Feature Article

Delayed ejaculation: a management challenge

Chris G McMahon
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Delayed ejaculation and anejaculation are probably the least understood of the male sexual dysfunctions. However, their impact is significant because they may result in a lack of sexual fulfilment for both the man and his partner.

Key Points

  • The causes of delayed ejaculation and anejaculation are manifold.
  • Failure of ejaculation can be a lifelong problem (25%) or an acquired problem (75%). It may be global and occur in every sexual encounter, or be intermittent or situational.
  • Treatment of men with delayed ejaculation should be aetiology specific and address the issue of infertility in men of reproductive age.
  • Drug treatment of men with delayed or inhibited ejaculation has met with limited success.