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Ejaculatory incompetence; Sex - delayed ejaculation; Retarded ejaculation
Delayed ejaculation is a medical condition in which a male is unable to ejaculate, either during intercourse or with manual stimulation in the presence of a partner. Ejaculation is the action in which semen is release from the penis.
Most men ejaculate within a few minutes after onset of active thrusting in intercourse. Men with delayed ejaculation may be entirely unable to ejaculate in some circumstances (for example, during intercourse), or may only be able to ejaculate with great effort and after prolonged intercourse (for example 30 to 45 minutes).
Delayed ejaculation can result from psychological or physical causes.
Common psychological causes include:
Some factors, such as anger toward the partner, may be involved.
Physical causes may include:
Lue TF, Broderick GA. Evaluation and management of erectile dysfunction and premature ejaculation. In: Wein AJ, ed. Campbell-Walsh Urology. 9th ed. Philadelphia, Pa: Saunders Elsevier; 2007:chap 22.
Moore DP, Jefferson JW. Erectile dysfunction. In: Moore DP, Jefferson JW, eds. Handbook of Medical Psychiatry. 2nd ed. Philadelphia, Pa: Mosby Elsevier; 2004:chap 100.
Moore DP, Jefferson JW. Inhibited male orgasm. In: Moore DP, Jefferson JW, eds. Handbook of Medical Psychiatry. 2nd ed. Philadelphia, Pa: Mosby Elsevier; 2004:chap 102.
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