Delayed Ejaculation and Anejaculation
What is Delayed Ejaculation?
Delayed ejaculation is when it takes an abnormally long time for ejaculation to occur. Anejaculation is when ejaculation does not occur at all. Some men have anorgasmia—the inability to have an orgasm—in addition to anejaculation, while others can have an orgasm but cannot ejaculate. Some men have delayed ejaculation or anejaculation only in certain situations, such as with masturbation or with intercourse.
Causes of Delayed Ejaculation and Anejaculation
- Hormonal abnormalities
- Psychological causes
- Medications (e.g. antidepressants)
- Neurologic diseases (e.g. multiple sclerosis)
- Spinal cord injury
- Surgery (e.g. prostatectomy, retroperitoneal lymph node dissection)
Treatment for Delayed Ejaculation and Anejaculation
Treatment depends on the cause of the condition and the patient’s individual circumstances. The problem is sometimes resolved by discontinuing medications with sexual side effects. Other treatments can include certain medications, high-speed vibrators or sex therapy or couples therapy. If the cause is surgery, neurological disease, or injury, the problem is often permanent.