Delayed Ejaculation (Orgasm)

Sexual Health Inventory for Men

There are certain conditions in which ejaculation occurs but it takes long time (delayed ejaculation). Retarded ejaculation is a disorder where the male wants to ejaculate but is unable to do so. It was believed to be a rare condition but we frequently come across patients suffering from this disorder. Sex therapists in USA and Europe have also noted an increase in its incidence. Individuals complaining of retarded ejaculation get aroused; have a normal erection, which persists, but cannot ejaculate in the vagina, though eagerly desiring orgasmic release. But sometimes they can easily ejaculate during masturbation or oral coitus with a partner. The causes of retarded ejaculation are some hormonal disorders, drugs, C.N.S. abnormalities & psychiatric illnesses. In order to understand the paradox of a man being able to have a good erection without ejaculation, it is necessary to remember that the sexual response is biphasic. Erection is mediated by the parasympathetic division of the autonomic nervous system, while ejaculation is dependent on the sympathetic division of central nervous system. The impotent male is unable to achieve an erection while the male with retarded ejaculation cannot come, although his erection is normal. In severe cases of retarded ejaculation, the extreme frustration of being unable to experience orgasm makes such men dislike intercourse and resort to masturbation alone for orgasmic release. One would think that the female partner would welcome the delayed orgasmic response of the male, but it is not so, she considers it a rejection of herself.