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Ejaculatory Dysfunction: Types, Causes, And Treatment


Ejaculatory dysfunction is one of the common sexual problems experienced by men. It is the inability of men to ejaculate semen properly. This either results in no ejaculation, too early ejaculation, too late ejaculation, or ejaculation in the bladder itself.

Ejaculatory dysfunction mostly affects men of middle age (30-45) years, depending on the type and causes. [1]

- The condition can be diagnosed by a physical examination and by taking a medical history.
- Blood test and urine tests may be done for further analysis.

Causes of ejaculatory dysfunction can be primary (birth problems), or secondary (acquired after birth) like some medical condition, drug reactions, or trauma. Ejaculatory dysfunction can be classified as follows:
Premature ejaculation
Delayed ejaculation
Retrograde ejaculation


Symptoms of ejaculatory dysfunction as per the type are as follows:
Premature ejaculation: Ejaculation within a minute of penetration, sexual frustration, and inability to delay ejaculation.
Delayed ejaculation: Need of 30 min (or more) time to ejaculate, fatigue, and loss of erection.
Anejaculation: No ejaculation at all.
Retrograde ejaculation: Dry orgasms, cloudy urine, and infertility.
The diagnosis for ejaculatory dysfunction is done by physical examination of genitalia and testicles, evaluation of semen sample, and a sample of urine post ejaculation.


Although ejaculatory dysfunction cannot be treated without external help, educating oneself with the psychotherapies available is a path one can undertake.

Premature ejaculation: Psychotherapy and oral medication.
Delayed ejaculation: Medication and counseling.
Anejaculation: Sexual therapy, counseling, and sperm retrieval (infertility)
Retrograde ejaculation: Off-label drugs and intrauterine insemination.

Specialists: mfine assists patients in finding a proper treatment option for their medical conditions. Contact us to know more.

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