- Ejaculatory dysfunction is the inability of a man to efficiently ejaculate semen from the penis at the moment of sexual climax.
- Ejaculatory dysfunction is the most prevalent form of male sexual dysfunction and is a common cause of male infertility.
- Ejaculatory dysfunction is classified into four types: premature ejaculation, delayed ejaculation, retrograde ejaculation, and anejaculation (no ejaculation).
- Treatments for ejaculatory dysfunction include medications, behavioral therapy (for premature ejaculation), and sometimes surgery.
Causative Factors:
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Evaluation of ejaculatory dysfunction
Asking a patient about his personal history is generally the first step a physician takes in diagnosing and evaluating ejaculatory dysfunctions. This can reveal if the problem has always been present, which may indicate if it is due to a birth defect or to an acquired condition.
Elements of evaluation include:
- Physical exam of the genitalia and testicles for structural problems
- Semen sample for evaluation of sperm presence and health
- Post-ejaculate urine sample if no ejaculate was produced
- Hormonal testing
- Transrectal ultrasound (TRUS) to look for structural problems.