Ejaculatory dysfunction is one of the most common male sexual disorders, yet it is still frequently misdiagnosed or overlooked as a result of numerous atient and physician barriers. The wide spectrum ranges from premature or rapid ejaculation, through delayed ejaculation, to a complete inability to ejaculate—otherwise known as anejaculation— and includes retrograde ejaculation and painful ejaculation.
Sexual dysfunction in Men or Male can be divided into three main categories – Erectile Dysfunction (ED), ejaculatory disorders and hypogonadism. These again are broken down into more sub divided categories – premature ejaculation (PE), delayed ejaculation (DE), retrograde ejaculation (RE), and anejaculation /anorgasmia.
Also known as rapid ejaculation, it is the condition whereby a patient ejaculates with minimal sexual stimulation and before he wishes it to occur. It can be life-long (primary) or secondary (acquired). This is believed to be the most common sexual dysfunction in males with almost 30% of men of all ages suffering from this condition. It could be inferred that PE and ED share a vicious cycle, in which a man trying to control his ejaculation instinctively reduces his level of excitation (which can lead to ED), and a man trying to achieve an erection attempts to increase his excitation (which can lead to PE).
Also known as retarded orgasm, it is a very difficult sexual disorder to treat. This condition involves 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 (anejaculation). Given that most sexually functional men ejaculate within about 3–8 min following intromission, men with latencies beyond 20–30 min and consequent distress or men who simply cease sexual activity due to exhaustion or irritation qualify for a diagnosis of delayed ejaculation.
It is the process whereby the semen is passed in a retrograde fashion into the bladder as opposed to out the urethra. Patients are orgasmic with anejaculation, as there is failure of the bladder neck to close during ejaculation. RE can be congenital or more commonly acquired after prostate or bladder surgery.
Painful ejaculation is when painful, burning sensations are felt during or following ejaculation. Pain can be felt in the perineum (the area between the anus and the genitals) and the urethra (a tube that runs from the bladder to the end of the penis). This is an uncommon problem that may have psychological or organic causes, e.g. acute or chronic prostatitis (inflammation of the prostate gland), and urethritis (inflammation of the urethra), an infection that may inflame the area around the penis, blockages in the ejaculatory duct, or nerve damage to the penis.The condition can cause discomfort in the testes and interfere with sexual pleasure.