Impaired Ejaculation

November 12, 2012

Impaired Ejaculation

Impaired ejaculation is a medical condition where it takes a man more time than normal to ejaculate and some men cannot ejaculate at all. This means that a man usually needs more than half an hour of sexual stimulation to ejaculate. Many men can’t ejaculate during intercourse, but are able to do so if the penis is orally or manually stimulated, or by masturbation.

Is it temporary or permanent?

It can be temporary dependant on the cause and treatments available, but sometimes it is permanent, for example prostate surgery may have an effect. It is not abnormal to have a problem of this sort from time to time especially when a man is affected by anxiety or stress.


Impaired ejaculation is divided into the following types:

Lifelong- The problem has been present since the male reached sexual maturity.

Acquired- The problem manifests itself after a time of normal sexual activity.

Generalised- The problem occurs whatever type of stimulation is used and it doesn’t matter who he is with.

Situational – The problem only occurs in certain circumstances.


  • Stress

  • Fatigue

  • Relationship problems

  • Mental health issues

  • Prostate problems

  • Injury

  • Surgery

  • Birth defects

  • Diabetes

  • Guilt


Psychological causes, such as stress, fatigue, relationship problems, and guilt are better dealt with through counselling with or without your partner and making adjustments to your lifestyle, cutting stress, taking up some form of exercise, spending more time with your loved ones and getting a good night sleep.

Mental health problems should be discussed with a psychologist or a mental health counsellor, who has specialised knowledge of sexual problems.

Physical causes can be treated with medication along with counselling if necessary to provide help and support. Sometimes the ejaculation problem is caused by a reaction between prescription drugs, which you may be taking for other health issues. Talk to your doctor and they can change your medication to find one which suits you better, or prescribe a medication for the ejaculation problem.

Risk factors

There are numerous things that can cause an increase of impaired ejaculation and these include:

  • Age – As men get older ejaculation does take longer

  • Erection problems such as erectile dysfunction

  • Heavy drinking or alcoholism

  • Drug taking including cannabis

  • Blood pressure medication

  • Diuretics

  • Antidepressants

  • Drugs controlling psychological conditions

Seeing a doctor

The doctor is likely to ask you numerous questions about your lifestyle and sexual habits, be truthful. Take along any medications you take for other conditions including any supplements such as vitamins. If you want to ask questions it is an idea to write them down beforehand so as not forget once you are in the surgery.


  • Blood Tests to rule out other health issues.

  • Urine Test to look for diabetes or infection.

  • Physical exam of your penis and testicles.

Once the tests have come back from the laboratory, your doctor will be in a better position to make a diagnosis and recommend appropriate treatment.

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