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
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.