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Delayed Ejaculation

Lorraine Benuto, Ph.D., edited by C. E. Zupanick, Psy.D.

While men with erectile disorder are unable to achieve an erection, men with delayed ejaculation can have an erection, but have difficulties in ejaculation.

To be diagnosed with this condition, either of the following must be present 75-100% of the time during partnered sexual activity for at least 6 months:

  • marked delay in ejaculation
  • marked infrequency or absence of ejaculation

"Delay" has not yet been clearly defined as experts have been unable to agree what makes up a reasonable time to reach orgasm or what is unacceptably long for most men and their partners.

The symptoms must cause a great deal of stress in the person's life.

The symptoms must not be the result of a nonsexual mental health condition, happening because of severe stress, because of a medical condition, or due to a medication taken (prescription or drug of abuse).

The clinician should specify whether the condition is:

  • Lifelong - the problems have been present since the person became sexually active
  • Acquired - the problems began after a period of relatively normal sexual function

It should also be noted whether it is:

  • Generalized - not limited to certain types of stimulation, situations or partners.
  • Situational - only happens with certain types of stimulation, situations or partners.

Finally, the condition can be mild, moderate or severe depending on the level of stress over the symptoms that are happening.