August 2, 2017

Even though ejaculatory dysfunction is the most common male sexual disorder, there is still quite a bit of confusion around the topic.

Despite its prevalence in men, ejaculatory dysfunction is frequently misdiagnosed or overlooked by medical professionals. In part, this gap is related to the numerous barriers between patients and physicians, due to the fact that men are often hesitant about coming forward with concerns about their sexual health.

Also contributing to the mystery around the condition is the fact that there are several different types of ejaculatory dysfunction. In fact, it’s quite a wide spectrum, including premature ejaculation (PE), delayed ejaculation (DE), retrograde ejaculation (RE), and anejaculation or anorgasmia. Some types of ejaculatory dysfunction can be easily improved (like premature ejaculation), while others are difficult to treat (like anejaculation).


In this article, we will offer more detail about the various ejaculatory dysfunction types and provide resources to check out if you’re dealing with any sort of sexual disorder.


Premature ejaculation

Also known as rapid ejaculation, premature ejaculation (abbreviated as PE) is the condition in which a man ejaculates with minimal stimulation, often shortly after sexual intercourse begins. With PE, a man achieves orgasm before he or his partner would like.

Many men begin experiencing premature ejaculation in their teens or twenties. It typically affects men under the age of 35, but it can occur at any point in a man’s life. Depending on when PE it begins, it’s either considered lifelong or acquired premature ejaculation.

Lifelong PE is chronic PE that begins in a man’s younger years and continues throughout adulthood. Alternatively, acquired premature ejaculation strikes in older men who haven’t dealt with the issue before.

Whether it’s lifelong or acquired, premature ejaculation is believed to be the most common sexual dysfunction in males, with nearly 30% of men of all ages suffering from this condition. PE is considered to be a problem when it happens more often than a man and his partner would prefer.

Doctors often find that premature ejaculation and erectile dysfunction create a vicious cycle. For example, a man dealing with PE will try to delay his ejaculation, which instinctively reduces his level of excitation (potentially leading to ED). Similarly, a man who has ED will try to achieve an erection by increasing his excitation (potentially leading to PE).


Delayed ejaculation and anejaculation

Also known as retarded orgasm, these two ejaculatory disorders are very challenging to treat. Both conditions involve the inability of the patient to achieve orgasm (ejaculation) in a timely manner.

Delayed ejaculation is the less severe of the two. Men experiencing this disorder can physically ejaculate, but it may take quite some time to get there. In more serious cases, men who fail to achieve orgasm on any occasion may be diagnosed with anejaculation.

To put it in perspective, most sexually functional men ejaculate within about 3 – 8 minutes following intromission. However, men may qualify for a diagnosis of delayed ejaculation if they do not ejaculate within 20 – 30 minutes of intercourse and deal with consequent distress. The same applies to men who simply cease sexual activity due to exhaustion or irritation, without ejaculating.


Retrograde ejaculation

Men with retrograde ejaculation (RE) may be able to achieve orgasm in the desired moment, but their semen does not come out through the penis. Instead, semen is passed in a retrograde fashion into the bladder, as opposed to out through the urethra as it normally would. Some with RE may notice a small amount of semen come out of their penis, but others may have none at all.

Patients who have RE are considered to be orgasmic with anejaculation, as the bladder neck fails to close during ejaculation. Retrograde ejaculation can either be congenital or, more commonly, acquired after prostate or bladder surgery. Although RE is not detrimental to a man’s health, it can lead to infertility.


Painful ejaculation

Painful ejaculation is a condition in which men experience painful, burning sensations during or after ejaculation. With this condition, men feel pain in perineum (located between the anus and the sexual organs), as well as the urethra. Painful ejaculation can also lead to discomfort in the testicles and interfere with sexual gratification. 

Painful ejaculation is an uncommon problem that may have psychological or organic causes, such as acute or chronic prostatitis (inflammation of the prostate gland) or urethritis (inflammation of the urethra). Other contributing causes could include infections that inflame the area around the penis, blockages in the ejaculatory duct, or nerve damage to the penis.

If you think you might have ejaculatory dysfunction or another type of sexual disorder, speak with a medical professional about your concerns as soon as you can. These days, you don’t even have to book an in-person doctor’s consultation to get medical advice about your sexual health. Instead, you can set up a virtual appointment with an online medical clinic that specializes in men’s health, like Men’s Health Direct.


At Men’s Health Direct, we provide professional and confidential health support for men around Australia. When you schedule an appointment with MHD, you’ll have the opportunity to speak with one of our Australian licenced doctors over the phone to share your symptoms and receive a diagnosis. We’ll evaluate your medical history and current health conditions to create a tailored treatment plan just for you. From there, our pharmacy team will ship your prescriptions discreetly to your door, so you can start feeling better in the bedroom and in life.

We understand that sexual health is often difficult to discuss. Our physicians and medical support staff approach every situation with sensitivity and discretion, so you can feel comfortable talking with us — without fear of stigma or judgment.


At Men’s Health Direct, we’re committed to helping you gain back your confidence and boost your performance in the bedroom. Get in touch today by calling 1800 200 500 or visiting our website to request an appointment at a convenient time for you.


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