lead to relationship issues. […] You should talk to your doctor if you are experiencing premature ejaculation. They can help work out the cause and offer you treatment options. […] Most people with premature ejaculation can be helped, which can help with developing and maintaining intimate relationships. […] It’s important to remember that ejaculation problems are common and nothing to be embarrassed about. […] Speak to your doctor if you are worried about premature ejaculation.

• #23 Disorders of Ejaculation: An AUA/SMSNA Guideline (2020) – American Urological Association

  https://www.auanet.org/guidelines-and-quality/guidelines/disorders-of-ejaculation

  Ejaculation and orgasm are distinct but simultaneous events that occur with peak sexual arousal. It is typical for men to have some control over the timing of ejaculation during a sexual encounter. Men who ejaculate before or shortly after penetration, without a sense of control, and who experience distress related to this condition may be diagnosed with Premature Ejaculation (PE). […] There also exists a population of men who experience difficulty achieving sexual climax, sometimes to the point that they are unable to climax during sexual activity; these men may be diagnosed with Delayed Ejaculation (DE). […] Disturbances of the timing of ejaculation can pose a substantial impediment to sexual enjoyment for men and their partners. […] The role of the clinician in managing PE and DE is to conduct appropriate investigation, to provide education, and to offer available treatments that are rational and based on sound scientific data.

• #24 Premature ejaculation – Diagnosis and treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/premature-ejaculation/diagnosis-treatment/drc-20354905

  Your health care provider asks about your sex life and your health history. Your provider might also do a physical exam. If you have both early ejaculation and trouble getting or keeping an erection, your provider might order blood tests. The tests may check your hormone levels. […] In some cases, your care provider might suggest that you go to a urologist or a mental health provider who specializes in sexual problems. […] Common treatment options for premature ejaculation include behavioral techniques, medications and counseling. It might take time to find the treatment or combination of treatments that work for you. Behavioral treatment plus drug therapy might be the most effective. […] Weak pelvic floor muscles might make it harder to delay ejaculation. Pelvic floor exercises (Kegel exercises) can help strengthen these muscles.

• #25 Disorders of Ejaculation: An AUA/SMSNA Guideline (2020) – American Urological Association

  https://www.auanet.org/guidelines-and-quality/guidelines/disorders-of-ejaculation

  The Panel recommends shared decision-making as fundamental in the management of disorders of ejaculation; involvement of sexual partner(s) in decision making, when possible, may allow for optimization of outcomes. […] Clinicians should assess medical, relationship, and sexual history and perform a focused physical exam to evaluate a patient with premature ejaculation. […] Clinicians should advise patients that ejaculatory latency is not affected by circumcision status. […] Clinicians should consider referring men diagnosed with premature ejaculation to a mental health professional with expertise in sexual health. […] Clinicians should advise men with delayed ejaculation that modifying sexual positions or practices to increase arousal may be of benefit. […] Clinicians should suggest replacement, dose adjustment, or staged cessation of medications that may contribute to delayed ejaculation.

• #26 Premature ejaculation – Diagnosis and treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/premature-ejaculation/diagnosis-treatment/drc-20354905

  Your health care provider asks about your sex life and your health history. Your provider might also do a physical exam. If you have both early ejaculation and trouble getting or keeping an erection, your provider might order blood tests. The tests may check your hormone levels. […] In some cases, your care provider might suggest that you go to a urologist or a mental health provider who specializes in sexual problems. […] Common treatment options for premature ejaculation include behavioral techniques, medications and counseling. It might take time to find the treatment or combination of treatments that work for you. Behavioral treatment plus drug therapy might be the most effective. […] Weak pelvic floor muscles might make it harder to delay ejaculation. Pelvic floor exercises (Kegel exercises) can help strengthen these muscles.

• #27 Premature ejaculation – Diagnosis and treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/premature-ejaculation/diagnosis-treatment/drc-20354905

  Your health care provider might instruct you and your partner to use the pause-squeeze technique. This method works as follows: […] By repeating as many times as needed, you can reach the point of entering your partner without ejaculating. After some practice, delaying ejaculation might become a habit that no longer requires the pause-squeeze technique. […] Counseling is most likely to help when it’s used in combination with drug therapy. […] With premature ejaculation, you might feel that you lose some of the closeness shared with a sexual partner. You might feel angry, ashamed and upset, and turn away from your partner. […] Premature ejaculation can cause partners to feel less connected or hurt. Talking about the problem is an important step. Relationship counseling or sex therapy also might be helpful. […] Deciding to talk with your health care provider is an important step. In the meantime, consider exploring other ways in which you and your partner can connect. Although premature ejaculation can cause strain and anxiety in a relationship, it is a treatable condition.

• #28 Premature Ejaculation Treatment & Management: Approach Considerations, Pharmacologic Therapy, Counseling and Sex Therapy

  https://emedicine.medscape.com/article/435884-treatment

  A systematic review and meta-analysis reported that although fluoxetine was more effective than placebo in treating PE, sertraline and paroxetine were more effective than fluoxetine. […] Dapoxetine, which is generally categorized as a fast-acting SSRI, was developed specifically to treat this condition. […] The optimal medical treatment regimen for premature ejaculation has not been established. […] If the initial SSRI fails to help the patient, it is certainly reasonable to try a second agent. […] There is no reason why pharmacotherapy cannot be combined with behavioral modification therapy, desensitizing creams, or both; the use of several simultaneous treatments can result in additive effects or even synergy. […] Adverse effects of long-term SSRI use are a significant concern and should be considered by both the physician and the patient. […] Consultation with a sex therapist, psychologist, or psychiatrist may prove helpful if the primary care physician or urologist cannot provide successful treatment or does not have the time to explore psychological issues and implement behavioral techniques.

• #29 Premature Ejaculation Treatment & Management: Approach Considerations, Pharmacologic Therapy, Counseling and Sex Therapy

  https://emedicine.medscape.com/article/435884-treatment

  To date, no drug has been specifically approved by the US Food and Drug Administration (FDA) for the treatment of premature ejaculation. However, numerous studies have shown that selective serotonin reuptake inhibitors (SSRIs) and drugs with SSRI-like side effects are safe and effective to treat this condition, and many physicians use these agents for this purpose. Topical desensitizing therapy with local anesthetic agents can also be useful in some men with premature ejaculation. […] Premature ejaculation that relates to erectile dysfunction may resolve if the erectile dysfunction is treated successfully. […] The most effective pharmacologic therapy for premature ejaculation is to administer a drug from the SSRI class. […] SSRIs useful for treating premature ejaculation include the following: Sertraline, Paroxetine, Fluoxetine, Citalopram, Dapoxetine.

• #30 Ejaculation problems

  https://www.nhs.uk/conditions/ejaculation-problems/

  Ejaculation problems are common sexual problems in men. […] If you have a persistent problem with ejaculation, visit your GP, who will discuss the problem with you and may examine you or refer you to a specialist. […] Premature ejaculation is a common ejaculation problem. It’s where the male ejaculates sooner than he or his partner wishes during sexual arousal. […] Common physical causes include prostate problems, thyroid problems an overactive thyroid or an underactive thyroid, and using recreational drugs. […] Common psychological causes may include depression, stress, relationship problems, and anxiety about sexual performance. […] Selective serotonin reuptake inhibitors (SSRIs) are a type of antidepressant, but they also delay ejaculation. […] An SSRI specifically designed to treat premature ejaculation, known as dapoxetine (Priligy), has been licensed in the UK.

• #31 Premature Ejaculation Treatment & Management: Approach Considerations, Pharmacologic Therapy, Counseling and Sex Therapy

  https://emedicine.medscape.com/article/435884-treatment

  To date, no drug has been specifically approved by the US Food and Drug Administration (FDA) for the treatment of premature ejaculation. However, numerous studies have shown that selective serotonin reuptake inhibitors (SSRIs) and drugs with SSRI-like side effects are safe and effective to treat this condition, and many physicians use these agents for this purpose. Topical desensitizing therapy with local anesthetic agents can also be useful in some men with premature ejaculation. […] Premature ejaculation that relates to erectile dysfunction may resolve if the erectile dysfunction is treated successfully. […] The most effective pharmacologic therapy for premature ejaculation is to administer a drug from the SSRI class. […] SSRIs useful for treating premature ejaculation include the following: Sertraline, Paroxetine, Fluoxetine, Citalopram, Dapoxetine.

• #32 Ejaculation problems

  https://www.nhs.uk/conditions/ejaculation-problems/

  Phosphodiesterase-5 inhibitors, such as sildenafil (sold as Viagra), are a class of medicine used to treat erectile dysfunction. Research has found that they may also help with premature ejaculation. […] The use of topical anaesthetics such as lidocaine or prilocaine can help but may be transferred and absorbed to the vagina, causing decreased sensation. […] You may benefit from having psychosexual counselling, where a therapist can help you, and a partner if you have one, with sex related problems. […] Delayed ejaculation (male orgasmic disorder) is classed as either experiencing a significant delay before ejaculation or being unable to ejaculate at all, even though the man wants to and his erection is normal. […] Physical causes of delayed ejaculation include diabetes, spinal cord injuries, multiple sclerosis, surgery to the bladder or prostate gland, and increasing age.

• #33 Premature Ejaculation Treatment & Management: Approach Considerations, Pharmacologic Therapy, Counseling and Sex Therapy

  https://emedicine.medscape.com/article/435884-treatment

  To date, no drug has been specifically approved by the US Food and Drug Administration (FDA) for the treatment of premature ejaculation. However, numerous studies have shown that selective serotonin reuptake inhibitors (SSRIs) and drugs with SSRI-like side effects are safe and effective to treat this condition, and many physicians use these agents for this purpose. Topical desensitizing therapy with local anesthetic agents can also be useful in some men with premature ejaculation. […] Premature ejaculation that relates to erectile dysfunction may resolve if the erectile dysfunction is treated successfully. […] The most effective pharmacologic therapy for premature ejaculation is to administer a drug from the SSRI class. […] SSRIs useful for treating premature ejaculation include the following: Sertraline, Paroxetine, Fluoxetine, Citalopram, Dapoxetine.

• #34 Ejaculation problems

  https://www.nhs.uk/conditions/ejaculation-problems/

  Phosphodiesterase-5 inhibitors, such as sildenafil (sold as Viagra), are a class of medicine used to treat erectile dysfunction. Research has found that they may also help with premature ejaculation. […] The use of topical anaesthetics such as lidocaine or prilocaine can help but may be transferred and absorbed to the vagina, causing decreased sensation. […] You may benefit from having psychosexual counselling, where a therapist can help you, and a partner if you have one, with sex related problems. […] Delayed ejaculation (male orgasmic disorder) is classed as either experiencing a significant delay before ejaculation or being unable to ejaculate at all, even though the man wants to and his erection is normal. […] Physical causes of delayed ejaculation include diabetes, spinal cord injuries, multiple sclerosis, surgery to the bladder or prostate gland, and increasing age.

• #35 Premature ejaculation

  https://www.mymlc.com/health-information/diseases-and-conditions/p/premature-ejaculation/?section=Causes

  Common treatment options for premature ejaculation include behavioral techniques, topical anesthetics, medications and counseling. Keep in mind that it might take time to find the treatment or combination of treatments that will work for you. Behavioral treatment plus drug therapy might be the most effective course. […] Weak pelvic floor muscles might impair your ability to delay ejaculation. Pelvic floor exercises (Kegel exercises) can help strengthen these muscles. […] Your doctor might instruct you and your partner in the use of a method called the pause-squeeze technique. […] Anesthetic creams and sprays that contain a numbing agent, such as benzocaine, lidocaine or prilocaine, are sometimes used to treat premature ejaculation. […] Counseling is most likely to help when it’s used in combination with drug therapy. […] Premature ejaculation can cause strain and anxiety in a relationship, it is a treatable condition.

• #36 Premature ejaculation – Diagnosis and treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/premature-ejaculation/diagnosis-treatment/drc-20354905

  Your health care provider might instruct you and your partner to use the pause-squeeze technique. This method works as follows: […] By repeating as many times as needed, you can reach the point of entering your partner without ejaculating. After some practice, delaying ejaculation might become a habit that no longer requires the pause-squeeze technique. […] Counseling is most likely to help when it’s used in combination with drug therapy. […] With premature ejaculation, you might feel that you lose some of the closeness shared with a sexual partner. You might feel angry, ashamed and upset, and turn away from your partner. […] Premature ejaculation can cause partners to feel less connected or hurt. Talking about the problem is an important step. Relationship counseling or sex therapy also might be helpful. […] Deciding to talk with your health care provider is an important step. In the meantime, consider exploring other ways in which you and your partner can connect. Although premature ejaculation can cause strain and anxiety in a relationship, it is a treatable condition.

• #37

  https://www.amerikanhastanesi.org/mayo-clinic-care-network/mayo-clinic-health-information-library/diseases-conditions/premature-ejaculation

  Weak pelvic floor muscles might make it harder to delay ejaculation. Pelvic floor exercises (Kegel exercises) can help strengthen these muscles. […] Your health care provider might instruct you and your partner to use the pause-squeeze technique. This method works as follows: Begin sexual activity, including stimulating the penis, until you feel almost ready to ejaculate. […] Counseling is most likely to help when it’s used in combination with drug therapy. […] Premature ejaculation can cause partners to feel less connected or hurt. Talking about the problem is an important step. Relationship counseling or sex therapy also might be helpful.

• #38 Ejaculation Problems: Too Fast, Too Slow or Not at All? » Sexual Medicine » BUMC

  https://www.bumc.bu.edu/sexualmedicine/informationsessions/ejaculation-problems-too-fast-too-slow-or-not-at-all/

  The most common behavioral approach taught by sex therapists is either the squeeze technique or an approach described as start and stop. […] In summary, under the right circumstances and with ongoing motivation, ejaculation disorders can be overcome. […] The most common sexual dysfunction for men is ejaculatory disorder. […] Treatment is usually with SSRIs and Sildenafil (Viagra). […] Delayed ejaculation carries with it issues of inability to achieve orgasm and infertility. […] A common cause is pudendal neuropathy, caused by a crush to the perineum such as from bike riding with a narrow saddle. […] If the delayed ejaculation is situational is is probably psychologic; if it is generalized the problem is probably biologic.

• #39 Premature ejaculation – Diagnosis and treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/premature-ejaculation/diagnosis-treatment/drc-20354905

  Your health care provider asks about your sex life and your health history. Your provider might also do a physical exam. If you have both early ejaculation and trouble getting or keeping an erection, your provider might order blood tests. The tests may check your hormone levels. […] In some cases, your care provider might suggest that you go to a urologist or a mental health provider who specializes in sexual problems. […] Common treatment options for premature ejaculation include behavioral techniques, medications and counseling. It might take time to find the treatment or combination of treatments that work for you. Behavioral treatment plus drug therapy might be the most effective. […] Weak pelvic floor muscles might make it harder to delay ejaculation. Pelvic floor exercises (Kegel exercises) can help strengthen these muscles.

• #40

  https://www.amerikanhastanesi.org/mayo-clinic-care-network/mayo-clinic-health-information-library/diseases-conditions/premature-ejaculation

  Weak pelvic floor muscles might make it harder to delay ejaculation. Pelvic floor exercises (Kegel exercises) can help strengthen these muscles. […] Your health care provider might instruct you and your partner to use the pause-squeeze technique. This method works as follows: Begin sexual activity, including stimulating the penis, until you feel almost ready to ejaculate. […] Counseling is most likely to help when it’s used in combination with drug therapy. […] Premature ejaculation can cause partners to feel less connected or hurt. Talking about the problem is an important step. Relationship counseling or sex therapy also might be helpful.

• #41 Understanding Premature Ejaculation

  https://lakecountyin.gov/departments/health/Nursing-Clinic/Diseases-and-Conditions/Reproductive/understanding-premature-ejaculation

  Treatment for premature ejaculation can involve a combination of medical, psychological, and behavioral approaches: […] Behavioral Techniques: Start-Stop Technique: A method where sexual stimulation is paused just before ejaculation to help gain better control. […] Squeeze Technique: Applying pressure to the base of the penis to delay ejaculation. […] Kegel Exercises: Strengthening the pelvic floor muscles to improve ejaculatory control. […] Medical Treatments: Topical Anesthetics: Creams or sprays containing numbing agents to reduce sensitivity and delay ejaculation. […] Oral Medications: Selective serotonin reuptake inhibitors (SSRIs) and other medications can help delay ejaculation by altering neurotransmitter levels. […] Hormonal Treatments: In some cases, hormonal treatments may be considered if there are underlying hormonal imbalances. […] Psychological Counseling: Cognitive-Behavioral Therapy (CBT): Therapy to address performance anxiety, relationship issues, or other psychological factors affecting sexual function. […] Sex Therapy: Specialized therapy focusing on sexual behavior and relationships to improve sexual satisfaction and performance. […] Relationship Therapy: Couples Counseling: Working with a therapist to address relationship issues and improve communication and intimacy.

• #42 Premature ejaculation – Diagnosis and treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/premature-ejaculation/diagnosis-treatment/drc-20354905

  Your health care provider might instruct you and your partner to use the pause-squeeze technique. This method works as follows: […] By repeating as many times as needed, you can reach the point of entering your partner without ejaculating. After some practice, delaying ejaculation might become a habit that no longer requires the pause-squeeze technique. […] Counseling is most likely to help when it’s used in combination with drug therapy. […] With premature ejaculation, you might feel that you lose some of the closeness shared with a sexual partner. You might feel angry, ashamed and upset, and turn away from your partner. […] Premature ejaculation can cause partners to feel less connected or hurt. Talking about the problem is an important step. Relationship counseling or sex therapy also might be helpful. […] Deciding to talk with your health care provider is an important step. In the meantime, consider exploring other ways in which you and your partner can connect. Although premature ejaculation can cause strain and anxiety in a relationship, it is a treatable condition.

• #43

  https://www.amerikanhastanesi.org/mayo-clinic-care-network/mayo-clinic-health-information-library/diseases-conditions/premature-ejaculation

  Weak pelvic floor muscles might make it harder to delay ejaculation. Pelvic floor exercises (Kegel exercises) can help strengthen these muscles. […] Your health care provider might instruct you and your partner to use the pause-squeeze technique. This method works as follows: Begin sexual activity, including stimulating the penis, until you feel almost ready to ejaculate. […] Counseling is most likely to help when it’s used in combination with drug therapy. […] Premature ejaculation can cause partners to feel less connected or hurt. Talking about the problem is an important step. Relationship counseling or sex therapy also might be helpful.

• #44 Understanding Premature Ejaculation

  https://lakecountyin.gov/departments/health/Nursing-Clinic/Diseases-and-Conditions/Reproductive/understanding-premature-ejaculation

  Living with premature ejaculation can be challenging, but effective management and support options are available: […] Open Communication: Discussing concerns with a partner and working together to address issues can improve sexual satisfaction and relationship dynamics. […] Education: Providing education about the condition, treatment options, and realistic expectations can help reduce anxiety and improve outcomes. […] Support Groups: Joining support groups or connecting with others who have experienced similar issues can provide valuable emotional support and practical advice. […] Premature ejaculation is a common condition that can significantly impact sexual satisfaction and relationships. Understanding the causes, symptoms, diagnosis, and treatment options is essential for effective management. If you or someone you know is experiencing symptoms of premature ejaculation, consult with a healthcare provider to explore appropriate treatment options and develop a personalized management plan. With the right approach, premature ejaculation can be managed effectively, leading to improved sexual function and overall quality of life.

• #45 Premature ejaculation | Better Health Channel

  https://www.betterhealth.vic.gov.au/health/healthyliving/premature-ejaculation

  Premature ejaculation is the most common sexual problem in in the world. […] There is a variety of treatments to choose from, including exercises, therapy and medications. […] If you ejaculate too quickly most of the times you have sex, and its a problem for you and your partner, theres treatments that can help. […] You should be reassured that premature ejaculation is very common and there are effective treatments that can help. […] Your doctor can help you identify the reason for your premature ejaculation and find a suitable treatment, so you should see them if your sexual function is a cause of concern for you. […] Treatment of premature ejaculation is successful in 30-70% of cases. […] Lifelong premature ejaculation cannot be cured but it can be managed with ongoing treatment.

• #46 Premature ejaculation | Better Health Channel

  https://www.betterhealth.vic.gov.au/health/healthyliving/premature-ejaculation

  Acquired premature ejaculation may be cured by successfully treating the underlying issue. […] Premature ejaculation can lead to stress, anxiety, erectile dysfunction and problems with your interpersonal relationships so its important to seek help. […] Treatments for premature ejaculation vary depending on the cause and whether it is lifelong or acquired. […] If premature ejaculation is related to erectile dysfunction, treating the erection problem might solve the ejaculation problem. […] You might want to involve your sexual partner in discussions about how to manage premature ejaculation because the issue may affect their sexual satisfaction, and there may be things they can do to help.

• #47 Delayed ejaculation

  https://johnsonmemorial.org/jmh-health/disease-conditions/con-20371342

  Delayed ejaculation is a condition in which it takes a long period of sexual arousal to reach climax and release semen from the penis, called ejaculate. Some people with delayed ejaculation can’t ejaculate at all. […] Treatment for delayed ejaculation depends on the cause. […] Your main healthcare professional is a good place to start when you have delayed ejaculation. See your healthcare professional if: Delayed ejaculation is an issue for you or your partner. […] Psychological causes of delayed ejaculation include: Depression, anxiety or other mental health conditions. […] Counseling can help by dealing with mental health problems linked to delayed ejaculation, such as depression or anxiety. […] Ongoing delayed ejaculation can cause mental and emotional stress for you and your partner. […] Talk openly with your partner about your condition. Treatment often is more successful if couples work together as a team.

• #48 Ejaculation problems

  https://www.nhs.uk/conditions/ejaculation-problems/

  Phosphodiesterase-5 inhibitors, such as sildenafil (sold as Viagra), are a class of medicine used to treat erectile dysfunction. Research has found that they may also help with premature ejaculation. […] The use of topical anaesthetics such as lidocaine or prilocaine can help but may be transferred and absorbed to the vagina, causing decreased sensation. […] You may benefit from having psychosexual counselling, where a therapist can help you, and a partner if you have one, with sex related problems. […] Delayed ejaculation (male orgasmic disorder) is classed as either experiencing a significant delay before ejaculation or being unable to ejaculate at all, even though the man wants to and his erection is normal. […] Physical causes of delayed ejaculation include diabetes, spinal cord injuries, multiple sclerosis, surgery to the bladder or prostate gland, and increasing age.

• #49 Delayed ejaculation – Diagnosis and treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/delayed-ejaculation/diagnosis-treatment/drc-20371363

  A physical exam and medical history might be all that are needed to suggest treatment for delayed ejaculation. But there might be a problem causing delayed ejaculation that needs treatment. Then you might need more tests, or you might need to see a specialist. […] Delayed ejaculation treatment depends on the cause. Treatment might include taking medicine or making changes to medicines you take. It might involve psychological counseling or addressing alcohol or illicit drug use. […] Counseling can help by dealing with mental health problems linked to delayed ejaculation, such as depression or anxiety. […] Ongoing delayed ejaculation can cause mental and emotional stress for you and your partner. If you have delayed ejaculation only sometimes, try not to assume that you have a lasting problem or to expect it to happen again the next time you have sex.

• #50 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. […] If you or your partner is upset by the time it takes to ejaculate, talk to a healthcare provider. […] A healthcare provider may suggest that you dont have a physical cause of delayed ejaculation if youre able to easily orgasm by yourself but have difficulty with your partner. […] A healthcare provider will ask you questions about your medical history, sexual habits and ejaculation patterns. […] Talk to a healthcare provider when you first notice an inability to ejaculate, especially if its frustrating or troubling for you or your partner. They can help you determine the cause and prescribe the proper treatment. […] If your partner has delayed ejaculation, be supportive. Ask them if theres something specific you can do to help, or gently encourage them to see a healthcare provider for an exam.

• #51 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. […] If you or your partner is upset by the time it takes to ejaculate, talk to a healthcare provider. […] A healthcare provider may suggest that you dont have a physical cause of delayed ejaculation if youre able to easily orgasm by yourself but have difficulty with your partner. […] A healthcare provider will ask you questions about your medical history, sexual habits and ejaculation patterns. […] Talk to a healthcare provider when you first notice an inability to ejaculate, especially if its frustrating or troubling for you or your partner. They can help you determine the cause and prescribe the proper treatment. […] If your partner has delayed ejaculation, be supportive. Ask them if theres something specific you can do to help, or gently encourage them to see a healthcare provider for an exam.

• #52 Delayed ejaculation – Diagnosis and treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/delayed-ejaculation/diagnosis-treatment/drc-20371363

  A physical exam and medical history might be all that are needed to suggest treatment for delayed ejaculation. But there might be a problem causing delayed ejaculation that needs treatment. Then you might need more tests, or you might need to see a specialist. […] Delayed ejaculation treatment depends on the cause. Treatment might include taking medicine or making changes to medicines you take. It might involve psychological counseling or addressing alcohol or illicit drug use. […] Counseling can help by dealing with mental health problems linked to delayed ejaculation, such as depression or anxiety. […] Ongoing delayed ejaculation can cause mental and emotional stress for you and your partner. If you have delayed ejaculation only sometimes, try not to assume that you have a lasting problem or to expect it to happen again the next time you have sex.

• #53 Delayed ejaculation

  https://johnsonmemorial.org/jmh-health/disease-conditions/con-20371342

  Delayed ejaculation is a condition in which it takes a long period of sexual arousal to reach climax and release semen from the penis, called ejaculate. Some people with delayed ejaculation can’t ejaculate at all. […] Treatment for delayed ejaculation depends on the cause. […] Your main healthcare professional is a good place to start when you have delayed ejaculation. See your healthcare professional if: Delayed ejaculation is an issue for you or your partner. […] Psychological causes of delayed ejaculation include: Depression, anxiety or other mental health conditions. […] Counseling can help by dealing with mental health problems linked to delayed ejaculation, such as depression or anxiety. […] Ongoing delayed ejaculation can cause mental and emotional stress for you and your partner. […] Talk openly with your partner about your condition. Treatment often is more successful if couples work together as a team.

• #54 Delayed ejaculation // Middlesex Health

  https://middlesexhealth.org/learning-center/diseases-and-conditions/delayed-ejaculation

  Delayed ejaculation is a condition in which it takes a long period of sexual arousal to reach climax and release semen from the penis, called ejaculate. Some people with delayed ejaculation can’t ejaculate at all. […] Treatment for delayed ejaculation depends on the cause. […] Your main healthcare professional is a good place to start when you have delayed ejaculation. See your healthcare professional if: Delayed ejaculation is an issue for you or your partner. […] Delayed ejaculation treatment depends on the cause. Treatment might include taking medicine or making changes to medicines you take. It might involve psychological counseling or addressing alcohol or illicit drug use. […] Counseling can help by dealing with mental health problems linked to delayed ejaculation, such as depression or anxiety.

• #55 Delayed ejaculation – Diagnosis and treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/delayed-ejaculation/diagnosis-treatment/drc-20371363

  A physical exam and medical history might be all that are needed to suggest treatment for delayed ejaculation. But there might be a problem causing delayed ejaculation that needs treatment. Then you might need more tests, or you might need to see a specialist. […] Delayed ejaculation treatment depends on the cause. Treatment might include taking medicine or making changes to medicines you take. It might involve psychological counseling or addressing alcohol or illicit drug use. […] Counseling can help by dealing with mental health problems linked to delayed ejaculation, such as depression or anxiety. […] Ongoing delayed ejaculation can cause mental and emotional stress for you and your partner. If you have delayed ejaculation only sometimes, try not to assume that you have a lasting problem or to expect it to happen again the next time you have sex.

• #56 Delayed ejaculation // Middlesex Health

  https://middlesexhealth.org/learning-center/diseases-and-conditions/delayed-ejaculation

  Delayed ejaculation is a condition in which it takes a long period of sexual arousal to reach climax and release semen from the penis, called ejaculate. Some people with delayed ejaculation can’t ejaculate at all. […] Treatment for delayed ejaculation depends on the cause. […] Your main healthcare professional is a good place to start when you have delayed ejaculation. See your healthcare professional if: Delayed ejaculation is an issue for you or your partner. […] Delayed ejaculation treatment depends on the cause. Treatment might include taking medicine or making changes to medicines you take. It might involve psychological counseling or addressing alcohol or illicit drug use. […] Counseling can help by dealing with mental health problems linked to delayed ejaculation, such as depression or anxiety.

• #57 Ejaculation Problems: Too Fast, Too Slow or Not at All? » Sexual Medicine » BUMC

  https://www.bumc.bu.edu/sexualmedicine/informationsessions/ejaculation-problems-too-fast-too-slow-or-not-at-all/

  In many cases, the man himself may tend to delay treatment or to minimize the distress of the situation. […] Unfortunately however, problems such as delayed ejaculation seldom disappear without professional intervention. […] In spite of the lack of information regarding delayed ejaculation, the most successful approach, for sex therapists, is to engage both members of the couple into addressing the problem. […] Ejaculatory problems can have a devastating affect on self-esteem. […] Ejaculation problems may also contribute to a low libido and lack of interest in sexual activity. […] For some men, there may be additional psychological issues that underlie an ejaculatory dysfunction. […] Traditional behavioral sex therapy for delayed ejaculation is as follows: the man begins by masturbating, then starts intercourse when he is almost ready to ejaculate.

• #58 Delayed ejaculation – Diagnosis and treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/delayed-ejaculation/diagnosis-treatment/drc-20371363

  Talk openly with your partner about your condition. Treatment often is more successful if couples work together as a team. You might want to see a counselor with your partner. This can help you address concerns you both might have about delayed ejaculation. […] If you’ve been having trouble having orgasm, talk with your main healthcare professional. Your care professional might send you to a specialist. This might be a specialist in male genital problems, called a urologist; a specialist in the hormonal systems, called an endocrinologist; or a mental health specialist, called a psychiatrist, psychologist or social worker.

• #59 Delayed ejaculation // Middlesex Health

  https://middlesexhealth.org/learning-center/diseases-and-conditions/delayed-ejaculation

  Ongoing delayed ejaculation can cause mental and emotional stress for you and your partner. […] Talk openly with your partner about your condition. Treatment often is more successful if couples work together as a team. You might want to see a counselor with your partner. This can help you address concerns you both might have about delayed ejaculation.

• #60 Ejaculation Problems: Too Fast, Too Slow or Not at All? » Sexual Medicine » BUMC

  https://www.bumc.bu.edu/sexualmedicine/informationsessions/ejaculation-problems-too-fast-too-slow-or-not-at-all/

  In many cases, the man himself may tend to delay treatment or to minimize the distress of the situation. […] Unfortunately however, problems such as delayed ejaculation seldom disappear without professional intervention. […] In spite of the lack of information regarding delayed ejaculation, the most successful approach, for sex therapists, is to engage both members of the couple into addressing the problem. […] Ejaculatory problems can have a devastating affect on self-esteem. […] Ejaculation problems may also contribute to a low libido and lack of interest in sexual activity. […] For some men, there may be additional psychological issues that underlie an ejaculatory dysfunction. […] Traditional behavioral sex therapy for delayed ejaculation is as follows: the man begins by masturbating, then starts intercourse when he is almost ready to ejaculate.

• #61 Disorders of Ejaculation: An AUA/SMSNA Guideline (2020) – American Urological Association

  https://www.auanet.org/guidelines-and-quality/guidelines/disorders-of-ejaculation

  The Panel recommends shared decision-making as fundamental in the management of disorders of ejaculation; involvement of sexual partner(s) in decision making, when possible, may allow for optimization of outcomes. […] Clinicians should assess medical, relationship, and sexual history and perform a focused physical exam to evaluate a patient with premature ejaculation. […] Clinicians should advise patients that ejaculatory latency is not affected by circumcision status. […] Clinicians should consider referring men diagnosed with premature ejaculation to a mental health professional with expertise in sexual health. […] Clinicians should advise men with delayed ejaculation that modifying sexual positions or practices to increase arousal may be of benefit. […] Clinicians should suggest replacement, dose adjustment, or staged cessation of medications that may contribute to delayed ejaculation.

• #62 Delayed Ejaculation – Men’s Clinic – The Men’s Clinic at UCLA | UCLA Health

  https://www.uclahealth.org/medical-services/urology/mens-clinic-ucla/sexual-health/delayed-ejaculation

  The opposite of premature or rapid ejaculation is delayed ejaculation. This can be as, if not more, frustrating than its opposite. Delayed ejaculation is the inability of a man to achieve climax within a reasonable amount of time. […] Delayed ejaculation is a neurological, hormonal and psychological event. If a man has had damage to the nerves in his pelvis or had a spinal cord injury below the lower thoracic spinal level, he may suffer from inability to ejaculate. […] Treatment for delayed ejaculation depends on its cause. For men with nerve injuries, sometimes they respond to medical vibrators placed at the tip of the penis to retrain the nerves to fire more rapidly. […] For men with hormone imbalances, the doctor needs to run some laboratory tests, specifically testosterone and prolactin levels to see if there’s an imbalance.

• #63 Delayed ejaculation: Causes & treatment | Healthy Male

  https://healthymale.org.au/mens-health/delayed-ejaculation

  Delayed ejaculation is the term commonly used for conditions that result in men experiencing difficulties with reaching orgasm and ejaculating. […] Delayed ejaculation can make you depressed or anxious and can have negative effects on your relationship with your partner. […] Delayed ejaculation can be successfully treated but, because its such a complex problem, its difficult to know how long it might take and exactly how successful your treatment will be. […] If problems with orgasm or ejaculation are bothering you, its best to see your doctor sooner rather than later. […] There are a variety of medications that can be used to treat delayed ejaculation, but vibratory stimulation of the penis and counselling are usually effective. […] If the cause of your delayed ejaculation is psychological, then speaking to someone like a sexual health therapist can help.

• #64 Disorders of Ejaculation: An AUA/SMSNA Guideline (2020) – American Urological Association

  https://www.auanet.org/guidelines-and-quality/guidelines/disorders-of-ejaculation

  Clinicians should inform patients that there is insufficient evidence to assess the risk-benefit ratio of oral pharmacotherapy for the management of delayed ejaculation. […] Clinicians should treat men who have delayed ejaculation and comorbid erectile dysfunction according to the AUA Guidelines on Erectile Dysfunction.

• #65 Disorders of Ejaculation: An AUA/SMSNA Guideline (2020) – American Urological Association

  https://www.auanet.org/guidelines-and-quality/guidelines/disorders-of-ejaculation

  Clinicians should inform patients that there is insufficient evidence to assess the risk-benefit ratio of oral pharmacotherapy for the management of delayed ejaculation. […] Clinicians should treat men who have delayed ejaculation and comorbid erectile dysfunction according to the AUA Guidelines on Erectile Dysfunction.

• #66 Delayed ejaculation: MedlinePlus Medical EncyclopediaLock

  https://medlineplus.gov/ency/article/001954.htm

  If a medicine may be the cause of the problem, discuss other medicine options with your care provider. […] Treatment commonly requires about 12 to 18 sessions. […] If the problem is not treated, the following may occur: Avoidance of sexual contact, Inhibited sexual desire, Stress within the relationship, Sexual dissatisfaction, Difficulty with conception and getting pregnant. […] Having a healthy attitude about your sexuality and genitals helps prevent delayed ejaculation.

• #67 Delayed ejaculation // Middlesex Health

  https://middlesexhealth.org/learning-center/diseases-and-conditions/delayed-ejaculation

  Ongoing delayed ejaculation can cause mental and emotional stress for you and your partner. […] Talk openly with your partner about your condition. Treatment often is more successful if couples work together as a team. You might want to see a counselor with your partner. This can help you address concerns you both might have about delayed ejaculation.

• #68 Delayed ejaculation – Diagnosis and treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/delayed-ejaculation/diagnosis-treatment/drc-20371363

  Talk openly with your partner about your condition. Treatment often is more successful if couples work together as a team. You might want to see a counselor with your partner. This can help you address concerns you both might have about delayed ejaculation. […] If you’ve been having trouble having orgasm, talk with your main healthcare professional. Your care professional might send you to a specialist. This might be a specialist in male genital problems, called a urologist; a specialist in the hormonal systems, called an endocrinologist; or a mental health specialist, called a psychiatrist, psychologist or social worker.

• #69 Ejaculation problems

  https://www.nhs.uk/conditions/ejaculation-problems/

  Sex therapy is a form of counselling that uses a combination of psychotherapy and structured changes in your sex life. […] Retrograde ejaculation is a rarer type of ejaculation problem. It happens when semen travels backwards into the bladder instead of through the urethra. […] Most men do not need treatment for retrograde ejaculation because they are still able to enjoy a healthy sex life and the condition does not have adverse effects on their health. […] If you’re having problems with your sex life and are seeking treatment, it is usually recommended you involve your partner as much as possible.

• #70 Azthena logo with the word Azthena

  https://www.news-medical.net/health/Erection-and-Ejaculation-Problems.aspx

  In this case, the ejaculatory latency time is very long. The male experiences a long delay before being able to ejaculate during sexual intercourse and, in some cases, he may not be able to ejaculate at all, despite a normal erection. […] While premature and delayed ejaculation problems are common, retrograde ejaculation is rare. It is a medical condition wherein the semen moves backwards to the bladder rather than forwards through the urethra.

• #71 Ejaculation problems | nidirect

  https://www.nidirect.gov.uk/conditions/ejaculation-problems

  Ejaculation problems are common sexual problems in men. If you have a problem with ejaculation, see your GP who will discuss the problem with you. They may examine you or refer you to a specialist. […] The three main ejaculation problems are: premature ejaculation, delayed ejaculation, retrograde ejaculation. […] Premature ejaculation is the most common ejaculation problem. […] If around half your attempts at sex result in premature ejaculation, it might help to get treatment. […] There are a number of things you can try yourself before seeking medical help. […] See your GP who will be able to discuss the problem with you and discuss treatment options with you. […] Delayed ejaculation can also be caused by psychological and physical factors. […] When ejaculation only occurs in certain situations, there’s usually a psychological cause.

• #72 Cancer, Ejaculation, and Orgasm | American Cancer Society

  https://www.cancer.org/cancer/managing-cancer/side-effects/sexual-side-effects/ejaculation-and-treatment.html

  Many men are still able to have an orgasm after cancer surgery. But for some men, these might be dry orgasms (no fluid comes out of your penis when you ejaculate). […] Dry orgasm can happen if: Your prostate and seminal vesicles are removed, so your body no longer makes semen. The path semen usually takes out of your body is blocked. Semen goes back into your bladder instead of leaving your body. […] Retrograde ejaculation can also cause dry orgasm. This is when semen goes backward into your body instead of coming out through your penis. […] Cancer surgery might also damage the nerves that control emission (when sperm and fluid mix to make semen). […] Some men leak urine during ejaculation after theyve had surgery for prostate cancer. (This is called climacturia.) Its fairly common, but it might not even be noticeable to you or your partner.

• #73 Ejaculatory Dysfunction | Patient Care

  https://weillcornell.org/services/urology/male-infertility-and-sexual-medicine/conditions-we-treat/ejaculatory-dysfunction

  Patients with retrograde ejaculation will have a normal sensation of orgasm and climax but will have little to no anterograde (forward) propulsion of semen. […] Delayed ejaculation or anorgasmia involves the inability of the patient to achieve orgasm (ejaculation) in a timely manner, and in severe cases, involves failure to achieve orgasm on any occasion. […] The management of premature ejaculation (PE) is best handled in a combined psychotherapy and pharmacologic fashion. […] Delayed ejaculation and anorgasmia are very difficult sexual dysfunctions to treat.

• #74 Ejaculatory Disorders | University of Utah Health

  https://healthcare.utah.edu/fertility/conditions/ejaculatory-disorders

  Ejaculation disorders are problems with how your penis releases semen (ejaculates). You usually ejaculate when you orgasm. […] Ejaculation problems can cause significant distress and sexual dissatisfaction. There are a few common types of ejaculation problems: […] Premature ejaculation occurs when you ejaculate sooner than you or your partner prefers. […] Retrograde ejaculation is uncommon. But some conditions and medications can lead to this problem: […] Delayed ejaculation is when you take a long time, such as 30-45 minutes, to ejaculate. […] Sometimes a spinal cord injury can cause an ejaculatory disorder. […] We provide you with the quality care and support to help you reach your best sexual health. We understand that ejaculatory disorders can be uncomfortable to talk about. We treat you with sensitivity, compassion, and dignity every step of the way. […] We can evaluate your condition and offer the best treatment for your ejaculation disorder.

• #75 Ejaculation problems

  https://www.nhs.uk/conditions/ejaculation-problems/

  Sex therapy is a form of counselling that uses a combination of psychotherapy and structured changes in your sex life. […] Retrograde ejaculation is a rarer type of ejaculation problem. It happens when semen travels backwards into the bladder instead of through the urethra. […] Most men do not need treatment for retrograde ejaculation because they are still able to enjoy a healthy sex life and the condition does not have adverse effects on their health. […] If you’re having problems with your sex life and are seeking treatment, it is usually recommended you involve your partner as much as possible.

• #76 Ejaculation problems | nidirect

  https://www.nidirect.gov.uk/conditions/ejaculation-problems

  Sex therapy is a form of counselling that uses a combination of psychotherapy and structured changes in your sex life. […] Most men dont need treatment for retrograde ejaculation because theyre still able to enjoy a healthy sex life and the condition doesnt affect their health. […] But if treatment is required, your health professional will discuss treatment options with you. […] If you’re having problems with your sex life and are seeking treatment, its usually recommended you involve your partner as much as possible.

• #77 Ejaculatory Disorder Treatments | University of Utah Health

  https://healthcare.utah.edu/fertility/conditions/ejaculatory-disorders/treatment

  Our urologists have the expertise to diagnose and treat the root cause of your ejaculation disorder. Anything from psychological barriers to nerve damage may lead to ejaculation issues. We offer treatments for a range of causes, including the following: […] Several psychological, behavioral, and physical therapies can treat premature ejaculation. We recommend a few treatments: […] The way we treat delayed ejaculation can vary widely based on the underlying cause. Consult with a urologist if you have never ejaculated with any stimulation. A urologist can evaluate whether there are underlying physical causes. […] You may experience several problems over time if you don’t treat your delayed ejaculation or inability to ejaculate: […] You don’t always need to treat retrograde ejaculation. We will usually only treat your condition if you’re trying to conceive or don’t like the way retrograde ejaculation feels.

• #78 Ejaculation Disorders – Types, Causes & Treatment | CCRM Fertility

  https://www.ccrmivf.com/ejaculation-disorders/

  Ejaculation provides an essential function in conception by expelling semen through the urethra and out of the penis. A variety of physical and psychological factors can impact ejaculation, but fortunately ejaculation disorders are often treatable. […] Premature ejaculation can be treated in a variety of ways, including medications, physical therapy, psychological counseling, and/or behavior modifications. […] Counseling can be effective in addressing psychological causes of delayed ejaculation and there are also medications that can also be used to treat delayed ejaculation. […] It isnt necessary to treat retrograde ejaculation unless it is causing infertility and the goal is to achieve pregnancy. […] For anejaculation caused by stress, the most common treatment is psychological counseling/therapy to address underlying causes.

• #79 Male Sexual Dysfunction | Erectile Dysfunction | Duke Health

  https://www.dukehealth.org/treatments/urology/male-sexual-dysfunction

  Ejaculation Disorders […] Premature ejaculation refers to ejaculation that occurs before or soon after penetration. […] Inhibited or delayed ejaculation means ejaculation is slow to occur. […] Retrograde ejaculation refers to semen being forced back into the bladder at orgasm, instead of leaving the body through the urethra and out the penis. […] Ejaculation Disorders Treatments […] Your doctor may instruct you in several behavioral changes that can help you learn to delay ejaculation during sex. […] May be recommended to help reduce performance anxiety and help you find better ways to cope with stress. […] May be recommended to reduce sensation and help delay ejaculation during sex. […] Medications that keep the bladder neck muscle closed during ejaculation may be prescribed if retrograde ejaculation results in male infertility. Other medications may be prescribed to delay ejaculation.

• #80 Orgasmic and ejaculatory problems in clinical practice

  https://www.pulsus.com/scholarly-articles/orgasmic-and-ejaculatory-problems-in-clinical-practice.html

  While erectile dysfunction (ED) is the sexual disorder that most often brings men into the physicians office, ejaculatory and orgasmic concerns are an overlooked and under-reported area of male sexual functioning. Of reported sexual problems, the prevalence of ejaculatory and/or orgasmic disorders approaches 40%, with premature ejaculation being the most common disorder. […] Most men present to a primary care practice with sexual, versus more medical or organic, complaints related to their ejaculatory or orgasmic function. In general, younger men complain of fast or premature ejaculation, whereas older men present with delayed (or the inability to reach) ejaculation. […] When a patient has an orgasmic or ejaculatory concern, it is most helpful for the physician to place it into one of three categories that dictate different therapeutic streams: functional, neurological, anatomical.

• #81 The office management of ejaculatory disorders – Jiann – Translational Andrology and Urology

  https://tau.amegroups.org/article/view/10685/html

  An observational analysis of 988 patients with EjDs other than PE indicated that the majority of patients (68%) considered their symptoms to be bothersome. DE is associated with anxiety, depression, and relationship dissatisfaction. […] Most medical problems observed in the primary care practice, such as diabetes mellitus (DM) and cardiovascular and urological diseases, are associated with male sexual dysfunctions, and effective oral treatments are available for ED and PE. […] Therefore, men generally prefer primary care physicians for seeking treatment for their sexual problems. However, most primary care physicians do not incorporate questions regarding sexual health into their routine practice because they fail to recognize the high prevalence of sexual dysfunctions among the general male population and the negative effects of such dysfunctions on men’s quality of life.

• #82 The office management of ejaculatory disorders – Jiann – Translational Andrology and Urology

  https://tau.amegroups.org/article/view/10685/html

  In addition, although most men experiencing sexual dysfunctions are eager to discuss their sexual problems with their primary care physicians, they generally wait to be asked about them. […] Hence, primary care physicians should consider this issue and prepare to treat such patients to optimize their sexual health and quality of life. […] Because physical and psychological factors may be involved in the onset of EjDs, accurate and multidimensional diagnosis is essential for effective EjD treatment. […] A sexual history should involve crucial information such as the date and mode of EjD onset, self-estimated IELT, perceived control over ejaculation, personal distress and interpersonal difficulty associated with ejaculatory problems, intercourse frequency, and presence of other sexual dysfunctions.

• #83 Disorders of Ejaculation: An AUA/SMSNA Guideline (2020) – American Urological Association

  https://www.auanet.org/guidelines-and-quality/guidelines/disorders-of-ejaculation

  The Panel recommends shared decision-making as fundamental in the management of disorders of ejaculation; involvement of sexual partner(s) in decision making, when possible, may allow for optimization of outcomes. […] Clinicians should assess medical, relationship, and sexual history and perform a focused physical exam to evaluate a patient with premature ejaculation. […] Clinicians should advise patients that ejaculatory latency is not affected by circumcision status. […] Clinicians should consider referring men diagnosed with premature ejaculation to a mental health professional with expertise in sexual health. […] Clinicians should advise men with delayed ejaculation that modifying sexual positions or practices to increase arousal may be of benefit. […] Clinicians should suggest replacement, dose adjustment, or staged cessation of medications that may contribute to delayed ejaculation.

• #84 The office management of ejaculatory disorders – Jiann – Translational Andrology and Urology

  https://tau.amegroups.org/article/view/10685/html

  In addition, although most men experiencing sexual dysfunctions are eager to discuss their sexual problems with their primary care physicians, they generally wait to be asked about them. […] Hence, primary care physicians should consider this issue and prepare to treat such patients to optimize their sexual health and quality of life. […] Because physical and psychological factors may be involved in the onset of EjDs, accurate and multidimensional diagnosis is essential for effective EjD treatment. […] A sexual history should involve crucial information such as the date and mode of EjD onset, self-estimated IELT, perceived control over ejaculation, personal distress and interpersonal difficulty associated with ejaculatory problems, intercourse frequency, and presence of other sexual dysfunctions.

• #85 03.02 Nursing Care and Pathophysiology for Male Infertility | Free NURSING.com Courses

  https://nursing.com/lesson/03-02-nursing-care-and-pathophysiology-for-male-infertility

  Male infertility occurs from several factors. There are diseases/illnesses/and medications that can cause the penis to not erect and or prevent ejaculation. […] Problems with sperm transportation through the ductal system include ejaculation issues. […] Transurethral resection of ejaculatory ducts can help with obstruction. […] Artificial stimulation, such as electroejaculation, can be used to help the patient ejaculate. […] Patients with male infertility will have alterations in reproduction ability as infertility is the inability to conceive. They can also have alterations in sexuality related to the inability to conceive and what this has in store for them and their partner.

• #86 The office management of ejaculatory disorders – Jiann – Translational Andrology and Urology

  https://tau.amegroups.org/article/view/10685/html

  In addition, although most men experiencing sexual dysfunctions are eager to discuss their sexual problems with their primary care physicians, they generally wait to be asked about them. […] Hence, primary care physicians should consider this issue and prepare to treat such patients to optimize their sexual health and quality of life. […] Because physical and psychological factors may be involved in the onset of EjDs, accurate and multidimensional diagnosis is essential for effective EjD treatment. […] A sexual history should involve crucial information such as the date and mode of EjD onset, self-estimated IELT, perceived control over ejaculation, personal distress and interpersonal difficulty associated with ejaculatory problems, intercourse frequency, and presence of other sexual dysfunctions.

• #87 Premature ejaculation – treatment, causes and diagnosis | healthdirect

  https://www.healthdirect.gov.au/premature-ejaculation

  Premature ejaculation is the most common sexual problem to affect males. […] It’s important to speak to your doctor about premature ejaculation because it can lead to relationship issues. […] You should talk to your doctor if you are experiencing premature ejaculation. They can help work out the cause and offer you treatment options. […] Most people with premature ejaculation can be helped, which can help with developing and maintaining intimate relationships. […] It’s important to remember that ejaculation problems are common and nothing to be embarrassed about. […] Speak to your doctor if you are worried about premature ejaculation.

• #88 Delayed ejaculation – Diagnosis and treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/delayed-ejaculation/diagnosis-treatment/drc-20371363

  Talk openly with your partner about your condition. Treatment often is more successful if couples work together as a team. You might want to see a counselor with your partner. This can help you address concerns you both might have about delayed ejaculation. […] If you’ve been having trouble having orgasm, talk with your main healthcare professional. Your care professional might send you to a specialist. This might be a specialist in male genital problems, called a urologist; a specialist in the hormonal systems, called an endocrinologist; or a mental health specialist, called a psychiatrist, psychologist or social worker.

• #89 Premature ejaculation: A clinical review for the general physician

  https://www.racgp.org.au/afp/2015/october/premature-ejaculation-a-clinical-review-for-the-ge

  Follow-up is an essential part of premature ejaculation management. It facilitates treatment optimisation, emphasis on key features of premature ejaculation and enables additional information gathering. […] In complex or refractory cases, specialist assistance may be sought from a sexual health physician or urologist.

• #90 The office management of ejaculatory disorders – Jiann – Translational Andrology and Urology

  https://tau.amegroups.org/article/view/10685/html

  The method for managing PE in patients showing an unsatisfactory response to dapoxetine treatment is a common major concern in clinical practice. […] Patients may confuse the syndromes of PE with those of ED; therefore, ED may be misdiagnosed as PE if diagnostic evaluation is incomplete. […] The underlying diseases and comorbidity associated with PE treatment failure should be diagnosed and treated simultaneously or before dapoxetine treatment to maximize treatment outcomes. […] The recommended starting dose of dapoxetine for all patients with PE is 30 mg, and the maximum dose of 60 mg is recommended only for those with unsatisfactory response to 30 mg dapoxetine and without intolerable adverse events. […] Dapoxetine treatment can be combined with psychological behavioral therapies, if required, for the overall management of patients with PE. Scheduled follow-up visits are essential for improving patient satisfaction with dapoxetine treatment.

• #91 Ejaculation problems

  https://www.nhs.uk/conditions/ejaculation-problems/

  Sex therapy is a form of counselling that uses a combination of psychotherapy and structured changes in your sex life. […] Retrograde ejaculation is a rarer type of ejaculation problem. It happens when semen travels backwards into the bladder instead of through the urethra. […] Most men do not need treatment for retrograde ejaculation because they are still able to enjoy a healthy sex life and the condition does not have adverse effects on their health. […] If you’re having problems with your sex life and are seeking treatment, it is usually recommended you involve your partner as much as possible.

• #92 Ejaculation problems | nidirect

  https://www.nidirect.gov.uk/conditions/ejaculation-problems

  Sex therapy is a form of counselling that uses a combination of psychotherapy and structured changes in your sex life. […] Most men dont need treatment for retrograde ejaculation because theyre still able to enjoy a healthy sex life and the condition doesnt affect their health. […] But if treatment is required, your health professional will discuss treatment options with you. […] If you’re having problems with your sex life and are seeking treatment, its usually recommended you involve your partner as much as possible.

• #93 Delayed ejaculation – treatment, causes and diagnosis | healthdirect

  https://www.healthdirect.gov.au/delayed-ejaculation

  Delayed ejaculation is when you have trouble reaching orgasm and ejaculating. […] Delayed ejaculation can be a temporary or lifelong condition. […] Treatment depends on the cause. […] You should talk to your doctor if you have delayed ejaculation and it is bothering you. […] It’s important to remember that ejaculation problems are common, and nothing to be embarrassed or shy about. […] It’s important to communicate openly and honestly with your partner about your condition. Treatment is often more successful if couples work together as a team. […] Your doctor may recommend medicines, depending on the cause of your delayed ejaculation. […] Delayed ejaculation might make it more difficult to conceive a baby. […] Talk with your doctor if you are worried about the effects of delayed ejaculation.

• #94 Premature ejaculation: A clinical review for the general physician

  https://www.racgp.org.au/afp/2015/october/premature-ejaculation-a-clinical-review-for-the-ge

  Follow-up is an essential part of premature ejaculation management. It facilitates treatment optimisation, emphasis on key features of premature ejaculation and enables additional information gathering. […] In complex or refractory cases, specialist assistance may be sought from a sexual health physician or urologist.

• #95 Delayed ejaculation – treatment, causes and diagnosis | healthdirect

  https://www.healthdirect.gov.au/delayed-ejaculation

  Delayed ejaculation is when you have trouble reaching orgasm and ejaculating. […] Delayed ejaculation can be a temporary or lifelong condition. […] Treatment depends on the cause. […] You should talk to your doctor if you have delayed ejaculation and it is bothering you. […] It’s important to remember that ejaculation problems are common, and nothing to be embarrassed or shy about. […] It’s important to communicate openly and honestly with your partner about your condition. Treatment is often more successful if couples work together as a team. […] Your doctor may recommend medicines, depending on the cause of your delayed ejaculation. […] Delayed ejaculation might make it more difficult to conceive a baby. […] Talk with your doctor if you are worried about the effects of delayed ejaculation.

• #96 Ejaculation Problems: Too Fast, Too Slow or Not at All? » Sexual Medicine » BUMC

  https://www.bumc.bu.edu/sexualmedicine/informationsessions/ejaculation-problems-too-fast-too-slow-or-not-at-all/

  In many cases, the man himself may tend to delay treatment or to minimize the distress of the situation. […] Unfortunately however, problems such as delayed ejaculation seldom disappear without professional intervention. […] In spite of the lack of information regarding delayed ejaculation, the most successful approach, for sex therapists, is to engage both members of the couple into addressing the problem. […] Ejaculatory problems can have a devastating affect on self-esteem. […] Ejaculation problems may also contribute to a low libido and lack of interest in sexual activity. […] For some men, there may be additional psychological issues that underlie an ejaculatory dysfunction. […] Traditional behavioral sex therapy for delayed ejaculation is as follows: the man begins by masturbating, then starts intercourse when he is almost ready to ejaculate.

• #97 Premature Ejaculation | Treatment & Management | Point of Care

  https://www.statpearls.com/point-of-care/27656

  Patients should receive counseling that premature ejaculation is the most common sexual dysfunction in men. Without treatment, it often leads to significant psychological distress, poor self-esteem, anxiety, erectile dysfunction, decreased libido, and poor interpersonal relationships. […] Premature ejaculation takes an enormous toll on male self-esteem, often leading to serious marital difficulties, divorce, and depression.

• #98 Delayed ejaculation – treatment, causes and diagnosis | healthdirect

  https://www.healthdirect.gov.au/delayed-ejaculation

  Delayed ejaculation is when you have trouble reaching orgasm and ejaculating. […] Delayed ejaculation can be a temporary or lifelong condition. […] Treatment depends on the cause. […] You should talk to your doctor if you have delayed ejaculation and it is bothering you. […] It’s important to remember that ejaculation problems are common, and nothing to be embarrassed or shy about. […] It’s important to communicate openly and honestly with your partner about your condition. Treatment is often more successful if couples work together as a team. […] Your doctor may recommend medicines, depending on the cause of your delayed ejaculation. […] Delayed ejaculation might make it more difficult to conceive a baby. […] Talk with your doctor if you are worried about the effects of delayed ejaculation.

• #99 Premature Ejaculation | Treatment & Management | Point of Care

  https://www.statpearls.com/point-of-care/27656

  Premature ejaculation describes the phenomenon which occurs when ejaculation happens sooner than a man or his partner would like during sexual activity. About 30% of men are affected but possibly up to 75% in some reviews. It is considered to be the most common male sexual disorder. […] Approximately 30% of men ages 18 to 59 years old have problems with premature ejaculation; however, shame and embarrassment prevent many from discussing this sensitive topic with their physicians. […] Premature ejaculation that has been present for one year or more has a significant effect on the couple and tends to lead to clinical depression, relationship issues, and other problems. […] Premature ejaculation can potentially cause couples to have difficulty conceiving if ejaculation does not occur intravaginally. It can also lead to increased stress, anxiety, and significant relationship issues.

• #100 Cancer, Ejaculation, and Orgasm | American Cancer Society

  https://www.cancer.org/cancer/managing-cancer/side-effects/sexual-side-effects/ejaculation-and-treatment.html

  There are things that can be done to help manage your ejaculation and orgasm problems. […] Dry orgasm is when you no longer have fluid coming out of your penis when you ejaculate. […] Some men who have surgery for prostate cancer develop leakage of urine during orgasm (climacturia). […] Premature ejaculation means reaching orgasm too quickly. If you have erection problems, you may also lose your ability to delay orgasm.

• #101 Ejaculation Problems: Too Fast, Too Slow or Not at All? » Sexual Medicine » BUMC

  https://www.bumc.bu.edu/sexualmedicine/informationsessions/ejaculation-problems-too-fast-too-slow-or-not-at-all/

  In many cases, the man himself may tend to delay treatment or to minimize the distress of the situation. […] Unfortunately however, problems such as delayed ejaculation seldom disappear without professional intervention. […] In spite of the lack of information regarding delayed ejaculation, the most successful approach, for sex therapists, is to engage both members of the couple into addressing the problem. […] Ejaculatory problems can have a devastating affect on self-esteem. […] Ejaculation problems may also contribute to a low libido and lack of interest in sexual activity. […] For some men, there may be additional psychological issues that underlie an ejaculatory dysfunction. […] Traditional behavioral sex therapy for delayed ejaculation is as follows: the man begins by masturbating, then starts intercourse when he is almost ready to ejaculate.

• #102 Ejaculation Problems: Too Fast, Too Slow or Not at All? » Sexual Medicine » BUMC

  https://www.bumc.bu.edu/sexualmedicine/informationsessions/ejaculation-problems-too-fast-too-slow-or-not-at-all/

  In many cases, the man himself may tend to delay treatment or to minimize the distress of the situation. […] Unfortunately however, problems such as delayed ejaculation seldom disappear without professional intervention. […] In spite of the lack of information regarding delayed ejaculation, the most successful approach, for sex therapists, is to engage both members of the couple into addressing the problem. […] Ejaculatory problems can have a devastating affect on self-esteem. […] Ejaculation problems may also contribute to a low libido and lack of interest in sexual activity. […] For some men, there may be additional psychological issues that underlie an ejaculatory dysfunction. […] Traditional behavioral sex therapy for delayed ejaculation is as follows: the man begins by masturbating, then starts intercourse when he is almost ready to ejaculate.

• #103 Delayed Ejaculation: Causes, Symptoms, & Diagnosis

  https://www.healthline.com/health/delayed-ejaculation

  Psychological counseling can help treat depression, anxiety, and fears that trigger or perpetuate DE. Sex therapy may also be useful in addressing the underlying cause of sexual dysfunction. […] DE can generally be resolved by treating the mental or physical causes. Identifying and seeking treatment for DE sometimes exposes an underlying medical condition. Once this is treated, DE often resolves. […] DE can cause problems with self-esteem in addition to feelings of inadequacy, failure, and negativity. Men who experience the condition may avoid intimacy with others due to frustrations and fear of failure. […] Treatment or counseling can help resolve these issues. By facilitating open, honest communication, understanding can often be reached. […] There are many possible causes of DE. Regardless of the cause, treatments are available. Don’t be embarrassed or afraid to speak up. The condition is very common.

• #104 Premature ejaculation – Diagnosis and treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/premature-ejaculation/diagnosis-treatment/drc-20354905

  Your health care provider might instruct you and your partner to use the pause-squeeze technique. This method works as follows: […] By repeating as many times as needed, you can reach the point of entering your partner without ejaculating. After some practice, delaying ejaculation might become a habit that no longer requires the pause-squeeze technique. […] Counseling is most likely to help when it’s used in combination with drug therapy. […] With premature ejaculation, you might feel that you lose some of the closeness shared with a sexual partner. You might feel angry, ashamed and upset, and turn away from your partner. […] Premature ejaculation can cause partners to feel less connected or hurt. Talking about the problem is an important step. Relationship counseling or sex therapy also might be helpful. […] Deciding to talk with your health care provider is an important step. In the meantime, consider exploring other ways in which you and your partner can connect. Although premature ejaculation can cause strain and anxiety in a relationship, it is a treatable condition.

• #105 Delayed ejaculation

  https://johnsonmemorial.org/jmh-health/disease-conditions/con-20371342

  Delayed ejaculation is a condition in which it takes a long period of sexual arousal to reach climax and release semen from the penis, called ejaculate. Some people with delayed ejaculation can’t ejaculate at all. […] Treatment for delayed ejaculation depends on the cause. […] Your main healthcare professional is a good place to start when you have delayed ejaculation. See your healthcare professional if: Delayed ejaculation is an issue for you or your partner. […] Psychological causes of delayed ejaculation include: Depression, anxiety or other mental health conditions. […] Counseling can help by dealing with mental health problems linked to delayed ejaculation, such as depression or anxiety. […] Ongoing delayed ejaculation can cause mental and emotional stress for you and your partner. […] Talk openly with your partner about your condition. Treatment often is more successful if couples work together as a team.

• #106 The office management of ejaculatory disorders – Jiann – Translational Andrology and Urology

  https://tau.amegroups.org/article/view/10685/html

  Premature ejaculation (PE), delayed ejaculation (DE), anejaculation (AE) and retrograde ejaculation (RE) are four main ejaculatory disorders (EjDs) observed in clinical practice. Despite their high prevalence, EjDs remain underdiagnosed and undertreated. Primary care physicians should incorporate the discussion of sexual health topics into routine visits to facilitate EjD diagnosis and treatment. Because the causes of EjDs are multifactorial, the management of EjDs is etiology-specific and may require a holistic approach. Dapoxetine, a selective serotonin reuptake inhibitor, is the only drug approved for on-demand treatment of lifelong and acquired PE. In clinical practice, scheduled follow-up visits, risk factor treatment, appropriate dose escalation, adequate sexual attempts, patient education, and partner involvement are critical factors responsible for optimal overall management of PE and dapoxetine treatment outcomes.

• #107 Ejaculation Problems: Too Fast, Too Slow or Not at All? » Sexual Medicine » BUMC

  https://www.bumc.bu.edu/sexualmedicine/informationsessions/ejaculation-problems-too-fast-too-slow-or-not-at-all/

  For men, erectile dysfunction and ejaculatory problems are the most common sexual difficulties. […] In contrast, ejaculatory problems continue to be commonplace among men and often create feelings of shame and embarrassment for those men who struggle with this difficulty. […] When does an ejaculation problem become a disorder? This is a subjective question and is based on the level of distress that is experienced by the man or his partner. […] Typically, ejaculatory disorders fall into two categories. These are: delayed ejaculation and early ejaculation. […] In the vast majority of cases, the most effective therapeutic approach for ejaculatory dysfunction is a combination of biologic and psychologic therapy. […] Regardless of the psychological issues, a good medical or urologic work-up is always encouraged before embarking on a behavioral treatment program.

• #108 Delayed ejaculation – Diagnosis and treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/delayed-ejaculation/diagnosis-treatment/drc-20371363

  Talk openly with your partner about your condition. Treatment often is more successful if couples work together as a team. You might want to see a counselor with your partner. This can help you address concerns you both might have about delayed ejaculation. […] If you’ve been having trouble having orgasm, talk with your main healthcare professional. Your care professional might send you to a specialist. This might be a specialist in male genital problems, called a urologist; a specialist in the hormonal systems, called an endocrinologist; or a mental health specialist, called a psychiatrist, psychologist or social worker.

• #109 Delayed ejaculation – Diagnosis and treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/delayed-ejaculation/diagnosis-treatment/drc-20371363

  Talk openly with your partner about your condition. Treatment often is more successful if couples work together as a team. You might want to see a counselor with your partner. This can help you address concerns you both might have about delayed ejaculation. […] If you’ve been having trouble having orgasm, talk with your main healthcare professional. Your care professional might send you to a specialist. This might be a specialist in male genital problems, called a urologist; a specialist in the hormonal systems, called an endocrinologist; or a mental health specialist, called a psychiatrist, psychologist or social worker.

• #110 FloridaHealthFinder | Delayed ejaculation | Health Encyclopedia | FloridaHealthFinder

  https://quality.healthfinder.fl.gov/health-encyclopedia/HIE/1/001954

  Delayed ejaculation is a medical condition in which a male cannot ejaculate. It may occur either during intercourse or by manual stimulation with or without a partner. Ejaculation is when semen is released from the penis. […] If you have never ejaculated through any form of stimulation, see a urologist to determine if the problem has a physical cause. (Examples of stimulation may include wet dreams, masturbation, or intercourse.) […] See a therapist who specializes in ejaculation problems if you are unable to ejaculate in an acceptable amount of time. Sex therapy most often includes both partners. In most cases, the therapist will teach you about the sexual response. You also will learn how to communicate and guide your partner to provide the right stimulation. […] Therapy often involves a series of „homework” assignments. In the privacy of your home, you and your partner engage in sexual activities that reduce performance

• #111 Delayed ejaculation – Diagnosis and treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/delayed-ejaculation/diagnosis-treatment/drc-20371363

  Talk openly with your partner about your condition. Treatment often is more successful if couples work together as a team. You might want to see a counselor with your partner. This can help you address concerns you both might have about delayed ejaculation. […] If you’ve been having trouble having orgasm, talk with your main healthcare professional. Your care professional might send you to a specialist. This might be a specialist in male genital problems, called a urologist; a specialist in the hormonal systems, called an endocrinologist; or a mental health specialist, called a psychiatrist, psychologist or social worker.

• #112 Ejaculatory Dysfunction | Urology Associates | Denver Metro

  https://www.denverurology.com/mens-fertility-sexual-health/ejaculatory-dysfunction/

  Ejaculatory dysfunction is the inability of a man to efficiently ejaculate semen from the penis at the moment of sexual climax. […] Ejaculatory dysfunction is classified into four types: premature ejaculation, delayed ejaculation, retrograde ejaculation and anejaculation (no ejaculation). […] Treatments for ejaculatory dysfunction include medications, behavioral therapy (for premature ejaculation) and sometimes surgery. […] Ejaculation disorders, also called aspermia, can be caused by a problem at birth (primary) or by acquired dysfunctions (secondary) after birth (often much later in life), such as disease, injury and adverse drug reactions. […] The four types of ejaculation dysfunction are premature ejaculation, delayed ejaculation, retrograde ejaculation and anejaculation. […] Medications, physical therapy and psychotherapy are tools for treating PE.

• #113 03.02 Nursing Care and Pathophysiology for Male Infertility | Free NURSING.com Courses

  https://nursing.com/lesson/03-02-nursing-care-and-pathophysiology-for-male-infertility

  Male infertility occurs from several factors. There are diseases/illnesses/and medications that can cause the penis to not erect and or prevent ejaculation. […] Problems with sperm transportation through the ductal system include ejaculation issues. […] Transurethral resection of ejaculatory ducts can help with obstruction. […] Artificial stimulation, such as electroejaculation, can be used to help the patient ejaculate. […] Patients with male infertility will have alterations in reproduction ability as infertility is the inability to conceive. They can also have alterations in sexuality related to the inability to conceive and what this has in store for them and their partner.

• #114 Ejaculation Problems: Too Fast, Too Slow or Not at All? » Sexual Medicine » BUMC

  https://www.bumc.bu.edu/sexualmedicine/informationsessions/ejaculation-problems-too-fast-too-slow-or-not-at-all/

  For men, erectile dysfunction and ejaculatory problems are the most common sexual difficulties. […] In contrast, ejaculatory problems continue to be commonplace among men and often create feelings of shame and embarrassment for those men who struggle with this difficulty. […] When does an ejaculation problem become a disorder? This is a subjective question and is based on the level of distress that is experienced by the man or his partner. […] Typically, ejaculatory disorders fall into two categories. These are: delayed ejaculation and early ejaculation. […] In the vast majority of cases, the most effective therapeutic approach for ejaculatory dysfunction is a combination of biologic and psychologic therapy. […] Regardless of the psychological issues, a good medical or urologic work-up is always encouraged before embarking on a behavioral treatment program.

• #115 The office management of ejaculatory disorders – Jiann – Translational Andrology and Urology

  https://tau.amegroups.org/article/view/10685/html

  Premature ejaculation (PE), delayed ejaculation (DE), anejaculation (AE) and retrograde ejaculation (RE) are four main ejaculatory disorders (EjDs) observed in clinical practice. Despite their high prevalence, EjDs remain underdiagnosed and undertreated. Primary care physicians should incorporate the discussion of sexual health topics into routine visits to facilitate EjD diagnosis and treatment. Because the causes of EjDs are multifactorial, the management of EjDs is etiology-specific and may require a holistic approach. Dapoxetine, a selective serotonin reuptake inhibitor, is the only drug approved for on-demand treatment of lifelong and acquired PE. In clinical practice, scheduled follow-up visits, risk factor treatment, appropriate dose escalation, adequate sexual attempts, patient education, and partner involvement are critical factors responsible for optimal overall management of PE and dapoxetine treatment outcomes.

• #116 Premature ejaculation: A clinical review for the general physician

  https://www.racgp.org.au/afp/2015/october/premature-ejaculation-a-clinical-review-for-the-ge

  Follow-up is an essential part of premature ejaculation management. It facilitates treatment optimisation, emphasis on key features of premature ejaculation and enables additional information gathering. […] In complex or refractory cases, specialist assistance may be sought from a sexual health physician or urologist.

• #117 The office management of ejaculatory disorders – Jiann – Translational Andrology and Urology

  https://tau.amegroups.org/article/view/10685/html

  The method for managing PE in patients showing an unsatisfactory response to dapoxetine treatment is a common major concern in clinical practice. […] Patients may confuse the syndromes of PE with those of ED; therefore, ED may be misdiagnosed as PE if diagnostic evaluation is incomplete. […] The underlying diseases and comorbidity associated with PE treatment failure should be diagnosed and treated simultaneously or before dapoxetine treatment to maximize treatment outcomes. […] The recommended starting dose of dapoxetine for all patients with PE is 30 mg, and the maximum dose of 60 mg is recommended only for those with unsatisfactory response to 30 mg dapoxetine and without intolerable adverse events. […] Dapoxetine treatment can be combined with psychological behavioral therapies, if required, for the overall management of patients with PE. Scheduled follow-up visits are essential for improving patient satisfaction with dapoxetine treatment.

• #118 Ejaculation Problems: Too Fast, Too Slow or Not at All? » Sexual Medicine » BUMC

  https://www.bumc.bu.edu/sexualmedicine/informationsessions/ejaculation-problems-too-fast-too-slow-or-not-at-all/

  The most common behavioral approach taught by sex therapists is either the squeeze technique or an approach described as start and stop. […] In summary, under the right circumstances and with ongoing motivation, ejaculation disorders can be overcome. […] The most common sexual dysfunction for men is ejaculatory disorder. […] Treatment is usually with SSRIs and Sildenafil (Viagra). […] Delayed ejaculation carries with it issues of inability to achieve orgasm and infertility. […] A common cause is pudendal neuropathy, caused by a crush to the perineum such as from bike riding with a narrow saddle. […] If the delayed ejaculation is situational is is probably psychologic; if it is generalized the problem is probably biologic.

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