Ejaculatory problems or otherwise known as ejaculatory dysfunction usually occurs when a man has a problem properly ejaculating his semen, either ejaculating too soon, too late, back into his own bladder or not at all. These situations can result in poor sexual satisfaction by the man and his partner, ineffective reproduction and emotional trauma.
Ejaculation problems, also called aspermia, can be caused by a problem at birth (primary) or by acquired dysfunctions (secondary) after birth (often much later in life), such as disease, injury and adverse drug reactions. The four types of ejaculation dysfunction are premature ejaculation, delayed ejaculation, retrograde ejaculation and anejaculation.
Your doctor will first ask you about your personal history, this is generally the first step in diagnosing and evaluating ejaculatory dysfunctions. We ask these questions as it 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. Following are the four different types of ejaculation disorders, along with their causes, symptoms and treatments.
Typical treatment for delayed ejaculation can include:
Off-label drugs can help the bladder neck muscle remain closed during ejaculation, preventing ejaculate from going into the bladder.
Treatment for anejaculation