Overview

Types

Premature ejaculation

This is the most common form of ejaculation problems, and it is where ejaculation takes place too quickly during sexual intercourse. It can have a number of causes, including biological and psychological.

Delayed ejaculation

Delayed ejaculation is a significant delay before ejaculation or the inability to ejaculate at all despite having an erection. This doesn’t relate to the occasional event, but if it is a repeated delay or inability, happening in at least half of all times a person has sexual intercourse.

Retrograde ejaculation

A less common ejaculation problem, this occurs when semen travels backwards into the bladder. It can be identified by a lack of semen during ejaculation and cloudy urine after sex. This may lead to issues in conceiving but is unlikely to cause any long-term problems.

Causes

Premature ejaculation

Physical causes include issues with the prostate and thyroid, but the use of recreational drugs can also be a factor.

Delayed ejaculation

Physiological causes can include diabetes, spinal cord injuries, multiple sclerosis, bladder or prostate surgery and increasing age.

Retrograde ejaculation

This can be caused by damage to muscles or nerves around the bladder neck, and also damage from prostate or bladder surgery. Similar to delayed ejaculation, diabetes and multiple sclerosis are other causes.

Treatment

Premature ejaculation

Certain changes to a man’s approach within sex can help, such as use of condoms, masturbation or choosing particular positions. Counselling can also be effective, and also medicines such as anti-depressants. Visit a doctor who may be able to provide the best advice.

Delayed ejaculation

As there are physical and psychological factors,  it is important to see a medical professional to help establish what is required. This can provide an assessment and advice to direct a man to the treatment that is best suited to them, and it may be a combination approach.

Retrograde ejaculation

Due to the fact that this should not be painful and there are no real effects on a man’s health, treatment may not be required. However, if it is in order to allow for conception, then options include certain medicines.

Meet our specialists

Mr Zafar Maan a urologist in East Anglia
Mr Zafar Maan

BSc (Hons) MSc (Urol) MA (Clin Ed) FRCS (Urol)

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Mr Sam Datta a urologist in East Anglia
Mr Sam Datta

BSc MSc MD FRCS (Urol) PGCME

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Mr Rajiv Pillai a urologist in East Anglia
Mr Rajiv Pillai

MSc MS FRCS (Urol) FEBU

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