Ejaculatory Dysfunction

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Ejaculatory Dysfunction

Ejaculatory Dysfunction


Although not as popular as erectile dysfunction, ejaculatory dysfunction is actually the most common form of sexual dysfunction.


Ejaculatory dysfunction can be treated! That’s right. So, stop being embarrassed, and go see your doctor.


What Are the Disorders of Ejaculation?

There are four of them: premature ejaculation (PE), delayed ejaculation, retrograde (reverse) ejaculation, and lack of ejaculation or orgasm.1 

What Are the Causes of Ejaculatory Disorder?

Unfortunately, the exact cause of ejaculatory disorder is not known. Male ejaculation is a complex series of hormonal and nerve responses. It is only reasonably well understood, and studies continue to provide new information. Various underlying medical disorders can cause one or more of these problems (psychiatric, physical, hormonal, neurologic, infectious, or even medications).

Retrograde ejaculation is caused by a physical defect somewhere along the ejaculatory pathway. The body basically has a natural drawbridge that goes down to prevent semen from going backwards into the bladder. If that drawbridge is damaged, like in prostate surgery, semen can go the wrong direction.

What Can You Do about Ejaculatory Disorder?

In the case of a physical defect, surgeries are available to fix the problem, and you should talk to an urologist for further details.

Premature ejaculation is the best understood of the other problems and can be treated with medical therapy.1 The problem with not knowing as much about the other disorders is that the medical community does not yet know exactly how to treat them. Doctors are discovering new treatments daily, and you should work with your doctor to find the treatment that works best for you.

EMG Health Homepage: Men’s Health Introduction

External Resources: Cleveland Clinic: Ejaculatory Dysfunction

1. Wolters JP, Hellstrom WJ. Current concepts in ejaculatory dysfunction. Rev Urol. 2006; 8 Suppl 4:S18-25.