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What is Ejaculation Disorder?

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. These situations can result in poor sexual satisfaction by the man and his partner, ineffective reproduction and emotional trauma.

What you should know

Ejaculation disorders, also called aspermia, can be caused by a problem at birth (primary) or by acquired dysfunctions (secondary) after birth (often much later in life), such as disease, injury and adverse drug reactions. The four types of ejaculation dysfunction are premature ejaculation, delayed ejaculation, retrograde ejaculation and anejaculation.
Normal ejaculation involves an emission step, when semen is positioned in the penis near the prostate, and an ejaculation step, when the semen is forcefully expulsed from the penis.
Ejaculation occurs at sexual climax, or the expulsion of the sperm. Climax is different from an orgasm, which is centered in the brain and associated with ejaculation.
The mechanics of ejaculation are similar to a sneeze: both are reflexes with a point of no return. The average time from sexual penetration by the male to ejaculation is nine minutes.


Although topical anaesthetic agents are effective and well-tolerated, they have potential side effects. For example, some men report temporary loss of sensitivity and decreased sexual pleasure. Sometimes, female partners also have reported these effects.


Common treatment options for premature ejaculation include behavioural techniques, topical anaesthetics, medications and counselling. Keep in mind that it might take time to find the treatment or combination of treatments that will work for you. Behavioural treatment plus drug therapy might be the most effective course.