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Revitalizing Psychiatry
Retarded Ejaculation
Alternate Names: Ejaculatory incompetence; Delayed ejaculation; Sex - delayed ejaculation
Definition
An inhibition of ejaculation. A male is unable to ejaculate, either during intercourse, or with manual
stimulation in the presence of a partner.
Background Information
Estimates of the incidence of retarded ejaculation range from 1 to 4% of men. Most men ejaculate within
2 to 4 minutes after onset of active thrusting in intercourse.
Men with retarded ejaculation may be entirely unable to ejaculate in some circumstances (for example,
during intercourse), or may only be able to ejaculate with great effort and after prolonged intercourse (for
example 30 to 45 minutes).
What is retarded ejaculation?
It’s normal for sexual response to change with age. The older a man gets, often, the more stimulation he
needs to get an erection and ejaculate (‘come’), and the more time he needs between erections before
he can have sex again.
As the name suggests, retarded ejaculation, also called delayed ejaculation, is a condition in which a
man can get an erection, but he can’t ejaculate easily, so it takes an abnormally long time for him to
climax.
Retarded ejaculation is a rare condition, and shouldn’t be confused with normal sexual response due to
ageing. If you’re concerned about your sexual response, ask your doctor for further advice.
What causes retarded ejaculation?
Retarded ejaculation can be triggered by anxiety about ‘coming’ in your partner’s presence, or fear of
penetrating your partner, but sometimes there are physical causes.
For example, men with diabetes may find that they take longer to ejaculate than men without diabetes,
and certain medications can delay ejaculation. These include some kinds of antidepressants, such as
selective serotonin reuptake inhibitors (SSRIs), some types of blood pressure medications, and
medications such as thioridazine, used to help treat schizophrenia.
What treatments are available?
If medication is the cause of retarded ejaculation, tell your doctor, who may be able to recommend a
different treatment that avoids this unwanted side effect.
Often, the treatment for retarded ejaculation involves behavioural therapy, so your doctor may
recommend treatment by a counsellor or psychotherapist.
The therapist may teach you techniques to help minimise anxiety about ejaculating and teach you some
tips to help with timing, as well as offering advice to you and your partner to help improve your sex life.
Alternate Names: Ejaculatory incompetence; Delayed ejaculation; Sex - delayed ejaculation
Definition
An inhibition of ejaculation. A male is unable to ejaculate, either during intercourse, or with manual
stimulation in the presence of a partner.
Background Information
Estimates of the incidence of retarded ejaculation range from 1 to 4% of men. Most men ejaculate within
2 to 4 minutes after onset of active thrusting in intercourse.
Men with retarded ejaculation may be entirely unable to ejaculate in some circumstances (for example,
during intercourse), or may only be able to ejaculate with great effort and after prolonged intercourse (for
example 30 to 45 minutes).
What is retarded ejaculation?
It’s normal for sexual response to change with age. The older a man gets, often, the more stimulation he
needs to get an erection and ejaculate (‘come’), and the more time he needs between erections before
he can have sex again.
As the name suggests, retarded ejaculation, also called delayed ejaculation, is a condition in which a
man can get an erection, but he can’t ejaculate easily, so it takes an abnormally long time for him to
climax.
Retarded ejaculation is a rare condition, and shouldn’t be confused with normal sexual response due to
ageing. If you’re concerned about your sexual response, ask your doctor for further advice.
What causes retarded ejaculation?
Retarded ejaculation can be triggered by anxiety about ‘coming’ in your partner’s presence, or fear of
penetrating your partner, but sometimes there are physical causes.
For example, men with diabetes may find that they take longer to ejaculate than men without diabetes,
and certain medications can delay ejaculation. These include some kinds of antidepressants, such as
selective serotonin reuptake inhibitors (SSRIs), some types of blood pressure medications, and
medications such as thioridazine, used to help treat schizophrenia.
What treatments are available?
If medication is the cause of retarded ejaculation, tell your doctor, who may be able to recommend a
different treatment that avoids this unwanted side effect.
Often, the treatment for retarded ejaculation involves behavioural therapy, so your doctor may
recommend treatment by a counsellor or psychotherapist.
The therapist may teach you techniques to help minimise anxiety about ejaculating and teach you some
tips to help with timing, as well as offering advice to you and your partner to help improve your sex life.
Retarded Ejaculation