Types of Ejaculatory Dysfunctions

Types of Ejaculatory Problems in Men:

• Premature Ejaculation(PE) - Ejaculating in less than 2 minutes
• Delayed Ejaculation(DE) - NOT ejaculating even after 20 minutes
• Retrograde Ejaculation(RE)
• Anejaculation(AE)

Delayed Ejaculation is characterized by a man’s inability to ejaculate in a reasonable period under normal sexual stimulation.

Retrograde Ejaculation occurs when the semen intended for propulsion out the urethral meatus is directed backwards into the urinary bladder. This is most commonly due to intrinsic problems with the internal sphincter of the bladder.

Anejeculation Ejaculation specifically refers to the lack of ejaculation that may or may not be coupled with an orgasm.

Pharmacologic treatments for PE exist, and off-label therapy with selective serotonin reuptake inhibitor (SSRIs) is currently the most favoured clinical approach. SSRIs exhibit the well-established side effect of delaying ejaculation and, at higher doses, causing AE and anorgasmia.

It is also important to understand that EJD coexists with Benign Prostatic Hypertrophy (BPH) and Lower Urinary Tract Symptoms(LUTS) in men. The drugs used to treat BPH like Tamsulosin are notorious in causing Retrograde Ejaculation.

Anejaculation can be treated with Sympathomimetic drugs, vibrators and electro-ejaculation. The penile vibrator acts by providing a strong stimulus for a long duration to the penis. Vibrator stimulation results in ejaculation in about 60% of men suffering from a neurological (spinal cord) injury. This is a simple and quite effective way of retrieving semen in people with anejaculation. In electro-ejaculation, an electrical current is applied through the rectum under anesthesia in normal individuals and without anesthesia in people with neurological injuries.

Metromale Clinic Locations in Chennai:

Metromale Clinic - T Nagar (Men Fertility, Sexual Health and IVF Center)
No.1, Crescent Park Street, T. Nagar, Parthasarathi Puram, T Nagar, Chennai, Tamil Nadu 600017
090928 49786


Metromale Clinic - OMR (Men Fertility, Sexual Health and IVF Center)
5/395, Old Mahabalipuram Rd, Nedunchezian Salai, Indira Nagar, Thoraipakkam, Chennai, Tamil Nadu 600057
097102 04044