Materiały źródłowe

• #1

  https://111.wales.nhs.uk/encyclopaedia/e/article/ejaculationproblems/

  Ejaculation problems are common sexual problems in men. […] The 3 main types of ejaculation problems are: premature ejaculation, delayed ejaculation, retrograde ejaculation. […] 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. […] Occasional episodes of premature ejaculation are common and are not a cause for concern. However, if you’re finding that it happens more than you’d like, and it’s a problem for you, it might help to get treatment. […] Delayed ejaculation (male orgasmic disorder) is classed as either: experiencing a significant delay before ejaculation, being unable to ejaculate at all, even though the man wants to and his erection is normal.

• #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/

  Ejaculation problems continue to be commonplace among men and often create feelings of shame and embarrassment for those men who struggle with this difficulty. […] The psychological definition of delayed ejaculation refers to the inability to have an ejaculation during sexual intercourse. […] Problems of delayed ejaculation tend to be somewhat rare and not well understood by psychologists and sex therapists. […] In many cases, the man himself may tend to delay treatment or to minimize the distress of the situation. […] 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.

• #3 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). […] Ejaculatory dysfunction occurs when a man has a problem properly ejaculating his semen, either ejaculating too soon, too late, back into his own bladder or not at all. […] The four types of ejaculation dysfunction are premature ejaculation, delayed ejaculation, retrograde ejaculation and anejaculation. […] Premature ejaculation (PE) is when the man ejaculates within a minute of vaginal penetration or, more generally, when he ejaculates sooner than he or his partner would like. […] Delayed ejaculation is when ejaculation is retarded beyond a reasonable period after sexual stimulation.

• #4 Premature ejaculation Guide: Causes, Symptoms and Treatment Options

  https://www.drugs.com/health-guide/premature-ejaculation.html

  Premature ejaculation occurs when a man reaches orgasm and ejaculates too quickly and without control. In other words, ejaculation occurs before a man wants it to happen. It may occur before or after beginning foreplay or intercourse. Some men experience a lot of personal distress because of this condition. […] The key symptoms of premature ejaculation include: ejaculation that routinely occurs with little sexual stimulation and with little control; decreased sexual pleasure because of poor control over ejaculation; feelings of guilt, embarrassment or frustration. […] Sometimes, premature ejaculation goes away on its own over weeks or months. Working to relieve stress or other psychological issues may help the situation to improve. […] Many men experience a brief period of premature ejaculation, then improve on their own. Even for men who require medical treatment, the outlook is usually good.

• #5 Delayed ejaculation – Symptoms and causes – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/delayed-ejaculation/symptoms-causes/syc-20371358

  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. […] Delayed ejaculation can happen from time to time. Delayed ejaculation is a problem only if it’s ongoing and causes stress or worry for you and your partner. […] Some people with delayed ejaculation need many minutes of sexual stimulation to have an orgasm and ejaculate. Others might not be able to ejaculate at all, called anejaculation. […] In delayed ejaculation, the delay causes upset. Also delayed ejaculation might mean stopping sex due to tiredness, physical irritation, loss of erection or because the partner wants to stop. […] Often, there’s trouble reaching orgasm during sexual intercourse or other sexual activities with a partner. Some people can ejaculate only when masturbating. But others may not be able to ejaculate by masturbating.

• #6

  https://111.wales.nhs.uk/encyclopaedia/e/article/ejaculationproblems/

  You may have delayed ejaculation if you’re unable to ejaculate more than half the times you have sex. […] Retrograde ejaculation is a rarer type of ejaculation problem. It happens when semen travels backwards into the bladder instead of through the urethra. […] The main symptoms of retrograde ejaculation include: producing no semen, or only a small amount, during ejaculation, producing cloudy urine (because of the semen in it) when you first go to the toilet after having sex. […] Men with retrograde ejaculation still experience the feeling of an orgasm and the condition does not pose a danger to health. However, it can affect the ability to father a child.

• #7 Retrograde Ejaculation: Causes, Symptoms & Treatment

  https://my.clevelandclinic.org/health/diseases/21870-retrograde-ejaculation

  Retrograde ejaculation is also called dry orgasm. It happens when sperm doesnt leave the body through the penis but is pushed back into the bladder where urine is stored. It may be found during examinations for fertility. […] Retrograde ejaculation is a term that refers to semen going backward into your bladder instead of out of your body through your urethra and the tip of your penis during sexual climax. The urethra is the tube that lets urine and sperm leave your body. […] Retrograde ejaculation is also called dry orgasm. It can be a factor in infertility. […] You might not notice if you have retrograde ejaculation. Or you might notice the following: You produce little to no semen when you orgasm. You have cloudy urine after you orgasm. Youre having fertility issues. […] Retrograde ejaculation is caused by a problem with your circular muscle (called the bladder sphincter) that closes to let semen out and keeps urine in your body. Because your sphincter doesnt work correctly, your bladder neck stays open instead of closing allowing the ejaculate to take the path of least resistance into the bladder.

• #8 Ejaculatory Dysfunction | Urology Associates | Denver Metro

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

  Retrograde ejaculation, also called dry ejaculation, is when some or all of the ejaculate is discharged back up into the bladder at sexual climax rather than out of the body through the penis. […] Anejaculation is when no ejaculation occurs at sexual climax. […] Total anejaculation may be anorgasmic, meaning the man can never reach an orgasm and ejaculate. Total anejaculation can also be orgasmic, meaning the man has an orgasm but does not ejaculate.

• #9 Inability to Ejaculate – Men’s Health Issues – Merck Manual Consumer Version

  https://www.merckmanuals.com/home/men-s-health-issues/sexual-function-and-dysfunction-in-men/inability-to-ejaculate

  Inability to ejaculate (anejaculation) is usually caused by inability to reach orgasm (anorgasmia). It usually occurs as part of erectile dysfunction. […] Other conditions that damage the nerves of the penis, as well as some mental conditions and some medications that are used to treat them, may also affect the ability to ejaculate. […] Depending on the cause, anejaculation may occur with or without orgasm. A doctor bases the diagnosis of anejaculation on the man’s symptoms, results of an examination, and, if orgasm is possible, a urine test. Absence of sperm in a urine sample obtained after an orgasm indicates anejaculation, whereas presence of many sperm indicates retrograde ejaculation. […] Treatment of anejaculation depends on the cause and may include stopping any medications that may be causing the problem, engaging in psychotherapy, or helping trigger ejaculation using oral medications such as pseudoephedrine and/or imipramine.

• #10 Sexual Problems in Men: Causes, Disorders, Symptoms, Treatment

  https://www.medicinenet.com/sexual_sex_problems_in_men/article.htm

  Common sexual problems in men include erectile dysfunction (impotence or ED), premature ejaculation, and loss of libido. […] Older men can have the following symptoms of sexual dysfunction: […] Ejaculation is less strong […] Ejaculatory volume is smaller […] Premature ejaculation is the most common of the ejaculatory disorders; approximately 20% to 30% of men will have premature ejaculation. Ejaculation problems involve the improper discharge of sperm, prostatic, and seminal vesicle fluid through the urethra. […] There are three different types of premature ejaculation: […] Retarded ejaculation is ejaculation after a long delay of physical stimulation. […] Anejaculation (retrograde ejaculation) may be caused by radical prostatectomy, cystoprostatectomy (removal of the bladder and the rectum), or the use of certain medications such as alpha-blockers (tamsulosin) and antidepressants (SSRIs).

• #11 Premature Ejaculation: Causes, Symptoms, and Treatment Options

  https://www.everydayhealth.com/sexual-health/premature-ejaculation.aspx

  Premature ejaculation (PE) is when a man reaches climax (ejaculates semen during orgasm) sooner than wanted during sex. […] Premature ejaculation can be lifelong or acquired. Lifelong PE occurs if a man climaxes earlier than wanted, starting with the first time he has intercourse, while acquired PE develops over time. […] Premature ejaculation is the most frequently experienced type of sexual dysfunction worldwide and may affect as many as 1 in 3 adult men. […] Psychological causes of premature ejaculation can include early sexual experiences, sexual abuse, poor body image, depression, worrying about PE, and guilty feelings that cause you to rush through sex. […] General anxiety and relationship problems can also cause PE. Mental health treatment may be an option. […] Premature ejaculation affects 1 in 3 adult men, according to research.

• #12 Symptoms and Causes of Premature Ejaculation – ROC Clinic

  https://rocclinic.com/en/premature-ejaculation/symptoms-and-causes/

  The main symptom of premature ejaculation is the inability to control the moment of orgasm associated with low intercourse time. […] The first symptom is a lack of control over the timing of orgasm, usually associated with low intercourse time. […] Second, it is common for many men with premature ejaculation to have psychological erectile dysfunction. […] Finally, in very advanced cases, when anxiety becomes generalized, it is even possible that behaviors are generated in which the man avoids sexual relations with his partner or the approach to people he believes may have a sexual interest in him and reduces his sexual desire due to anxiety and the „fear of failure”.

• #13 Premature Ejaculation: Practice Essentials, Background, Pathophysiology

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

  Premature ejaculation may be lifelong or acquired. Lifelong premature ejaculation applies to individuals who have had the condition since they became capable of functioning sexually (ie, post puberty). Acquired premature ejaculation means that the condition began in an individual who previously experienced an acceptable level of ejaculatory control and, for unknown reasons, began experiencing premature ejaculation later in life. […] The specific DSM-5 criteria for premature (early) ejaculation are as follows: In almost all or all (75-100%) sexual activity, the experience of a pattern of ejaculation occurring during partnered sexual activity within 1 minute after vaginal penetration and before the individual wishes it. […] The severity of premature (early) ejaculation is specified as follows: Mild (occurring within approximately 30 seconds to 1 minute of vaginal penetration), Moderate (occurring within approximately 15-30 seconds of vaginal penetration), Severe (occurring before sexual activity, at the start of sexual activity, or within approximately 15 seconds of vaginal penetration).

• #14 Premature ejaculation: Causes, Symptoms, Treatment & Cure PACE Hospitals – Best Hospitals in Hitech City, Hyderabad, India | Near Madhapur, Kukatpally, KPHB, Kondapur, Gachibowli, Jubilee Hills, Banjara HillsPACE Hospitals Contact Number

  https://www.pacehospital.com/premature-ejaculation-causes-symptoms-treatment-cure

  Premature ejaculation (PE) is characterized by a number of premature ejaculation symptoms that impair both sexual satisfaction and emotional well-being. Understanding the signs of the disease, from early ejaculation to relationship pressure, is necessary for effective management and treatment. Premature ejaculation symptoms include a range of indicators that can significantly impact an individual’s quality of life. Recognizing these premature ejaculation symptoms is crucial for addressing the condition and seeking appropriate treatment. […] Common symptoms of premature ejaculation include the following: […] Ejaculating too early: Ejaculating within one to three minutes of penetration, or before penetration […] Inability to delay ejaculation: Being unable to delay ejaculation during sex, even when trying

• #15 What is premature ejaculation? Signs and symptoms, causes, treatment

  https://www.trted.org/articles/premature-ejaculation-the-complete-guide

  Premature ejaculation is the most common sexual dysfunction in men sometimes referred to as early or rapid ejaculation. […] The condition is generally diagnosed by short ejaculatory latency (2 minutes of sexual stimulation), poor ejaculatory control (ejaculating before personal intent), and anxiety or distress during most sexual engagements. […] Most cases of premature ejaculation are classified as either primary or secondary. Primary premature ejaculation is lifelong and begins as soon as the patient becomes sexually active; secondary premature ejaculation begins later in life and usually reports a slightly longer ejaculatory latency period of up to three minutes of sexual stimulation. […] Both types of premature ejaculation (primary or secondary) can negatively impact quality of life. The condition is linked with a range of psychological conditions, such as anxiety, depression, and distress.

• #16 Premature ejaculation: Causes, Symptoms, Treatment & Cure PACE Hospitals – Best Hospitals in Hitech City, Hyderabad, India | Near Madhapur, Kukatpally, KPHB, Kondapur, Gachibowli, Jubilee Hills, Banjara HillsPACE Hospitals Contact Number

  https://www.pacehospital.com/premature-ejaculation-causes-symptoms-treatment-cure

  Distress and frustration: Feeling distressed or frustrated, which can lead to avoiding sexual intimacy […] Performance anxiety: Fear of ejaculating early, which can make PE worse […] Negative self-image: Developing a negative self-image about sexual performance […] Loss of sexual intimacy: Frequent PE can lead to a loss of intimacy with a partner […] Relationship strain: PE can strain emotional connections within relationships. […] Premature ejaculation is a multifactorial disorder caused by a variety of physical, psychological, and environmental factors. Understanding these risk factors is critical for understanding probable causes and establishing effective treatment options to manage and overcome this widespread problem. The common risk factors that may cause premature ejaculation include:

• #17 Premature ejaculation – Wikipedia

  https://en.wikipedia.org/wiki/Premature_ejaculation

  PE has been classified into four subtypes – lifelong, acquired, variable and subjective PE. […] The Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) defines premature ejaculation as „A persistent or recurrent pattern of ejaculation occurring during partnered sexual activity within approximately 1 minute following vaginal penetration and before the person wishes it,” with the additional requirements that the condition occurs for a duration longer than 6 months, causes clinically significant distress, and cannot be better explained by relationship distress, another mental disorder, or the use of medications. […] Several treatments have been tested for treating premature ejaculation. […] Dapoxetine, a selective serotonin reuptake inhibitor (SSRI), has been approved for the treatment of premature ejaculation in several countries.

• #18 Delayed Ejaculation: Causes, Diagnosis & Treatment

  https://my.clevelandclinic.org/health/diseases/22125-delayed-ejaculation

  Delayed ejaculation is when you take a long time and need a lot of stimulation to reach sexual climax (orgasm) and release semen from your penis (ejaculate or cum). Its a type of ejaculatory disorder. In some cases, you might not ejaculate at all. Delayed ejaculation can happen when youre masturbating or having sexual intercourse with a partner. […] The primary symptom of delayed ejaculation is that you have trouble ejaculating. Typically, men can ejaculate after only minutes of sexual stimulation. But if you have delayed ejaculation, it may take you 30 minutes or longer. […] Many men have delayed ejaculation issues as they get older. You may need more time and stimulation to ejaculate. You may also notice that the force of your ejaculation and the volume of your semen decreases. […] Delayed ejaculation can affect anyone. It can affect some men for their entire lives. For others, it only happens once in a while, or it starts to occur more regularly as they get older.

• #19 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. […] In some cases, ejaculation cannot be achieved at all. Most men experience DE from time to time, but for others it may be a lifelong problem. […] Delayed ejaculation occurs when a man needs more than 30 minutes of sexual stimulation to reach orgasm and ejaculate. Ejaculation is when semen is discharged from the penis. Some men can only ejaculate with manual or oral stimulation. Some cannot ejaculate at all. […] A lifelong problem with DE is very different from a problem that develops later in life. Some men have a generalized problem in which DE occurs in all sexual situations. […] In rare cases, DE is a sign of a worsening health problem such as heart disease or diabetes.

• #20 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. It’s where ejaculation happens too quickly during sex. Occasional episodes of premature ejaculation are common and aren’t a cause for concern. If around half your attempts at sex result in premature ejaculation, it might help to get treatment. […] Delayed ejaculation (male orgasmic disorder) is classed as either: experiencing a significant delay before ejaculation lasting for 30 to 60 minutes, being unable to ejaculate at all, even though you want to and your erection is normal at least half the times you have sex.

• #21 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. […] Delayed ejaculation can happen from time to time. Delayed ejaculation is a problem only if it’s ongoing and causes stress or worry for you and your partner. […] Some people with delayed ejaculation need many minutes of sexual stimulation to have an orgasm and ejaculate. Others might not be able to ejaculate at all, called anejaculation. […] In delayed ejaculation, the delay causes upset. Also delayed ejaculation might mean stopping sex due to tiredness, physical irritation, loss of erection or because the partner wants to stop. […] Often, there’s trouble reaching orgasm during sexual intercourse or other sexual activities with a partner. Some people can ejaculate only when masturbating. But others may not be able to ejaculate by masturbating.

• #22 Delayed ejaculation – Symptoms and causes – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/delayed-ejaculation/symptoms-causes/syc-20371358

  Delayed ejaculation is divided into the following types based on symptoms: Lifelong versus acquired. With lifelong delayed ejaculation, the problem is present from the time of sexual maturity. Acquired delayed ejaculation happens after a period of typical sexual functioning. […] Generalized versus situational. Generalized delayed ejaculation isn’t limited to certain sex partners or certain kinds of arousal. Situational delayed ejaculation happens only under certain conditions. […] Some medicines, certain ongoing health conditions and surgeries can cause delayed ejaculation. Other causes include substance misuse or a mental health concern, such as depression, anxiety or stress. Often, it’s due to a mix of physical and psychological concerns. […] Complications of delayed ejaculation can include: Less sexual pleasure for you and your partner. Stress or anxiety about having sex. Marital or relationship problems due to a poor sex life. Not being able to get your partner pregnant, called infertility.

• #23 Delayed ejaculation // Middlesex Health

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

  With lifelong delayed ejaculation, the problem is present from the time of sexual maturity. Acquired delayed ejaculation happens after a period of typical sexual functioning. […] Generalized delayed ejaculation isn’t limited to certain sex partners or certain kinds of arousal. Situational delayed ejaculation happens only under certain conditions. […] 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. […] If you’re taking medicine that might cause delayed ejaculation, cutting the dose or switching medicines might fix the problem. Sometimes adding a medicine might help. […] Counseling can help by dealing with mental health problems linked to delayed ejaculation, such as depression or anxiety.

• #24 Weak ejaculation: Symptoms, causes, and treatment

  https://www.medicalnewstoday.com/articles/326355

  A mans ejaculation may decrease in force and volume as he ages. Doctors often attribute this to lower levels of male sex hormones. […] Males with diabetes may be especially prone to ejaculation issues. […] Weak ejaculation is rarely a medical emergency. However, it can be very concerning for someone experiencing it regularly. […] If a person has consistent episodes of weak ejaculation for 6 months, they should talk with his doctor, who can help them to identify the underlying cause. […] Weak ejaculation is a complicated condition with many potential underlying causes. […] Males who notice continued changes in their ejaculation should talk with their doctor. In some cases, weak ejaculation can reduce fertility or may indicate an underlying health condition.

• #25 Retrograde ejaculation – Symptoms & causes – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/retrograde-ejaculation/symptoms-causes/syc-20354890

  Retrograde ejaculation occurs when semen enters the bladder instead of emerging through the penis during orgasm. […] Retrograde ejaculation signs and symptoms include: Orgasms in which you ejaculate very little or no semen out of your penis (dry orgasms). […] A dry orgasm is the primary sign of retrograde ejaculation. But dry orgasm the ejaculation of little or no semen can also be caused by other conditions, including: Surgical removal of the prostate (prostatectomy). […] Retrograde ejaculation isn’t harmful. However, potential complications include: Inability to get a woman pregnant (male infertility).

• #26 Ejaculation problems | nidirect

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

  Delayed ejaculation can suddenly start to happen after previously having no problems, or the man may have always experienced it. It may occur in all sexual situations or only in certain situations, such as during sex but not during masturbation. […] Retrograde ejaculation is a rarer type of ejaculation problem. It happens when semen travels backwards into the bladder instead of through the urethra (the tube that urine passes through). The main symptoms of retrograde ejaculation include: producing no semen, or only a small amount, during ejaculation, producing cloudy urine (because of the semen in it) when you first go to the toilet after having sex. […] The condition doesn’t pose a danger to health. It can affect the ability to father a child.

• #27 Retrograde Ejaculation: Symptoms, Causes & Treatment | hims

  https://www.forhims.co.uk/blog/retrograde-ejaculation-causes-treatments

  Though many men don’t like to talk about it, ejaculation problems are very common. Some of the most common issues include premature, delayed, or retrograde ejaculation. […] Retrograde ejaculation doesn’t typically cause any symptoms other than little or no semen released during an orgasm — and possibly low semen volume or weak ejaculation. […] Retrograde ejaculation isn’t painful and usually doesn’t feel different from any other orgasm. It also doesn’t interfere with erectile function. […] Most men produce around one-quarter to one teaspoon of semen when they orgasm. Those with retrograde ejaculation may see less semen coming out of their penis since some or all of it enters their bladder. […] With semen in the bladder, retrograde ejaculation can cause cloudy urine the next time you pee after an orgasm.

• #28 Retrograde Ejaculation – Harvard Health

  https://www.health.harvard.edu/a_to_z/retrograde-ejaculation-a-to-z

  Ejaculation is the ejection of semen out of the urethra (passageway inside the penis) when a man has an orgasm. […] Retrograde ejaculation is when the semen travels backwards into the bladder. […] In men with retrograde ejaculation, the amount of semen is decreased dramatically or there is a dry climax (orgasm without semen). […] Retrograde ejaculation does not interfere with a man’s ability to have an erection or to achieve orgasm, but it can cause infertility because the sperm cannot reach the woman’s uterus. Retrograde ejaculation is responsible for about 1% of all cases of male infertility in the United States. […] How long this problem lasts depends on the cause. […] Simple therapies have a good chance of decreasing retrograde ejaculation enough to allow conception. […] In men who do not respond to medication, fathering a child may still be possible with the help of assisted fertilization procedures.

• #29 Weak ejaculation: Symptoms, causes, and treatment

  https://www.medicalnewstoday.com/articles/326355

  Weak ejaculation refers to a reduction in the amount of semen a person ejaculates or in the pressure of the ejaculation. […] Experiencing periodic weak ejaculation is rarely cause for concern. However, consistent changes to a persons ejaculation may warrant a visit to the doctor. […] Weak ejaculation occurs when semen does not come out with pressure. A person can have both the sexual stimulation and desire to ejaculate but experience either or both of the following symptoms: reduced force of ejaculation, reduced amount of semen. […] Weak ejaculation may also result in a person experiencing less intense orgasms. This experience is more likely to be the case as an individual becomes older. […] According to a 2016 review, ejaculation volumes of less than 2 ml on two separate occasions may signal an underlying medical disorder.

• #30 Weak Ejaculation: Symptoms, Causes, Treatment, and Home Remedies

  https://www.healthline.com/health/mens-health/weak-ejaculation

  Some causes of weak ejaculation may include aging, stress, low testosterone levels, and erectile conditions, among others. […] Weak ejaculation is when you dont ejaculate with as much force or volume as you used to. […] A problem during the emission stage may reduce the amount of semen you ejaculate, while a problem during the expulsion stage could reduce the force with which semen is expelled. […] Weak ejaculation is largely subjective, meaning its often noticed by the person. […] Its not usually a cause for concern, but it may impact your enjoyment and desire for sexual activity. Ejaculating less sperm may also be a problem if you plan to have children. […] Weak ejaculations are most commonly related to getting older. Just as age may weaken your eyesight, it can also reduce both the strength and volume of your ejaculation.

• #31 Weak Ejaculation: Symptoms, Causes & Treatment Options – Prestige Men’s Medical

  https://prestigemensmedical.com/blog/weak-ejaculation-symptoms-causes-treatment-options/

  Weak ejaculations may also be marked by a reduced orgasm intensity. This tends to be more common among older men, but it can happen to anyone regardless of their sexual maturity. […] A weak ejaculation happens when there’s a source of sexual stimulation and a definite sexual interest, yet satisfactory sex can’t be reached due to two of the following symptoms: A reduced volume of semen upon ejaculation, A reduced force when ejaculating. […] However, if you’ve recently had an orgasm but could only expel 2 ml of semen on at least two occasions, it can be a cause of medical concern. The normal expulsion range of semen for men can reach up to 5 ml, so going below that range can indicate that you have an underlying medical condition. […] A weak ejaculation can occur due to a variety of reasons. In some cases, it might be a mixture of two or more causes. […] Contact a doctor to get proper treatment for this issue.

• #32 Painful ejaculation: Symptoms, causes, and treatment

  https://www.medicalnewstoday.com/articles/320470

  Painful ejaculation can happen as a result of prostate disorders, medication, sexually transmitted infections (STIs), and more. […] It is also highly treatable and can be the first symptom of another problem, such as swelling in the prostate. […] The symptoms of painful ejaculation vary from man to man. They may also change over time. […] Some men only experience symptoms after having sex with a partner, but not when they masturbate. […] A few of the most notable symptoms include: pain during or immediately following ejaculation, pain in or around the penis, bladder, or rectum, pain that begins shortly before or after ejaculation, pain during urination, especially immediately after ejaculating. […] The pain may last only a few minutes, or for up to 24 hours following ejaculation. It can be mild or very intense.

• #33 Painful ejaculation: Causes & treatment options | Healthy Male

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

  Painful ejaculation is when you experience painful, burning sensations during or after ejaculation. […] Pain after ejaculation usually comes from the parts of your body that are involved in ejaculation of semen (the prostate, testicles, epididymis, vas deferens, seminal vesicles, ejaculatory duct, bulbourethral glands, and/or penis). […] We think painful ejaculation affects somewhere between 1 in 10 and 1 in 100 men, but the true incidence is unknown because some men affected by it probably dont mention it or seek help. […] Some conditions increase your likelihood of experiencing painful ejaculation. Rates of painful ejaculation are between 1 in 3 to 1 in 10 in men who have lower urinary tract symptoms (LUTS), and the worse their symptoms, the more likely they are to have pain. […] About 1 in 5 men with benign prostatic hyperplasia (BPH), and more than 1 in 2 with prostatitis, have painful ejaculation. Rates are highest in men with chronic pelvic pain syndrome (up to 75%).

• #34 Retrograde ejaculation, painful ejaculation and hematospermia – Parnham – Translational Andrology and Urology

  https://tau.amegroups.org/article/view/11053/11779

  Ejaculation is an essential step in normal human reproduction and its failure leads to infertility. Many ejaculatory disorders can have both psychological as well as organic causes; however, retrograde ejaculation is unique in that as it is almost exclusively organic in origin. […] Men with retrograde ejaculation have little to suggest a diagnosis in terms of symptoms beyond that of reduced ejaculation or dry orgasm. Post orgasm, many men will describe the passage of cloudy urine. This can be attributed to the mixing of semen in the bladder with urine. A number of men will present with fertility issues for the obvious reasons. […] The severity of painful ejaculations may vary from a minor discomfort to excruciating pain. It may occur anywhere in the pudendal territory, including penis, scrotum and perineal/perianal region. The pain typically initiates immediately before or during ejaculation and commonly lasts between 2 to 24 hours. This problem may reduce the individuals self-esteem and sexual desire, which could well result in a decrease quality of life.

• #35 Retrograde ejaculation, painful ejaculation and hematospermia

  https://pmc.ncbi.nlm.nih.gov/articles/PMC5002007/

  The severity of painful ejaculations may vary from a minor discomfort to excruciating pain. […] Many medical conditions can result in painful ejaculations but it can also be an idiopathic problem. […] Treatment of painful ejaculation must be tailored according to the underlying cause, if detected.

• #36 Dry orgasm | healthdirect

  https://www.healthdirect.gov.au/dry-orgasm

  Dry orgasm is when a male orgasms without ejaculating (coming). […] Dry orgasm can happen after you have bladder or prostate surgery. […] It can also be caused by some medical conditions and medicines. […] If you have a dry orgasm, you might have no ejaculation when you reach orgasm. […] Dry orgasm can feel like a normal orgasm, or you may have less sensation. […] You might also notice your urine is cloudy after a dry orgasm. […] You may have symptoms of other sexual difficulties at the same time, such as low libido (sex drive), erectile dysfunction (inability to keep an erection and be able to complete sexual activity), delayed ejaculation. […] Dry orgasm can be caused by some types of surgery to your bladder or prostate. […] Other causes of dry orgasm are nerve damage due to diabetes, multiple sclerosis (MS), stroke, surgery or a spinal cord injury, some medicines used to treat high blood pressure, an enlarged prostate or depression, benign prostate hypertrophy, surgery or radiation therapy to treat prostate cancer, conditions where no sperm is made, a blocked sperm duct, a lack of the hormone testosterone.

• #37 Delayed Ejaculation: Symptoms, Causes, and Treatment

  https://psychcentral.com/health/delayed-ejaculation

  The inability to ejaculate or taking a long time to ejaculate is a sexual dysfunction that can cause distress. Finding treatment can help alleviate symptoms and improve overall well-being. […] Delayed ejaculation occurs when there is an inability to ejaculate, or it takes longer than usual to ejaculate. Its one of the many sexual dysfunctions that can lead to a lack of sexual satisfaction with sexual or relationship partners. […] Physical exhaustion during sex and taking longer than usual to ejaculate are standard with this condition. For men, this condition often feels like theyre on the edge of orgasm and cant finish. It can cause quite a bit of performance anxiety surrounding sex. […] According to the Diagnostic and Statistical Manual of Mental Disorders, 5th edition, text revision (DSM-5-TR), there are two main symptoms of delayed ejaculation: a delay in ejaculation where it takes a significant amount of time to ejaculate and absence or infrequent ejaculation.

• #38 Premature ejaculation – Wikipedia

  https://en.wikipedia.org/wiki/Premature_ejaculation

  Premature ejaculation is a prevalent sexual dysfunction in males; however, because of the variability in time required to ejaculate and in partners’ desired duration of sex, exact prevalence rates of PE are difficult to determine. […] There is a common misconception that younger men are more likely to develop premature ejaculation and that its frequency decreases with age.

• #39 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. […] The main symptom of premature ejaculation is not being able to delay ejaculation for more than three minutes after penetration. But it might occur in all sexual situations, even during masturbation. […] Premature ejaculation can be classified as: Lifelong premature ejaculation occurs all or nearly all the time beginning with the first sexual encounter. Acquired premature ejaculation develops after having previous sexual experiences without problems with ejaculation. […] Many people feel that they have symptoms of premature ejaculation, but the symptoms don’t meet the criteria for a diagnosis. It’s typical to experience early ejaculation at times.

• #40 Premature Ejaculation: Practice Essentials, Background, Pathophysiology

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

  The duration of the dysfunction is specified as follows: Lifelong (present since first sexual experience), Acquired (developing after a period of relative normal sexual functioning). […] Premature ejaculation is believed to be a psychological problem and does not represent any known organic disease involving the male reproductive tract or any known lesions in the brain or nervous system. […] Psychological factors have been found to contribute greatly to premature ejaculation, beyond merely reducing the time to ejaculation.

• #41 Premature ejaculation: Causes, Symptoms, Treatment & Cure PACE Hospitals – Best Hospitals in Hitech City, Hyderabad, India | Near Madhapur, Kukatpally, KPHB, Kondapur, Gachibowli, Jubilee Hills, Banjara HillsPACE Hospitals Contact Number

  https://www.pacehospital.com/premature-ejaculation-causes-symptoms-treatment-cure

  Complications of premature ejaculation include: […] Premature ejaculation might make it harder for couples to conceive if the ejaculation does not occur intravaginal. It can also result in increased tension, worry, and serious relationship troubles. […] Performance anxiety and erectile problems are frequently linked to premature ejaculation. […] In some cases, underlying psychological disorders that contribute to or result from premature ejaculation are not appropriately treated. […] If treatment fails, it may exacerbate emotions of depression and low self-esteem.

• #42 Premature ejaculation: Causes, Symptoms, Treatment & Cure PACE Hospitals – Best Hospitals in Hitech City, Hyderabad, India | Near Madhapur, Kukatpally, KPHB, Kondapur, Gachibowli, Jubilee Hills, Banjara HillsPACE Hospitals Contact Number

  https://www.pacehospital.com/premature-ejaculation-causes-symptoms-treatment-cure

  Anxiety: Anxiety is a major risk factor for premature ejaculation. According to studies, men who are anxious about their sexual performance are more likely to ejaculate prematurely. […] Depression and stress: Depression and generalised stress are two psychological condition that might lead to premature ejaculation. […] Early sexual experiences: Negative early sexual experiences or trauma may cause anxiety and performance concerns in subsequent sexual interactions. […] Hormonal imbalances: Irregular hormone levels, particularly those involving testosterone and serotonin, have been linked to premature ejaculation. […] Medical conditions: Certain medical conditions, including diabetes, metabolic syndrome, and thyroid disorders, have been linked to an increased risk of premature ejaculation.

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

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

  Delayed ejaculation is when it takes longer than usual to ejaculate during sexual activity. […] Delayed ejaculation is the term commonly used for conditions that result in men experiencing difficulties with reaching orgasm and ejaculating. […] Delayed ejaculation is diagnosed if you take a long time to reach orgasm or do not reach orgasm at all, even though you want to and are trying, and you are upset or having relationship problems because of it. […] 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.

• #44 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. […] Delayed ejaculation can be a brief or lifelong problem. Possible causes of delayed ejaculation include certain ongoing health conditions, surgeries and medicines. Treatment for delayed ejaculation depends on the cause. […] There’s no set time that means a diagnosis of delayed ejaculation. Some people with delayed ejaculation need many minutes of sexual stimulation to have an orgasm and ejaculate. Others might not be able to ejaculate at all, called anejaculation. […] In delayed ejaculation, the delay causes upset. Also delayed ejaculation might mean stopping sex due to tiredness, physical irritation, loss of erection or because the partner wants to stop.

• #45 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. […] You may have delayed ejaculation if you: have a significant delay before ejaculating; cannot ejaculate at all, even when you want to and when your erection is normal; cannot ejaculate at least half the times you have sex. […] Delayed ejaculation might make it more difficult to conceive a baby. But there are treatments available. […] Delayed ejaculation might also: increase stress; lead to anxiety or depression; contribute to low self-esteem; lead to relationship issues.

• #46 Delayed ejaculation

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

  Often, there’s trouble reaching orgasm during sexual intercourse or other sexual activities with a partner. Some people can ejaculate only when masturbating. But others may not be able to ejaculate by masturbating. […] Delayed ejaculation is divided into the following types based on symptoms: Lifelong versus acquired. With lifelong delayed ejaculation, the problem is present from the time of sexual maturity. Acquired delayed ejaculation happens after a period of typical sexual functioning. Generalized versus situational. Generalized delayed ejaculation isn’t limited to certain sex partners or certain kinds of arousal. Situational delayed ejaculation happens only under certain conditions. […] Some medicines, certain ongoing health conditions and surgeries can cause delayed ejaculation. Other causes include substance misuse or a mental health concern, such as depression, anxiety or stress. Often, it’s due to a mix of physical and psychological concerns.

• #47 Delayed or Absent Ejaculation | Department of Urology | UPMC

  https://www.upmc.com/services/urology/conditions/delayed-or-absent-ejaculation

  A delayed or absent ejaculation happens when a man takes an especially long time to ejaculate or can’t come at all. […] It can be a short-lived or lifelong problem. […] DE tends to get worse with age. […] DE is only a problem when it goes on for a long time or causes stress for you or your partner. […] Men with DE often need 30 minutes or more of sexual stimulation to have an orgasm. […] Treatment for delayed ejaculation (DE) depends on what caused the problem. Once doctors find the cause, they’re often able to resolve the issue.

• #48 Delayed Ejaculation – Dr Ben Medical – Men’s Health Clinic | Women’s Health Singapore

  https://dbclinic.com.sg/delayed-ejaculation/

  Delayed ejaculation, or impaired ejaculation, occurs when a man is consistently unable to get an orgasm and ejaculate even with sufficient sexual stimulation and arousal. […] You may have impaired ejaculation if you take more than 30 minutes of sexual stimulation and activity to ejaculate. If you cannot ejaculate at all, you have a condition known as anejaculation. […] Though rare, sometimes delayed ejaculation can be a sign of a worsening health condition such as diabetes or heart disease. […] If you dont address your delayed ejaculation problem, you are highly likely to experience several complications such as male infertility, stress and anxiety brought about by poor sexual performance concerns as well as relationship issues. […] Research shows that nearly 1-4% of Singaporean men suffer from delayed ejaculation. However, the figures could be higher bearing in mind that most men are not willing to discuss their sexual problems with their doctors. […] You cant really prevent delayed ejaculation that is caused by either aging or nerve damage. However, you can prevent ED caused by excessive alcohol consumption or drug abuse. Also, improving your relationship with your partner may help prevent the problem from worsening.

• #49 Retrograde Ejaculation: Causes, Symptoms & Treatment

  https://my.clevelandclinic.org/health/diseases/21870-retrograde-ejaculation

  Retrograde ejaculation doesnt seem to be painful or harmful. If you dont want children, your provider may suggest that it doesnt need treatment. […] Healthcare professionals dont believe that retrograde ejaculation is harmful or painful. Your outlook is good, unless youre trying to have children. Even then, there are treatments for both retrograde ejaculation and infertility. […] Retrograde ejaculation can go away with treatment. It can also go away if youre able to change the medications that cause it. […] The rate of retrograde ejaculation after TURP is estimated to be as high as 70% to 90%. If the bladder neck is preserved during TURP, there may be less risk of retrograde ejaculation. […] Retrograde ejaculation is a somewhat common occurrence due to many causes, including medication use, surgery and medical conditions. While healthcare providers dont see it as being painful or harmful, it can be a problem for people who want to conceive. There are ways to treat retrograde ejaculation. Speak to your healthcare provider about any of your concerns.

• #50 Retrograde Ejaculation – Symptoms, Causes and Treatment

  https://www.diabetes.co.uk/diabetes-complications/retrograde-ejaculation.html

  Retrograde ejaculation is an uncommon type of ejaculation problem. It occurs when semen enters the bladder instead of coming out through the urethra (the tube in which urine passes) during orgasm. […] Retrograde ejaculation can result in male infertility, and treatment would be required for fertility to be restored. […] Retrograde ejaculation does not affect your ability to get an erection, and you can still experience orgasms, but there are certain symptoms you may notice, including: Producing cloudy urine following an orgasm, Dry orgasms (where you ejaculate very little or no semen), Infertility. […] The first sign of retrograde ejaculation will be a dry orgasm where you have very little or no semen. […] Diagnosis of retrograde ejaculation will be confirmed if a urinalysis shows a large amount of sperm in your urine. […] If severe damage to the nerves or muscles of your bladder has occurred, you will likely need help in order for your partner to get pregnant.

• #51 Retrograde ejaculation: MedlinePlus Medical EncyclopediaLock

  https://medlineplus.gov/ency/article/001282.htm

  Retrograde ejaculation occurs when semen goes backward into the bladder. Normally, it moves forward and out of the penis through the urethra during ejaculation. […] Symptoms include: Cloudy urine after orgasm, Little or no semen is released during ejaculation. […] If the problem is caused by a medicine, normal ejaculation will often come back after the drug is stopped. Retrograde ejaculation caused by surgery or diabetes often can’t be corrected. This is most often not a problem unless you are trying to conceive. Some men do not like how it feels and seek treatment. Otherwise, there is no need for treatment. […] The condition may cause infertility. However, semen can often be removed from the bladder and used during assistive reproductive techniques. […] Contact your provider if you are worried about this problem or are having trouble conceiving a child.

• #52 Delayed ejaculation

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

  Psychological causes of delayed ejaculation include: Depression, anxiety or other mental health conditions. Relationship problems due to stress, not communicating well or other concerns. Anxiety about performance. Poor body image. Cultural or religious taboos. Differences between the reality of sex with a partner and sexual fantasies. […] The following can increase the risk of having delayed ejaculation: Older age. With aging, ejaculation takes longer. Psychological conditions, such as depression or anxiety. Medical conditions, such as diabetes or multiple sclerosis. Certain medical treatments, such as prostate surgery. Medicines, such as certain antidepressants, high blood pressure medicines or water pills, called diuretics. Relationship problems, such as not being able to talk to your partner. Excessive alcohol use, especially long-term heavy drinking.

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

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

  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. […] Other complications may include decreased sexual pleasure, anxiety about sex, inability to conceive, or male infertility, low libido, stress and anxiety. […] 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.

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

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

  There are many potential causes of DE, including psychological concerns, chronic health conditions, and reactions to medications. […] 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. […] A temporary ejaculation problem can cause anxiety and depression. This can lead to recurrence, even when the underlying physical cause has been resolved. […] 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. […] 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.

• #55 Ejaculatory Dysfunction and Male Infertility — Male Infertility Guide

  https://www.maleinfertilityguide.com/ejaculatory-dysfunction

  Pain with ejaculation can have multiple possible causes, including: 1) Seminal vesicle inflammation 2) Ejaculatory duct obstruction 3) Seminal vesicle or prostate stones 4) Prostatitis, urethritis, or epididymitis 5) Psychological issues. […] Diabetes is one of the most common causes of neurologic abnormalities, and up to 40 percent of diabetic men have some form of ejaculatory dysfunction. […] The impact of diabetes on ejaculation depends upon the degree of nerve involvement, and can take one of several forms, including: 1) Retrograde ejaculation (from incomplete closing of the bladder neck) 2) Anejaculation (from paralysis of smooth muscle in the reproductive tract, which is replaced by fibrotic tissue) 3) Failure of emission (sperm not deposited into urethra).

• #56 Ejaculation Problems: Retrograde Ejaculation, Inhibited Ejaculation Symptoms and Home Treatment

  https://www.webmd.com/sexual-conditions/mens-sexual-problems

  The most common sexual problems in men are ejaculation disorders, erectile dysfunction, and inhibited sexual desire. […] There are different types of ejaculation disorders, including: […] Premature ejaculation, the most common form of sexual dysfunction in men, often is due to nervousness over how well they will perform during sex. […] In some cases, premature and inhibited ejaculation are caused by a lack of attraction for a partner, past traumatic events, and psychological factors, including a strict religious background that causes the person to view sex as sinful. […] Retrograde ejaculation is common in males with diabetes who suffer from diabetic neuropathy (nerve damage). […] In addition, certain medications, particularly those used to treat mood disorders, may cause problems with ejaculation.

• #57 Retrograde Ejaculation: Symptoms, Causes & Treatment | hims

  https://www.forhims.co.uk/blog/retrograde-ejaculation-causes-treatments

  If your retrograde ejaculation is mild, you might not notice these signs. But some men may have stress or anxiety about noticing changes in their ejaculation. […] Retrograde ejaculation happens when semen flows backward from the urethra to the bladder due to problems with the bladder neck muscle. […] There are many possible retrograde ejaculation causes. Any condition that can change the function of the bladder neck muscle can potentially lead to retrograde ejaculation. […] Retrograde ejaculation can develop if the nerves controlling ejaculation are damaged. […] Men who undergo prostate surgery or have surgery in their pelvic area are at a very high risk of developing ejaculatory complications. […] As many as 70 to 90 percent of men who get TURP surgery develop retrograde ejaculation. […] If you have retrograde ejaculation and would like to have children in the future, it’s best to talk to a fertility specialist.

• #58 Delayed Ejaculation: Symptoms, Causes, and Treatment

  https://psychcentral.com/health/delayed-ejaculation

  For the symptoms to meet the criteria established by the DSM-5-TR, the challenges with ejaculation must occur 75% to 100% of the time. These troubles must persistently happen for at least 6 months and cause distress or disruption in functioning. […] The key defining feature of delayed ejaculation is that it takes a long time to ejaculate, or ejaculation never occurs. These situations where delayed ejaculation or absence of ejaculation occurs happen persistently, and the difficulties persist for at least six months. […] The frustrations and challenges associated with delayed ejaculation can cause psychological distress and conflict in romantic and sexual relationships.

• #59 Delayed ejaculation

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

  Complications of delayed ejaculation can include: Less sexual pleasure for you and your partner. Stress or anxiety about having sex. Marital or relationship problems due to a poor sex life. Not being able to get your partner pregnant, called infertility. […] 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. […] 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 Premature ejaculation

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

  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. Fertility problems. Premature ejaculation can sometimes make it hard for a partner to get pregnant. This may happen if ejaculation doesn’t occur in the vagina. […] Common treatment options for premature ejaculation include behavioral techniques, medications and counseling. […] 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.

• #61 What is delayed ejaculation? – myDr.com.au

  https://mydr.com.au/sexual-health/delayed-ejaculation/

  Fertility can be a problem for men who have anejaculation (inability to ejaculate). If you would like to father a child you may need treatment to achieve this. […] If delayed ejaculation is thought to be due to a psychological cause, your doctor may recommend sex therapy, counselling or psychological therapy. […] If you are experiencing anejaculation (inability to ejaculate) and you and your partner would like to have a baby, there are treatments available.

• #62 Does an Enlarged Prostate Affect Ejaculation? Understanding Impacts and Concerns

  https://www.urologocumming.com/en/blog/does-an-enlarged-prostate-affect-ejaculation-understanding-impacts-and-concerns

  An enlarged prostate can lead to urinary difficulties and could also impact sexual function. […] Some medications prescribed for managing urinary symptoms can cause issues like dry ejaculation or retrograde ejaculation, where semen enters the bladder instead of being expelled through the penis. […] A healthy prostate is vital for normal ejaculation. An enlarged prostate can lead to issues such as difficulty in ejaculating or retrograde ejaculation. […] Various treatments for an enlarged prostate can impact ejaculatory function. […] Some men might notice reduced ejaculation or experience what is known as retrograde ejaculation, where semen goes into the bladder instead. […] Treatments for an enlarged prostate can cause pain during ejaculation. […] Some men feel a burning sensation or pain that can affect their quality of life.

• #63 Can an enlarged prostate keep you from ejaculating? | UC Irvine Health | Department of Urology

  https://www.urology.uci.edu/can_an_enlarged_prostate_keep_you_from_ejaculating.shtml

  An enlarged prostate does not impair the ability to ejaculate. […] Many men have tried these medications and have side effects, including inability to ejaculate or retrograde ejaculation (which means what at the time of an orgasm, there is no ejaculate to the outside; rather, the ejaculate goes to the inside). […] These surgeries may have irreversible side effects that cause erectile dysfunction as well as ejaculatory dysfunction after surgery, retrograde ejaculation, sexual issues, bleeding, and can sometimes require catheters to be placed again.

• #64 Postorgasmic illness syndrome – Wikipedia

  https://en.wikipedia.org/wiki/Postorgasmic_illness_syndrome

  Postorgasmic illness syndrome (POIS) is a syndrome involving chronic physical and cognitive symptoms following orgasm. The symptoms usually onset within seconds, minutes, or hours, and last for up to a week. The cause and prevalence are unknown; it is considered a rare disease. It typically affects men but in rare instances can affect women. […] The distinguishing characteristics of POIS are: the rapid onset of symptoms after orgasm; the presence of an overwhelming systemic reaction. POIS symptoms, which are called a „POIS attack”, can include some combination of the following: cognitive dysfunction, aphasia, severe muscle pain throughout the body, severe fatigue, weakness, and flu-like or allergy-like symptoms, such as sneezing, itchy eyes, and nasal irritation. Additional symptoms include headache, dizziness, lightheadedness, extreme hunger, sensory and motor problems, intense discomfort, irritability, anxiety, gastrointestinal disturbances, craving for relief, susceptibility to nervous system stresses, depressed mood, and difficulty communicating, remembering words, reading and retaining information, concentrating, and socializing. Affected individuals may also experience intense warmth or cold.

• #65 Postorgasmic illness syndrome – Wikipedia

  https://en.wikipedia.org/wiki/Postorgasmic_illness_syndrome

  The symptoms usually begin within 30 minutes of orgasm, and can last for several days, sometimes up to a week. In some cases, symptoms may be delayed by 2 to 3 days or may last up to 2 weeks. In some men, the onset of POIS is in puberty, while in others, the onset is later in life. POIS that is manifest from the first ejaculations in adolescence is called primary type; POIS that starts later in life is called secondary type. […] Many individuals with POIS report lifelong premature ejaculation, with intravaginal ejaculation latency time (IELT) of less than one minute. […] The prevalence of POIS is unknown. POIS is listed as a rare disease by the American National Institutes of Health and the European Orphanet. It is thought to be underdiagnosed and underreported. POIS seems to affect mostly men from around the world, of various ages and relationship statuses. […] It is possible that a similar disease exists in women, though, as of 2016, there is only one documented female patient. […] None of the proposed causes for POIS can fully explain the connection between POIS and lifelong premature ejaculation.

• #66 Ejaculation Problems – Blood in the Semen – The Waiting Room

  https://thewaitingroom.karger.com/embarrassing-problems/ejaculation-problems-blood-in-the-semen/

  Semen is usually a thick, creamy-white liquid. Blood in the semen (haematospermia) is common and looks like red streaks in the fluid. […] It is likely that you will immediately think that you have a serious disease, such as cancer. Not so; most of the causes of blood in the semen are not serious. […] In men under 40 years old, no cause can be found in about one-third and the problem usually goes away in about a month. […] In these cases, no treatment is necessary as long as there are no other symptoms such as pain, feeling unwell or losing weight. […] In men over the age of 40, a cause can usually be found. […] Prostate cancer has to be considered, especially in older people, but is not a common cause of blood in the semen. […] Dont be embarrassed to consult a doctor; family physicians are very familiar with this type of problem.

• #67 Prostatitis and Sexual Dysfunction: What Every Man Should Know

  https://www.femsurgery.com/prostatitis-and-sexual-dysfunction/

  Painful Ejaculation or Difficulty Achieving Orgasm refers to pain during or after ejaculation, and anorgasmia refers to the regular inability to achieve orgasm after ample sexual stimulation. […] The inflammation of the prostate can make ejaculation painful. Additionally, the pain and discomfort from prostatitis can make reaching an orgasm challenging. […] Men might experience sharp, burning, or aching pain during or after ejaculation. Some might find it challenging to reach the point of orgasm, even with prolonged stimulation. […] Premature or Delayed Ejaculation is when ejaculation occurs sooner than desired, often within a minute of penetration. Delayed ejaculation, on the other hand, is when it takes a prolonged period of sexual stimulation to ejaculate or not being able to ejaculate at all.

• #68 Painful ejaculation: Symptoms, causes, and treatment

  https://www.medicalnewstoday.com/articles/320470

  Painful ejaculation may be linked to issues with the prostate. […] Most of the medical literature on painful ejaculation focuses on problems with the prostate. Prostatitis is one common cause. […] Men with prostatitis have swelling and inflammation of the prostate. […] A condition called benign prostatic hyperplasia (BPH), which causes the prostate to enlarge, may also affect ejaculation. […] Other prostate problems, including surgery on the prostate and prostate cancer, can also cause painful ejaculation. […] Some medications can cause painful ejaculation. […] Depression, anxiety, and stress can radically change a man’s sex life. […] Men who experience no pain when they masturbate may have painful ejaculation because of emotional or relationship problems. […] Some people who experience painful ejaculation may also experience painful urination.

• #69 Retrograde ejaculation, painful ejaculation and hematospermia – Parnham – Translational Andrology and Urology

  https://tau.amegroups.org/article/view/11053/11779

  Many medical conditions can result in painful ejaculations but it can also be an idiopathic problem. Initial reports demonstrated possible associations of painful ejaculation with calculi in the seminal vesicles, sexual neurasthenia, sexually transmitted diseases, antidepressants, inflammation of prostate, prostate cancer, benign prostatic hyperplasia, prostate surgery, pelvic radiation and herniorrhaphy amongst others. […] Treatment of painful ejaculation must be tailored according to the underlying cause, if detected. Psychotherapy or relationship counselling, withdrawal of suspected agents (drugs, toxins, or radiation) or the prescription of appropriate medical treatment (antibiotics, -blockers, anti-inflammatory agents) may ameliorate painful ejaculations. If medical treatments fail, surgical operations such as transurethral resection of the prostate, transurethral resection of the ejaculatory duct and neurolysis of the pudendal nerve may be necessary.

• #70 Does an Enlarged Prostate Affect Ejaculation? Understanding Impacts and Concerns

  https://www.urologocumming.com/en/blog/does-an-enlarged-prostate-affect-ejaculation-understanding-impacts-and-concerns

  Medications are a common first step in managing an enlarged prostate. […] Some men may experience side effects from these medications, which can include ejaculatory dysfunction. […] Surgical interventions can be considered when medications are not effective. […] While these surgeries can provide significant symptom relief, they also carry some risks, including potential changes in ejaculation. […] Ejaculation frequency may not be directly affected by an enlarged prostate. […] Attention should be given to treatment methods used for urinary symptoms, as some can lead to changes in ejaculatory function. […] A dry ejaculation, where little or no semen is expelled, isn’t typically caused by BPH itself. […] It is often a side effect of some treatments, like surgery or certain medications used to manage BPH-related symptoms.

• #71 How An Enlarged Prostate Can Affect Your Sex Life: Midwest Institute for Non-Surgical Therapy: Vascular and Interventional Radiologists

  https://www.mintstl.com/blog/how-an-enlarged-prostate-can-affect-your-sex-life

  As a result, BPH can affect ejaculatory function. […] Having an enlarged prostate may also cause sexual problems such as: […] Retrograde ejaculation occurs when semen goes into the bladder when you climax rather than exit the body in the normal way. […] However, according to some studies, the operation can cause retrograde ejaculation in as many as 65% to 75% of men. […] Retrograde ejaculation isn’t harmful, and you can still enjoy sex, but it may affect your fertility. […] An enlarged prostate and some medications to treat it can affect a man’s ability to perform in the bedroom.

• #72 Sexual problems for men with MS | MS Trust

  https://mstrust.org.uk/a-z/sexual-problems-men-ms

  Sexual difficulties particularly erectile dysfunction and difficulty reaching orgasm are common in men with MS. […] Difficulty with erections, orgasms and having satisfying sex are not unusual. […] Studies estimate that more than half of men with MS will be affected by sexual problems to some degree at some time – some studies suggest up to 90%. […] Delayed or absent orgasms and ejaculation.

• #73 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. A variation of delayed ejaculation (anejaculation) is when you don’t ejaculate at all. […] Delayed ejaculation can occur for psychological reasons. It can also occur due to physical causes: […] Sometimes a spinal cord injury can cause an ejaculatory disorder.

• #74 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. […] Some men cannot achieve ejaculation through vaginal penetration and must rely on alternative sexual acts to climax. Some men will lose their erection prior to achieving climax and be left frustrated. Some men will reach the point of orgasm but just cant finish and are left feeling very uncomfortable. […] 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. […] More commonly, he may have a hormonal imbalance in serotonin, prolactin or testosterone. Men taking antidepressants whose serotonin levels are skewed by the pills, frequently suffer from delayed or loss of ejaculation.

• #75 Premature Ejaculation: Practice Essentials, Background, Pathophysiology

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

  Premature ejaculation can be lifelong or acquired. With lifelong premature ejaculation, the patient has experienced premature ejaculation since first beginning coitus. With acquired premature ejaculation, the patient previously had successful coital relationships and only now has developed premature ejaculation. […] Patient characteristics in lifelong premature ejaculation can include the following: Psychological difficulties, Deep anxiety about sex that relates to 1 or more traumatic experiences encountered during development. […] In patients with acquired premature ejaculation, inquire about the following: Previous relationships, Current relationship, Nonsexual aspects of the current relationship, The sexual partner’s level of involvement in treatment, Impotence problems, Capacity for coitus, Sexual context, Sexual response of partner.

• #76 Delayed Ejaculation: Causes, Diagnosis & Treatment

  https://my.clevelandclinic.org/health/diseases/22125-delayed-ejaculation

  A healthcare provider may offer several different delayed ejaculation treatments. There isnt one clear way to treat the condition unless the cause involves certain medications, nonprescription drug use or alcohol use. […] 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.

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