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.
- 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.