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Ejaculatory Disorders

Medically reviewed by Last updated on Nov 5, 2023.

What is an ejaculatory disorder (EjD)?

EjD affects the ability to ejaculate or the timing of ejaculation. Ejaculation is the part of sexual function when semen is released through the urethra.

Male Reproductive System

What causes an EjD?

The cause is not always known. The following may increase your risk:

  • Certain medicines, such as antidepressants
  • Injury or disease that affects the nervous system
  • Hormone disorders such as hyperthyroidism
  • Stress
  • Mood disorders such as depression or anxiety
  • A bladder or urethra that is not shaped normally
  • Pelvic surgeries such as prostate surgery

What are the signs and symptoms of an EjD?

Symptoms depend on the type of EjD you have:

  • Premature ejaculation is when ejaculation happens sooner than wanted. It may happen with little sexual arousal.
  • Delayed ejaculation is when ejaculation and orgasm take longer to achieve than you want. This may happen even with enough stimulation and arousal.
  • Retrograde ejaculation is when semen flows toward the bladder during ejaculation. Little or no semen may come out of the urethra.
  • Anejaculation is when semen is not released during ejaculation. An orgasm may still happen, but no semen comes out of the urethra.

How is an EjD diagnosed?

Your healthcare provider will ask about your symptoms and how long you have had them. He or she may ask you to answer a questionnaire about your feelings towards sex. Blood and urine tests may show what is causing your problem. The tests may also show if any sperm is in your urine.

How is an EjD treated?

Treatment depends on the cause of your EjD. You may need any of the following:

  • Medicines can help control the sensitivity of your penis. It can also help delay ejaculation.
  • Behavioral therapy with a counselor or therapist can help you create strategies to enjoy sex. Therapy can be done one-on-one or with your partner.

When should I seek immediate care?

  • You have pain or swelling in your pelvic area.
  • You have blood in your urine.

When should I call my doctor?

  • You feel depressed because of EjD.
  • You see blood in your semen.
  • You and your partner are trying to conceive a baby.
  • You have questions or concerns about your condition or care.

Care Agreement

You have the right to help plan your care. Learn about your health condition and how it may be treated. Discuss treatment options with your healthcare providers to decide what care you want to receive. You always have the right to refuse treatment. The above information is an educational aid only. It is not intended as medical advice for individual conditions or treatments. Talk to your doctor, nurse or pharmacist before following any medical regimen to see if it is safe and effective for you.

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Further information

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