Delayed Ejaculation and Anejaculation

Delayed ejaculation is when it takes an abnormally long time for ejaculation to occur. Anejaculation is when ejaculation does not occur at all. Some men have anorgasmia—the inability to have an orgasm—in addition to anejaculation, while others can have an orgasm but cannot ejaculate. Some men have delayed ejaculation or anejaculation only in certain situations, such as with masturbation or with intercourse.

Treatment depends on the cause of the condition and the patient’s individual circumstances. The problem is sometimes resolved by discontinuing medications with sexual side effects. Other treatments can include certain medications, high-speed vibrators or sex therapy or couples therapy. If the cause is surgery, neurological disease, or injury, the problem is often permanent.